Active NPI
Janet R Rewasiewicz, R.N.
- Diabetes Educator Registered Nurse
- Milwaukee, WI
National Provider Identifier
1780994293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- 83106-030
- Practice address
- 2323 N Lake Dr
Milwaukee, WI 53211-4508 - Phone
- (414) 291-1858
- Fax
- (414) 291-1999
- NPI assigned
- Oct 18, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | 83106-030 | WI | Primary |
Addresses
Primary practice location
2323 N Lake Dr
Milwaukee, WI 53211-4508
Mailing address
628 Hawthorne Ave
South Milwaukee, WI 53172-2213
Phone (414) 764-2952
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83106-030 | WI | MD | Diabetes Educator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287360000000",
"number": "1780994293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "628 HAWTHORNE AVE",
"city": "SOUTH MILWAUKEE",
"state": "WI",
"postal_code": "531722213",
"telephone_number": "414-764-2952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 N LAKE DR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532114508",
"telephone_number": "414-291-1858",
"fax_number": "414-291-1999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REWASIEWICZ",
"first_name": "JANET",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-18",
"last_updated": "2010-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "WI",
"license": "83106-030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.