Deidra Marie Rykal, ANP-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

5781-33 Issued in WI

Practice address

2661 County Hwy I
Chippewa Falls, WI 54729

Phone

(715) 726-3485

NPI assigned

Dec 2, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Deidra Marie Peterlik Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417478400000",
    "number": "1982001228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2661 COUNTY HWY I",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "54729",
            "telephone_number": "715-726-3485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2661 COUNTY HWY I",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "54729",
            "telephone_number": "715-726-3485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYKAL",
        "first_name": "DEIDRA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-02",
        "last_updated": "2014-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WI",
            "license": "5781-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEIDRA",
            "last_name": "PETERLIK",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Angela Marie Rogge, LPN
• Krysten Rohlik
• Jacquelyn Kay Ross, P.T.
• Kristin Rothaupt
• John George Rutsch, DC, PHARMD
• Valerie Sabin, REGISTERED NURSE
• Sacred Heart Hospital of the Hospital Sisters-3Rd Order of St Francis (Sacred Heart Hosptial)
• Sacred Heart Hospital of the Hospital Sisters-3Rd Order of St. Francis (Prevea Health)
• Sacred Heart Hospital of the Hospital Sisters-3Rd Order of St. Francis (Prevea Health)
• Melissa Salmonson, OTR

• Adult Health Nurse Practitioner in Chippewa Falls, WI
• Providers in Chippewa Falls, WI by specialty
• Adult Health Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; 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.