Katie Ralene Kavicky, ND

Primary specialty

NaturopathTaxonomy code 175F00000X

License

6054170 Issued in WI

Practice address

2571 S Hemlock Rd
Green Bay, WI 54229-9508

Phone

(920) 288-2601

NPI assigned

May 21, 2024

Last updated

Sep 25, 2024By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1851130645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2571 S HEMLOCK RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "542299508",
            "telephone_number": "920-288-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2571 S HEMLOCK RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "542299508",
            "telephone_number": "920-288-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVICKY",
        "first_name": "KATIE",
        "middle_name": "RALENE",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WI",
            "license": "6054170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline M Kaufman, AGPCNP-BC
• Ruth Kaufman, M.S., LPC
• Kendra Kaul
• Andrew D Kausak, D-PT
• Tanya V Kavicky-Mels, MFT
• Rashid Kazman, M.D.
• Kindel N Keener, FNP-C
• Randall W Keigley, MSW
• Margaret Ann Keiler
• David Ralph Keim, MD

• Naturopath in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Naturopath in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.