Kelly Thiel, NP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

7926-33 Issued in WI

Practice address

W2654 County Road KK
Appleton, WI 54915-9468

Phone

(920) 830-2221

NPI assigned

Jan 3, 2018

Last updated

Mar 27, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Neal Diabetic Foot and Ankle Center LLC

  • Foot & Ankle Surgery Podiatrist
  • Appleton, WI
  • NPI 1154438810
  Medicare reassignment NPD

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1801303557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W2654 COUNTY ROAD KK",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549159468",
            "telephone_number": "920-830-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W2654 COUNTY ROAD KK",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549159468",
            "telephone_number": "920-830-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIEL",
        "first_name": "KELLY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-03",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WI",
            "license": "7926-33",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "177976-30",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrian Chaya Theriot, MD
• Jessica Marie Theroux, ATC, CSCS
• Kami Thews
• Thibodeau Chiropractic, SC
• Daniel John Thibodeau, D.C.
• Maggie S Thiel, OT
• Stefanie Thiel
• Lisa R Thiltgen, APRN
• Kelly Thomack
• Stephanie Therese Thomas, MS, LPC

• Primary Care Nurse Practitioner in Appleton, WI
• Providers in Appleton, WI by specialty
• Primary Care Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.