Active NPI
Danielle Dutkiewicz, CFSA
- Surgical Assistant
- Pleasant Prairie, WI
National Provider Identifier
1881306553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- Practice address
- 12500 Aurora Dr
Pleasant Prairie, WI 53158-1227 - Phone
- (262) 857-5400
- NPI assigned
- Dec 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | Primary |
Addresses
Primary practice location
12500 Aurora Dr
Pleasant Prairie, WI 53158-1227
Mailing address
573 Southwind Dr Unit 101
Lake Geneva, WI 53147-4779
Phone (224) 230-0332
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670976000000",
"number": "1881306553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "573 SOUTHWIND DR UNIT 101",
"city": "LAKE GENEVA",
"state": "WI",
"postal_code": "531474779",
"telephone_number": "224-230-0332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12500 AURORA DR",
"city": "PLEASANT PRAIRIE",
"state": "WI",
"postal_code": "531581227",
"telephone_number": "262-857-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUTKIEWICZ",
"first_name": "DANIELLE",
"credential": "CFSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-14",
"last_updated": "2022-12-14",
"certification_date": "2021-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasant Prairie, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.