BRENDA JEAN ROEHRBORN DORAU (NPI# 1073954491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073954491 |
| Entity Type | Individual |
| Full Name | BRENDA JEAN ROEHRBORN DORAU |
| Credential | LPN |
| Practice Address |
W5502 State Road 28 Waldo WI 53093-1208 |
| Practice Telephone | 9202078918 |
| Mailing Telephone | 9202078918 |
| Enumeration Date | 2013-07-14 |
| Last Update Date | 2013-07-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 314406-31 | WI | Nursing Service Providers |
| Street Address |
W5502 STATE ROAD 28 |
| City | WALDO |
| State | WI |
| Zip Code | 53093-1208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063024495 | Jody Lynn Burri | Registered Nurse | N3183 Mill Rd, Waldo, WI 53093-1426 | 2020-08-18 |
| 1326326851 | Tracy Lee Kriegel | Registered Nurse | W5474 County Road F, Waldo, WI 53093-1615 | 2011-08-02 |
| 1336391127 | Countryside Therapy Service LLC | Physical Medicine & Rehabilitation | W4523 County Road Iw, Waldo, WI 53093-1639 | 2008-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669086765 | Trina Sherrine Green | Adult Companion | 17304 Ne 114th Ave, Waldo, FL 32694-4220 | 2020-09-04 |
| 1063024495 | Jody Lynn Burri | Registered Nurse | N3183 Mill Rd, Waldo, WI 53093-1426 | 2020-08-18 |
| 1801450549 | Kacie Marie Robichaux | Physical Therapy Assistant | 161 Columbia Road 53, Waldo, AR 71770-9670 | 2019-04-29 |
| 1932590619 | James Deprey | Contractor | 4295 Groll Rd, Waldo, OH 43356-9119 | 2015-02-17 |
| 1033526264 | Naomi Marie Dewalt | Home Health Aide | 1587 Waterville Rd, Waldo, ME 04915-3222 | 2014-07-21 |
| 1760894141 | Matthew Langheld | Physical Therapy Assistant | 168 Columbia Road 78, Waldo, AR 71770-8983 | 2014-05-20 |
| 1588086169 | Jose Dell | Licensed Practical Nurse | 14401 Ne 153rd Ave, Apt. 21, Waldo, FL 32694-4020 | 2014-01-15 |
| 1619309606 | Jewel Byron Grimmett, Jr. Jr. | General Practice | 1011 N. Olive St., Waldo, AR 71770 | 2013-08-01 |
| 1578833687 | Karen Denise Lewis | Occupational Therapy Assistant | 211 Columbia Road 104, Waldo, AR 71770 | 2012-01-05 |
| 1326326851 | Tracy Lee Kriegel | Registered Nurse | W5474 County Road F, Waldo, WI 53093-1615 | 2011-08-02 |
| Find all providers in WALDO | ||||
| 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 |
|---|---|---|---|---|
| 1588086169 | Jose Dell | Licensed Practical Nurse | 14401 Ne 153rd Ave, Apt. 21, Waldo, FL 32694-4020 | 2014-01-15 |
| 1770888398 | Andrea Marie Schofield | Licensed Practical Nurse | 7213 Waldo Delaware Rd, Waldo, OH 43356-9118 | 2011-01-12 |
| 1124403803 | Jose Melecio Dell Sr. | Licensed Practical Nurse | 14401 Ne 153rd Ave, Apartment 21, Waldo, FL 32694-4020 | 2015-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366040180 | Ashlee K Regenauer | Licensed Practical Nurse | 1103 Whitewater Ave, Fort Atkinson, WI 53538-2669 | 2020-10-14 |
| 1538767355 | Samantha Jo Dates | Licensed Practical Nurse | N8273 E Friesland Rd, Randolph, WI 53956-9407 | 2020-10-14 |
| 1861090714 | Kayla Ann Grapentine | Licensed Practical Nurse | 2425 Dewey St Unit 28, Manitowoc, WI 54220-6368 | 2020-10-13 |
| 1457966731 | Denise Brown | Licensed Practical Nurse | 1215 Monroe Ave, Racine, WI 53405-2862 | 2020-09-13 |
| 1720690514 | Kaitlynn Sutor | Licensed Practical Nurse | 6102 Pacific Crest Rd, Mcfarland, WI 53558-8741 | 2020-08-21 |
| 1326650227 | Emily J. Szulczewski | Licensed Practical Nurse | 4724 W Greenfield Rd, Janesville, WI 53548-9111 | 2020-08-20 |
| 1881205359 | Michelle Eichenberg | Licensed Practical Nurse | 1028 East St Apt 8, Fort Atkinson, WI 53538-2643 | 2020-08-10 |
| 1205445509 | Kelsey Tenpas | Licensed Practical Nurse | 8232 State Highway 73, Pittsville, WI 54466-9336 | 2020-07-23 |
| 1013535491 | Debra Ann Martens Mcpherrin | Licensed Practical Nurse | 551 Rivershores Dr, West Bend, WI 53090-2531 | 2020-07-11 |
| 1861019952 | Tasha Harris | Licensed Practical Nurse | 1238 Sunfield St, Sun Prairie, WI 53590-2740 | 2020-07-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BRENDA JEAN ROEHRBORN DORAU.
| 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.