MRS. MARY LEE WEGNER (NPI# 1043502024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043502024 |
| Entity Type | Individual |
| Full Name | MRS. MARY LEE WEGNER |
| Credential | LPN |
| Practice Address |
1101 Doris St Watertown WI 53098-1101 |
| Practice Telephone | 9202611111 |
| Mailing Telephone | 9202611111 |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2011-05-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 304882 | WI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013974047 | Mary Catherine Wegner | Nurse Anesthetist, Certified Registered | 5950 Saratoga Blvd, Christus Spohn South, Corpus Christi, TX 78411 | 2006-04-26 |
| 1013983071 | Mary Michelle Wegner | Psychiatry & Neurology | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2006-02-28 |
| Street Address |
1101 DORIS ST |
| City | WATERTOWN |
| State | WI |
| Zip Code | 53098-1101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528558749 | Watertown Physician Practices LLC | Eyewear Supplier (Equipment, not the service) | 123 Hospital Dr Ste 2005, Watertown, WI 53098 | 2018-05-14 |
| 1851822076 | Fort Health Care Inc | Otolaryngology | 123 Hospital Dr Suite 106a, Watertown, WI 53098 | 2017-03-21 |
| 1598045692 | Bonnie Kay Peot | Licensed Practical Nurse | 1420 Wedgewood Drive, Watertown, WI 53098 | 2011-08-19 |
| 1275790404 | Kathy R. Adkins | Physical Therapy Assistant | 1020 Hill Street, Watertown, WI 53098 | 2008-05-16 |
| 1336361294 | Patrice Walter | Occupational Therapist | 125 Hospital Dr., Watertown, WI 53098 | 2007-05-02 |
| 1720161284 | Carolyn T Schneider-donley | Optometrist | 622 N. Church Street, Watertown, WI 53098 | 2006-10-20 |
| 1730156431 | Mohamed H Yafai | Internal Medicine | 123 Hospital Drive, Suite 2009, Watertown, WI 53098 | 2006-03-02 |
| 1093711236 | Dana M. Fields | Physician Assistant | 134 Hospital Drive, Watertown, WI 53098 | 2005-06-22 |
| 1528560018 | Watertown Medical Center LLC | Psychiatric Unit | 125 Hospital Drive, Watertown, WI 53098 | 2018-03-01 |
| 1437544863 | Zachary Richardson | Internal Medicine | 125 Hospital Dr, Watertown, WI 53098 | 2015-04-02 |
| Find all providers in zip 53098 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| 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. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606912 | Shaelynn Marie Miller | Licensed Practical Nurse | 22479 Echo Dr, Watertown, NY 13601-9334 | 2020-10-13 |
| 1093350126 | Lorrie A Pond | Licensed Practical Nurse | 422 College Hts Apt 2, Watertown, NY 13601-1846 | 2019-11-13 |
| 1972064707 | Karalee Cromwell | Licensed Practical Nurse | 511 W Mullin St, Watertown, NY 13601-3231 | 2019-03-26 |
| 1457827842 | Cynthia Ann Bennett | Licensed Practical Nurse | N1365 Elder Dr, Watertown, WI 53098-3770 | 2018-10-23 |
| 1104378249 | Amber Zubke | Licensed Practical Nurse | 1405 Oconomowoc Ave Apt 1, Watertown, WI 53094-5214 | 2016-10-25 |
| 1114471232 | Diane Margery Bolden | Licensed Practical Nurse | 411 Thompson Blvd, Watertown, NY 13601-4139 | 2016-08-05 |
| 1992154892 | Joshua I Hall | Licensed Practical Nurse | 123 California Ave, Watertown, NY 13601-3042 | 2016-06-10 |
| 1073967386 | Amanda Pisarski | Licensed Practical Nurse | 26713 Nys Rte 12, Watertown, NY 13601 | 2016-04-22 |
| 1447653662 | Mary Supple | Licensed Practical Nurse | N6288 Stonewood Dr, Watertown, WI 53094-8710 | 2014-10-01 |
| 1235538240 | Marie Petell | Licensed Practical Nurse | 17481 Us Route 11 Lot 5r, Watertown, NY 13601-5346 | 2014-08-14 |
| Find all providers in WATERTOWN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.