KATIE PETASEK
NPI 1104756113
Registered Nurse - School in Green Bay, WI

Active since May 21, 2026
2706 LINEVILLE RD, GREEN BAY, WI 54313(920) 808-5875 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Katie Petasek NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATIE PETASEK (NPI 1104756113) is an individual school provider in Green Bay, Wisconsin, licensed in Wisconsin (240473) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1104756113
Entity TypeIndividualFemale
Primary Taxonomy163WS0200X
Provider Legal NameKATIE PETASEK
Location Address2706 LINEVILLE RDGreen Bay, WI 54313-7151
Mailing Address2706 Lineville RdGreen Bay, WI 54313-7151 · (920) 808-5875
Sole ProprietorNo
Enumeration DateMay 21, 2026
NPPES CertifiedMay 21, 2026
NPI 1104756113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · SchoolNursing Service Providers
Taxonomy Code163WS0200X
License Licensed in WI · 240473
2706 LINEVILLE RD, Green Bay, WI 54313

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
2706 LINEVILLE RD
GREEN BAY, WI 54313
Speech-Language Pathologist
2706 LINEVILLE RD
GREEN BAY, WI 54313
Occupational Therapist
2706 LINEVILLE RD
GREEN BAY, WI 54313
Speech-Language Pathologist
2706 LINEVILLE RD
GREEN BAY, WI 54313
Registered Nurse (School)
2706 LINEVILLE RD
SUAMICO, WI 54313
Speech-Language Pathologist
2706 LINEVILLE RD
GREEN BAY, WI 54313
Occupational Therapist
2706 LINEVILLE RD
GREEN BAY, WI 54313

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katie Petasek's NPI number?

The NPI number for Katie Petasek is 1104756113. It was assigned to this individual provider in the NPPES registry on May 21, 2026.

Where is Katie Petasek located?

Katie Petasek practices at 2706 Lineville Rd, Green Bay, WI 54313. The listed phone number is (920) 808-5875.

What is Katie Petasek's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in School, with taxonomy code 163WS0200X.

When was this NPI record last updated?

The NPPES record for Katie Petasek was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.