Individual provider Active NPI

Katelyn Henk, RN, BSN

  • School Registered Nurse
  • Rice Lake, WI
National Provider Identifier
1962272914
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
201861-30 Issued in WI
Practice address
30 Phipps Ave
Rice Lake, WI 54868-1996
Phone
(608) 606-9215
Fax
(715) 234-4552
NPI assigned
Jan 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 201861-30 WI Primary

Addresses

Primary practice location

30 Phipps Ave
Rice Lake, WI 54868-1996

Mailing address

30 Phipps Ave
Rice Lake, WI 54868-1996
Phone (608) 606-9215

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
201861-30WIMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1962272914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PHIPPS AVE",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548681996",
            "telephone_number": "608-606-9215",
            "fax_number": "715-234-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PHIPPS AVE",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548681996",
            "telephone_number": "608-606-9215",
            "fax_number": "715-234-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENK",
        "first_name": "KATELYN",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-02",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "WI",
            "license": "201861-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rice Lake, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.