1. Home
  2. Directory
  3. Wisconsin
  4. Shawano
  5. Registered Nurse
  6. NPI Profile

KRISTIE R. PETRY REGISTERED NURSE
NPI 1376780056
Registered Nurse in Shawano, WI

Active since January 16, 2009
504 LAKELAND RD, SHAWANO, WI 54166(715) 526-5547(715) 526-5542 Get Directions Write a Review

NPPES record last updated: February 25, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kristie R. Petry Registered Nurse NPPES

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

KRISTIE R. PETRY REGISTERED NURSE (NPI 1376780056) is an individual registered nurse in Shawano, Wisconsin, licensed in Wisconsin (162531-030) and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1376780056
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameKRISTIE R. PETRYCredential: REGISTERED NURSE
Location Address504 LAKELAND RDShawano, WI 54166-3836
Mailing Address504 Lakeland RdShawano, WI 54166-3836 · (715) 526-5547 · Fax (715) 526-5542
Phone(715) 526-5547
Fax(715) 526-5542
Sole ProprietorNo
Enumeration DateJanuary 16, 2009
Last NPPES UpdateFebruary 25, 2013
✔ NPI 1376780056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in WI · 162531-030
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
504 LAKELAND RD, Shawano, WI 54166
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

JULIE T SCHROEDER B.S.
Social Worker
504 LAKELAND RD
SHAWANO, WI 54166
Shawano County (715) 526-5547
MRS. TRACY VAN ERT
Counselor
504 LAKELAND RD
SHAWANO, WI 54166
Shawano County (715) 526-5547
LAVONNE JACOBSON CSAC
Counselor (Addiction (Substance Use Disorder))
504 LAKELAND RD
SHAWANO, WI 54166
Shawano County (715) 526-5547
MRS. KATIE JANE BARTELL MA, LPC, SACIT
Counselor (Professional)
504 LAKELAND RD
SHAWANO, WI 54166
Shawano County (715) 526-5547
KRISTY IMIG
Case Manager/Care Coordinator
504 LAKELAND RD
SHAWANO, WI 54166
Shawano County (715) 526-5547
KATIE MARIE MARQUARDT
Counselor
504 LAKELAND RD
SHAWANO, WI 54166
Shawano County (715) 526-5547
MR. ABRAHAM GERALD MORRIS
Case Manager/Care Coordinator
504 LAKELAND RD
SHAWANO, WI 54166
Shawano County (715) 526-5547
GARY KOMP B.S.
Social Worker
504 LAKELAND RD
SHAWANO, WI 54166
Shawano County (715) 526-5547

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 Kristie Petry's NPI number?

The NPI number for Kristie Petry is 1376780056. It was assigned to this individual provider in the NPPES registry on January 16, 2009.

Where is Kristie Petry located?

Kristie Petry practices at 504 Lakeland Rd, Shawano, WI 54166. The listed phone number is (715) 526-5547.

What is Kristie Petry's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Kristie Petry was last updated on February 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.