COURTNEY STACK (NPI# 1043685712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043685712 |
| Entity Type | Individual |
| Full Name | COURTNEY STACK |
| Practice Address |
5228 W Fond Du Lac Ave Milwaukee WI 53216-1346 |
| Mailing Address |
930a E Hamilton St Milwaukee WI 53202-1529 |
| Practice Telephone | 4148719111 |
| Mailing Telephone | 7084396893 |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2015-12-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
5228 W FOND DU LAC AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53216-1346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417985482 | Andrew Dror Rosenbach | Psychiatry & Neurology | 5228 W Fond Du Lac Ave, Milwaukee, WI 53216-1346 | 2006-06-29 |
| 1689194490 | Caretox Labs Inc | Clinical Medical Laboratory | 5228 W Fond Du Lac Ave, Milwaukee, WI 53216-1346 | 2017-06-22 |
| 1669909412 | Jessica Mutsch | Social Worker | 5228 W Fond Du Lac Ave, Milwaukee, WI 53216-1346 | 2017-05-11 |
| 1003354002 | Sophia Elizabeth Prater | Counselor | 5228 W Fond Du Lac Ave, Milwaukee, WI 53216-1346 | 2017-02-09 |
| 1114463676 | Taylor Dwyer | Counselor | 5228 W Fond Du Lac Ave, Milwaukee, WI 53216-1346 | 2017-01-09 |
| 1902349905 | Glenda Nell Barber | Student in an Organized Health Care Education/Training Program | 5228 W Fond Du Lac Ave, Milwaukee, WI 53216-1346 | 2016-11-22 |
| 1700336419 | Achievement Associates Group Inc | Community/Behavioral Health | 5228 W Fond Du Lac Ave, Milwaukee, WI 53216-1346 | 2016-10-05 |
| 1497208144 | Caitlin Busha | Counselor | 5228 W Fond Du Lac Ave, Milwaukee, WI 53216-1346 | 2016-07-29 |
| 1386090777 | Jenna Emanuele | Counselor | 5228 W Fond Du Lac Ave, Milwaukee, WI 53216 | 2016-05-04 |
| 1407231475 | Mikaela Mendez-smith | Counselor | 5228 W Fond Du Lac Ave, Milwaukee, WI 53216-1346 | 2015-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750906137 | Lilshana Woods | Technician | 3946 N 52nd St, Milwaukee, WI 53216 | 2020-06-11 |
| 1063981710 | Jon Maurice Smoots | Prevention Professional | 7710 W. Casper Street, Milwaukee, WI 53216 | 2018-11-23 |
| 1467948844 | Alexcis Coleman | Counselor | 6815 W Capitol Dr Ste 217, Milwaukee, WI 53216 | 2018-07-09 |
| 1457841066 | Rebeka Fried | Occupational Therapist | 3134 N 53rd St, Milwaukee, WI 53216 | 2018-05-18 |
| 1952831497 | Nina Marie Evans | Home Health Aide | 6815 W. Capitol Drive Suite 117, Milwaukee, WI 53216 | 2017-06-18 |
| 1578009080 | Annette L Veasey | Counselor | 4222 W Capitol Dr Ste 308, Milwaukee, WI 53216 | 2017-01-09 |
| 1295277143 | Gentle Hands Home Healthcare | Home Health | 6815 N. 68th Street, Milwaukee, WI 53216 | 2016-11-09 |
| 1639622780 | Luisa Julia Morales | Counselor | 5228 Fond Du Lac Ave, Milwaukee, WI 53216 | 2016-07-25 |
| 1568811776 | Eye-care Home Health Care | In Home Supportive Care | 6221 W Keefe Pkwy, Milwaukee, WI 53216 | 2016-06-08 |
| 1013382167 | Helens Supportive Services | Home Health | 6222 W Capitol Drive Sutie 200c, Milwaukee, WI 53216 | 2015-12-01 |
| Find all providers in zip 53216 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588275226 | Benjamin N Wasserman | Student in an Organized Health Care Education/Training Program | 3487 N Lake Dr, Milwaukee, WI 53211-2919 | 2020-08-16 |
| 1831707991 | Teresa Marie Ilardi | Student in an Organized Health Care Education/Training Program | 500 W Bradley Rd Apt 127a, Milwaukee, WI 53217-2618 | 2020-07-15 |
| 1053938167 | Joe Dalton | Student in an Organized Health Care Education/Training Program | 1431 N 53rd St, Milwaukee, WI 53208-2227 | 2020-07-06 |
| 1326663790 | Amber Frances Wegner | Student in an Organized Health Care Education/Training Program | 3050 S 62nd St, Milwaukee, WI 53219-3039 | 2020-06-11 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1194349688 | Nikole Anne Bruno | Student in an Organized Health Care Education/Training Program | 2160 S Kinnickinnic Ave Apt 327, Milwaukee, WI 53207-1345 | 2020-06-01 |
| 1598389124 | Amanda Philbin | Student in an Organized Health Care Education/Training Program | 6834 W Cold Spring Rd, Milwaukee, WI 53220-2909 | 2020-05-29 |
| 1992328603 | Amanda Kathryn Browning | Student in an Organized Health Care Education/Training Program | 1123 E Van Beck Ave, Milwaukee, WI 53207-4525 | 2020-05-28 |
| 1548899875 | Brittany Schall | Student in an Organized Health Care Education/Training Program | 945 N 12th St # 3105, Milwaukee, WI 53233-1305 | 2020-04-07 |
| 1841829918 | Joshua Michael Brooks | Student in an Organized Health Care Education/Training Program | Aurora St. Lukes Medical Center 2901 W Oklahoma Ave, Milwaukee, WI 53215 | 2020-04-02 |
| Find all providers in MILWAUKEE | ||||
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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.