Active NPI
Anne B. Rakow-Weist, A.T.R.-BC
- Art Therapist
- De Pere, WI
National Provider Identifier
1932318433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- 31-036
- Practice address
- 4029 Willowtree LN
De Pere, WI 54115-8682 - Phone
- (920) 336-0403
- NPI assigned
- May 21, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Art Therapist | 221700000X | 31-036 | WI | Primary |
Addresses
Primary practice location
4029 Willowtree LN
De Pere, WI 54115-8682
Mailing address
4029 Willowtree LN
De Pere, WI 54115-8682
Phone (920) 336-0403
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31-036 | WI | MD | Art Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932318433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4029 WILLOWTREE LN",
"city": "DE PERE",
"state": "WI",
"postal_code": "541158682",
"telephone_number": "920-336-0403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4029 WILLOWTREE LN",
"city": "DE PERE",
"state": "WI",
"postal_code": "541158682",
"telephone_number": "920-336-0403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAKOW-WEIST",
"first_name": "ANNE",
"middle_name": "B.",
"name_prefix": "Ms.",
"credential": "A.T.R.-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "WI",
"license": "31-036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in De Pere, WI
- Pyrimad Psychiatric Services and Health Care Management Solutions
- D'Andre Quick
- Courtney M Quinn-Scott, PT, DPT
- Amanda Radtke, LPC
- Jena Rahmlow
- Dennis Reckelberg, PHARMD.
- Russell Lyle John Reimer Jr., LMT
- Thomas E Reinardy, MD
- Stephanie Marie Reiter, APSW
- Rennes Assisted Living Corp (Renaissance - DePere)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.