Tara Rysewyk, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

224807-30 Issued in WI

Practice address

2020 W Point Ter
Green Bay, WI 54304-1764

Phone

(920) 373-3257

NPI assigned

Jan 16, 2016

Last updated

Jan 16, 2016By 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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1452902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452902400000",
    "number": "1881051100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 W POINT TER",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543041764",
            "telephone_number": "920-373-3257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 W POINT TER",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543041764",
            "telephone_number": "920-373-3257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYSEWYK",
        "first_name": "TARA",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-16",
        "last_updated": "2016-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "224807-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael K Ryan, M.D.
• Judith Ann Rybicki, L.AC.
• Jenna Ryczek, BCBA
• Susan Darlene Rymer
• Gregory D Rypel, M.D.
• Jeffrey Scott Ryther, D.D.S.
• Toufic Jamil Saade, D.D.S.
• Daniel Joel Sabin, LAT
• James G Saccomando Jr., MD, PC
• Kristine Kay Sack, LPC

• Registered Nurse in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2016; 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.