AMANDA M REDA-GOGLIO (NPI# 1063980845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063980845 |
| Entity Type | Individual |
| Full Name | AMANDA M REDA-GOGLIO |
| Credential | APNP |
| Practice Address |
199 County Road Df Juneau WI 53039 |
| Mailing Address |
199 County Road Df Juneau WI 53039-9512 |
| Practice Telephone | 9203863492 |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2020-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
8874 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1063980845 | 05 | |
| WI | ADVANCED PRACTICE NURSE PRESCRIBER | 8874 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1343 Park Ave, Columbus, WI 539251614 | 9206235578 | 9206239830 |
| 2901 Hunters Trl, Portage, WI 539013403 | 6087425518 | 6087424087 |
| Street Address |
199 COUNTY ROAD DF |
| City | JUNEAU |
| State | WI |
| Zip Code | 53039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104858836 | Royle G Eenigenburg Jr. | Psychiatry & Neurology | 199 County Road Df, Fl 3, Juneau, WI 53039-9512 | 2006-07-06 |
| 1730749573 | Gillian Taylor Kohlhoff | Clinic/Center | 199 County Road Df, Juneau, WI 53039-9512 | 2019-06-14 |
| 1285107458 | Emily Ann Johnson | Social Worker | 199 County Road Df, Juneau, WI 53039-9512 | 2019-01-09 |
| 1073005005 | Thomas Deneen Rusch | Counselor | 199 County Road Df, Juneau, WI 53039-9512 | 2018-06-05 |
| 1366953093 | Monica Jean Cross | Social Worker | 199 County Road Df, Juneau, WI 53039-9512 | 2017-10-20 |
| 1558897306 | Jennifer Woolridge | Occupational Therapist | 199 County Road Df, Juneau, WI 53039 | 2017-05-11 |
| 1174976328 | Emily Jorgensen | Counselor | 199 County Road Df, Juneau, WI 53039-9512 | 2016-07-22 |
| 1225488943 | Katie Toellner | Counselor | 199 County Road Df, Juneau, WI 53039-9512 | 2016-06-14 |
| 1225487994 | Ann Nagle | Counselor | 199 County Road Df, Juneau, WI 53039-9512 | 2016-06-03 |
| 1972958890 | Kelly Smith | Counselor | 199 County Road Df, Juneau, WI 53039-9512 | 2016-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487994281 | Erin Elizabeth Lueck | Physical Therapy Assistant | 198 County Rd Df, Juneau, WI 53039 | 2013-02-15 |
| 1013220375 | Doreen Kay Eicher | Occupational Therapist | 199 Home Rd., Juneau, WI 53039 | 2010-07-15 |
| 1629241153 | Kimberly Ann Kunz | Counselor | 199 County Rd Df, Juneau, WI 53039 | 2008-04-04 |
| 1508947086 | City of Juneau Emergency Medical Services | Ambulance | 128 E Cross St, Juneau, WI 53039 | 2006-10-18 |
| 1245616945 | Sara Bashaw | Physical Therapy Assistant | 199 Home Rd, Juneau, WI 53039 | 2015-08-04 |
| 1831410521 | Beaver Dam Community Hospitals, Inc. | Family Medicine | 420 W North St, Juneau, WI 53039 | 2010-06-16 |
| 1396936407 | Dodgeland School District | Local Education Agency (LEA) | 401 S Western Ave, Juneau, WI 53039-1160 | 2007-08-05 |
| 1457306375 | Juneau Chiropractic Center | Chiropractor | 170 S Western Ave, Juneau, WI 53039-1161 | 2006-05-23 |
| 1265470132 | Kelly R Schlitt | Chiropractor | 170 S Western Ave, Juneau, WI 53039-1161 | 2006-06-03 |
| 1689853210 | Watertown Regional Medical Center Inc | Family Medicine | 334 S Western Ave, Juneau, WI 53039-1163 | 2007-10-31 |
| Find all providers in zip 53039 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422726 | Wisconsin Healthcare Family Practices and Behavioral Services LLC | Nurse Practitioner | 10721 W Capitol Dr Ste G103, Wauwatosa, WI 53222-1210 | 2020-09-17 |
| 1689292856 | Julianne Margaret John | Nurse Practitioner | 3237 S 16th St Ste 310, Milwaukee, WI 53215-4526 | 2020-07-13 |
| 1356968002 | Marisa Hiley | Nurse Practitioner | W129 N7055 Northfield Drive, Menomonee Falls, WI 53051 | 2020-06-29 |
| 1932726700 | Lauren Marie Skemp | Nurse Practitioner | 1960 Hyview Rd, Cuba City, WI 53807-9718 | 2020-06-28 |
| 1235779240 | Conscious Practice, LLC | Nurse Practitioner | 119 19th St N, La Crosse, WI 54601-3724 | 2020-01-08 |
| 1073152161 | Stephanie L Ruskell | Nurse Practitioner | 3805 Spring St Ste 240, Mount Pleasant, WI 53405-1667 | 2020-01-06 |
| 1558924811 | Sarah Kathryn Garven | Nurse Practitioner | 5000 West National Ave Rm 3119, Milwaukee, WI 53295-1000 | 2019-04-22 |
| 1104394535 | Therese Ann Alm | Nurse Practitioner | 383 Williamstowne Ste 101, Delafield, WI 53018-2332 | 2018-11-03 |
| 1477079242 | Aeron Rachel Adams | Nurse Practitioner | W10237 Lake Emily Rd, Fox Lake, WI 53933 | 2017-08-14 |
| 1396140398 | Monica Gorski | Nurse Practitioner | 505 King St Ste 218, La Crosse, WI 54601-4289 | 2014-11-03 |
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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.