Cory Katsma, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

243446-30 Issued in WI

Practice address

7395 Frederick PL
West Bend, WI 53090-8643

Phone

(262) 339-8093

NPI assigned

Aug 3, 2017

Last updated

Jul 21, 2022By 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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1871018564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7395 FREDERICK PL",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530908643",
            "telephone_number": "262-339-8093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7395 FREDERICK PL",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530908643",
            "telephone_number": "262-339-8093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATSMA",
        "first_name": "CORY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "243446-30",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "321915-31",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Marie Kane, SLP
• Rebecca Karls
• Darlene Heather Kartali, ATC, LAT
• Melody Kash
• Jane M Kassens, APRN
• Charles T Kaufmann
• Peggy Kaye, REGISTERED NURSE
• Kathleen Ann Kazda, MSW
• Michelle Marie Kehoe, PTA
• David Keipert, ABOC

• Registered Nurse in West Bend, WI
• Providers in West Bend, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.