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Active NPI 1619136264 Individual Practitioner Male Practitioner

Timothy Deters , LPN

Licensed Practical Nurse • Madison, WI

Professional Overview & Biography Verified Profile Summary

Timothy Deters, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Madison, WI. Practice services are available at 2500 OVERLOOK TER under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2500 Overlook Ter

Madison, WI 537052254

Telephone 6082807110
Associated Practice Facility / Clinic
🏢 Madison Vamc Facility NPI 1033177787

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Madison, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
114 Specialists

Practicing in Madison, WI (1775 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License WI 31514-31

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
Jacob Fitzsimmons

Registered Nurse

NPI 1003753930
Brianna Hurley

Registered Nurse

NPI 1033053525
Hannah Neale

Registered Nurse

NPI 1063340297
Robert Monien

Registered Nurse

NPI 1144163361
Gabrielle Komprood

Registered Nurse

NPI 1245173525
Alyssa Graves

Registered Nurse

NPI 1316882129

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 07, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location June 07, 2008

Registered at 2500 OVERLOOK TER, MADISON, WI 537052254 (Tel: 6082807110)

📍
Updated Business Mailing Address June 07, 2008

Registered at 2500 OVERLOOK TER, MADISON, WI 537052254

👤
Provider Name / Credentials Updated June 07, 2008

Recorded as TIMOTHY DETERS, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2008

Licensed Practical Nurse (License #31514-31 in WI)

🟢
Initial NPI Registration & Enumeration June 07, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619136264
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 07, 2008
Last Update: June 07, 2008
Sole Proprietor: No

Mailing Address

2500 Overlook Ter

Madison, WI 537052254

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.