PEGGY S CHRISTIANSON (NPI# 1053608992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053608992 |
Entity Type | Individual |
Full Name | PEGGY S CHRISTIANSON |
Credential | APRN |
Practice Address |
15397 State Highway 32 Lakewood WI 54138-9702 |
Mailing Address |
17166 Rudy Rd Townsend WI 54175-9635 |
Practice Telephone | 7152766321 |
Mailing Telephone | 7158500700 |
Enumeration Date | 2011-06-29 |
Last Update Date | 2013-03-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4429 | WI | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831466697 | Peggy Christianson | Pharmacist | 11343 S 96th St, Papillion, NE 68046-4280 | 2011-11-22 |
Street Address |
15397 STATE HIGHWAY 32 |
City | LAKEWOOD |
State | WI |
Zip Code | 54138-9702 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699778233 | The Lakes Community Health Center, Inc | Clinic/Center | 15397 State Highway 32, Lakewood, WI 54138-9702 | 2005-05-27 |
1346892312 | Samantha Ann Debroux | Nurse Practitioner | 15397 State Highway 32, Lakewood, WI 54138-9702 | 2019-07-10 |
1508347808 | Tammy J Whitt-sylfest | Dental Hygienist | 15397 State Highway 32, Lakewood, WI 54138-9702 | 2018-08-24 |
1104297571 | Mackenzie Deaton | Dental Hygienist | 15397 State Highway 32, Lakewood, WI 54138-9702 | 2015-10-12 |
1720455496 | Rene A Farah | Dental Hygienist | 15397 State Highway 32, Lakewood, WI 54138-9702 | 2015-08-28 |
1386984078 | Stacie M Kramer | Dental Hygienist | 15397 State Highway 32, Lakewood, WI 54138-9702 | 2013-02-18 |
1336417542 | Lori Lee Nelson | Dental Hygienist | 15397 State Highway 32, Lakewood, WI 54138-9702 | 2011-12-02 |
1720369119 | Ashlei Elaine Mctrusty | Dental Hygienist | 15397 State Highway 32, Lakewood, WI 54138-9702 | 2011-08-30 |
1174828024 | Gisela Gunderson | Dental Hygienist | 15397 State Highway 32, Lakewood, WI 54138-9702 | 2011-01-24 |
1164749107 | Jessica Plummer | Dental Hygienist | 15397 State Highway 32, Lakewood, WI 54138-9702 | 2010-04-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174830244 | Adam Robert Habeck | Chiropractor | 15267 State Hwy. 32, Lakewood, WI 54138 | 2010-09-09 |
1386708378 | Stacey Lee Bisenius | Dental Hygienist | 15397 State Hwy 32, Lakewood, WI 54138 | 2006-12-21 |
1801135371 | Habeck Chiropractic Center, LLC | Chiropractor | 15267 State Hwy. 32, Lakewood, WI 54138 | 2013-02-04 |
1023338506 | Orthopedic & Spine Therapy of Lakewood, Sc | Physical Therapist | 17187 Twin Pines Rd, Lakewood, WI 54138-9300 | 2010-06-07 |
1790162899 | Assure Family Practice LLC | Clinic/Center | 17187 Twin Pines Rd, Suite A, Lakewood, WI 54138-9300 | 2015-04-28 |
1265841944 | Sara Piontek | Massage Therapist | 17187 Twin Pines Rd, Lakewood, WI 54138-9300 | 2014-08-07 |
1588975908 | Orthopedic & Spine Therapy of Lakewood, Sc | Durable Medical Equipment & Medical Supplies | 17187 Twin Pines Rd, Lakewood, WI 54138-9300 | 2010-06-30 |
1235458894 | Lakewood Assisted Living, LLC | Assisted Living Facility | 17185 Flynn Ln, Lakewood, WI 54138-9593 | 2010-05-21 |
1740272848 | Jason William Nobles | Chiropractor | 15481 Commercial Rd, Ste G, Lakewood, WI 54138-9677 | 2005-08-16 |
1790284438 | Oconto Hospital & Medical Center Inc | Family Medicine | 15481 Commercial Rd, Lakewood, WI 54138-9677 | 2018-02-08 |
Find all providers in zip 54138 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
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1619432325 | Soroh Neuberger | Nurse Practitioner | 232 Jamescrest Ct, Lakewood, NJ 08701-4708 | 2019-02-06 |
1487118782 | Krista Leigh Petry | Nurse Practitioner | 4720 Baker St, Lakewood, NY 14750-9772 | 2019-01-31 |
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Find all providers in LAKEWOOD |
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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.