Stephanie Wrecke, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

233433 Issued in WI

Practice address

5103 Linda St
Weston, WI 54476-2911

Phone

(715) 212-8907

NPI assigned

Feb 13, 2018

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

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": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518480000000",
    "number": "1871093153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5103 LINDA ST",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "544762911",
            "telephone_number": "715-212-8907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5103 LINDA ST",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "544762911",
            "telephone_number": "715-212-8907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRECKE",
        "first_name": "STEPHANIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-13",
        "last_updated": "2018-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "233433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Wilson, MD
• Elise Kristine Woik, MSW, APSW
• Kurt Woodward, MS LPC
• Holly Ann Worzalla, MS CCC/SLP
• Woven Path Counseling LLC
• Bethany Carole Wright, COTA
• Nicholas P Wyskoarko, MD
• Kelly Zander, PHARM.D.
• Connie Zebro
• Philip M Zickerman, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; 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.