Sawyer Kossl, APNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5682-33 Issued in WI

Practice address

244 Fort Dr
Neenah, WI 54956-5081

Phone

(920) 475-9087

Fax

(855) 624-3321

NPI assigned

Mar 28, 2014

Last updated

Mar 28, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395964800000",
    "number": "1770901662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 W RESEARCH DR",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263452",
            "telephone_number": "920-475-9087",
            "fax_number": "855-624-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 FORT DR",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549565081",
            "telephone_number": "920-475-9087",
            "fax_number": "855-624-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSSL",
        "first_name": "SAWYER",
        "credential": "APNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-28",
        "last_updated": "2014-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "5682-33",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "170124-030",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott C Kolbeck, M.D.
• Katy Kolgen, COTA
• Mary Colleen Kollberg, MSW
• Sherry Lynn Konen, APNP
• Jacqueline M Koski, D.O.
• Emily Rose Kotloski, RN
• Jon C Kralik, M.D.
• James Scott Kramer, D.D.S.
• Stephanie Lynn Kramer, D.D.S.
• Amanda Lyn Krause, OTR/L

• Nurse Practitioner in Neenah, WI
• Providers in Neenah, WI by specialty
• Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.