Rebecca Poulos

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

113283-30 Issued in WI

Practice address

19121 Hobson St
Whitehall, WI 54773-8652

Phone

(715) 538-4364

NPI assigned

Sep 23, 2026

Last updated

Sep 23, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1790121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1811800626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19121 HOBSON ST",
            "city": "WHITEHALL",
            "state": "WI",
            "postal_code": "547738652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19121 HOBSON ST",
            "city": "WHITEHALL",
            "state": "WI",
            "postal_code": "547738652",
            "telephone_number": "715-538-4364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POULOS",
        "first_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-23",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "113283-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Ann Pank, DC
• Tayla J Perotti
• Sarah Peterson, LMT
• Pharmacare LTD (Colby Pharmacy)
• Andrea Murray Polnaszek, LCSW
• Kelly Jean Pronschinske, PT
• Michelle K Raabe
• Alisabeth Ann Reedy, OTR/L CLT
• Carrie D Roskos, CNA
• Scott M Ross, MD

• Registered Nurse in Whitehall, WI
• Providers in Whitehall, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.