Kathryn L Spors, APRN, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5367-33 Issued in WI

Practice address

1225 Remmel Dr
Johnson Creek, WI 53094-8511

Phone

(920) 674-6255

Fax

(920) 674-5288

NPI assigned

Jul 18, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Kathryn L Gackstatter Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kathryn.spors.1@17022.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rainbow Hospice Care, Inc.

  • Nurse Practitioner
  • Johnson Creek, WI
  • NPI 1821799727

  Family

  NPD

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1952743072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 W ROCKWELL ST",
            "city": "JEFFERSON",
            "state": "WI",
            "postal_code": "535492048",
            "telephone_number": "920-674-6255",
            "fax_number": "920-674-5288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 REMMEL DR",
            "city": "JOHNSON CREEK",
            "state": "WI",
            "postal_code": "530948511",
            "telephone_number": "920-674-6255",
            "fax_number": "920-674-5288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 N Washington St",
            "address_purpose": "LOCATION",
            "city": "Janesville",
            "state": "WI",
            "postal_code": "535481500",
            "country_code": "US",
            "telephone_number": "608-741-3800",
            "fax_number": "608-741-3838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPORS",
        "first_name": "KATHRYN",
        "middle_name": "L",
        "credential": "APRN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-18",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "161498-30",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "5367-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "GACKSTATTER",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nancy Ryan, APNP
• Emily Scharrer, RN
• Pamela J Schuhmacher, RN, PEDS VENT/TRACH
• Jessica Moore Schuster, MD
• Latisha A Smith-Chase, M.D.
• Sport & Spine Clinic of Fort Atkinson Limited Partnership
• Sport and Spine Clinic of Fort Atkinson Limited Partnership
• Stepping Stones Psychotherapy, LLC
• Clint Lee Sterwald
• Three Oaks Health S.C.

• Family Nurse Practitioner in Johnson Creek, WI
• Providers in Johnson Creek, WI by specialty
• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; 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.