MRS. TRACEY SUE KOCHANSKI (NPI# 1063850246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063850246 |
| Entity Type | Individual |
| Full Name | MRS. TRACEY SUE KOCHANSKI |
| Credential | APNP |
| Practice Address |
1130 W Sunset Ave Waukesha WI 53189 |
| Mailing Address |
1130 W Sunset Dr Waukesha WI 53189 |
| Practice Telephone | 2624465169 |
| Mailing Telephone | 8663892727 |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2017-08-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2011003580 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1130 W SUNSET AVE |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275017907 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 1166 W Sunset Drive, Suite F100, Waukesha, WI 53189 | 2018-09-19 |
| 1851841910 | Jane Knoblock | Speech-Language Pathologist | S48w23663 Merlin Ln, Waukesha, WI 53189 | 2016-10-12 |
| 1376981811 | Mark Russell Schmitt | Registered Nurse | 1804 Dixie Dr., Waukesha, WI 53189 | 2013-06-06 |
| 1760738546 | Schreve and Associates Inc. | Durable Medical Equipment & Medical Supplies | 406 Travis Ln., Ste 50, Waukesha, WI 53189 | 2012-07-30 |
| 1407152879 | Kimberly Lyn Moravec | Registered Nurse | W326 S3994 Spring Ridge Ct, Waukesha, WI 53189 | 2011-02-02 |
| 1154505113 | Le Ann Le Blanc | Day Training, Developmentally Disabled Services | S31 W28251 Sunset Drive, Waukesha, WI 53189 | 2007-12-26 |
| 1801934807 | Wisconsin Vision, Inc. | Technician/Technologist | 203a Sunset Drive, Waukesha, WI 53189 | 2007-02-02 |
| 1497828172 | Donna G. Kraklow D.d.s. | Dentist | 1507 E Sunset Dr, Suite 110, Waukesha, WI 53189 | 2006-11-17 |
| 1285713461 | Robert Evan Davies | Dentist | 2117 Corporate Dr., Suite 100, Waukesha, WI 53189 | 2006-11-06 |
| 1427139542 | Wal-mart Stores East Lp | Technician/Technologist | 2000 Sw Avenue, Waukesha, WI 53189 | 2006-10-17 |
| Find all providers in zip 53189 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
| 1639648769 | Amy J Anderson | Nurse Practitioner | 721 American Ave Ste 310, Waukesha, WI 53188-5071 | 2018-11-19 |
| 1891232922 | Sarah Applebey | Nurse Practitioner | 3324 Fox Ridge Dr, Waukesha, WI 53189-6807 | 2017-01-26 |
| 1013452150 | Danielle Marie Bernacchi | Nurse Practitioner | W308s2809 Wild Berry Ct, Waukesha, WI 53188-9105 | 2016-12-28 |
| 1518416106 | Erica Soule Linn | Nurse Practitioner | 1708 Paramount Ct, Waukesha, WI 53186-3967 | 2016-09-24 |
| 1316398589 | Dina Paulette Sotola | Nurse Practitioner | 2428 N Grandview Blvd Ste 102, Waukesha, WI 53188-6906 | 2016-06-28 |
| 1982065991 | Brandon James Decker | Nurse Practitioner | 21775 Hillcrest Drive, Waukesha, WI 53186 | 2016-03-18 |
| 1659732790 | Rebecca A Bott | Nurse Practitioner | 1111 Delafield St Ste 218, Waukesha, WI 53188-3403 | 2016-03-17 |
| 1992040257 | Joann Louise Browne | Nurse Practitioner | 1111 Delafield St Ste 19, Waukesha, WI 53188-3417 | 2012-11-27 |
| 1376759498 | Joan Wixted Kiely | Nurse Practitioner | 1111 Delafield St Ste 311, Waukesha, WI 53188-3407 | 2007-05-15 |
| Find all providers in WAUKESHA | ||||
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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.