Treetis Ebben

Primary specialty

Health Information TechnicianTaxonomy code 247000000X

Practice address

25533 State Road 35 # a
Webster, WI 54893-8533

Phone

(360) 302-0955

Fax

(715) 866-5244

NPI assigned

Jul 10, 2014

Last updated

Jul 10, 2014By 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

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1871909747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 517",
            "city": "SIREN",
            "state": "WI",
            "postal_code": "548720517",
            "telephone_number": "360-302-0955",
            "fax_number": "715-866-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25533 STATE ROAD 35 # A",
            "city": "WEBSTER",
            "state": "WI",
            "postal_code": "548938533",
            "telephone_number": "360-302-0955",
            "fax_number": "715-866-5244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBBEN",
        "first_name": "TREETIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-10",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247000000X",
            "taxonomy_group": "",
            "desc": "Technician, Health Information",
            "state": "ND",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Edward Detienne, RPH
• Kathleen Ann Dittmar, LPN
• Cheryl N. Doriott, R.N.
• Erica Ann Doriott, LPN
• Dawn Renee Durand, R.N.
• Amber Fahlin, LPN
• Samantha Lynn Fischer
• Lacey M. Fisk, LCSW
• Kathryn Ann Freese, PTA
• Kerrie Sue Gamboni, REGISTERED DIETITIAN

• Health Information Technician in Webster, WI
• Providers in Webster, WI by specialty
• Health Information Technician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.