KRISTA ANN TAPPA (NPI# 1083236715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083236715 |
| Entity Type | Individual |
| Full Name | KRISTA ANN TAPPA |
| Practice Address |
8600 Sheridan Rd Kenosha WI 53143-6506 |
| Mailing Address |
6326 46th Ave Kenosha WI 53142-3105 |
| Practice Telephone | 2626056700 |
| Mailing Telephone | 2629451677 |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2020-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
10070-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8600 SHERIDAN RD |
| City | KENOSHA |
| State | WI |
| Zip Code | 53143-6506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477744472 | Kenosha County Div of Public Health | Clinical Medical Laboratory | 8600 Sheridan Rd, Suite 600, Kenosha, WI 53143-6506 | 2007-08-05 |
| 1477197192 | Njm Management Services, Inc. | Case Management | 8600 Sheridan Rd, Kenosha, WI 53143-6506 | 2019-11-06 |
| 1922473578 | Elizabeth Mary Timm Smith | Nurse Practitioner | 8600 Sheridan Rd, Suite 600, Kenosha, WI 53143-6506 | 2015-12-08 |
| 1588941538 | Kenosha County Department of Human Services | Respite Care | 8600 Sheridan Rd, Suite 100, Kenosha, WI 53143-6506 | 2011-11-04 |
| 1497935357 | Sandra Leicht | Nurse Practitioner | 8600 Sheridan Rd, Kenosha County Division of Health, Kenosha, WI 53143-6506 | 2007-11-08 |
| 1093907057 | Kenosha County Department of Human Services | Community/Behavioral Health | 8600 Sheridan Rd, Suite 100, Kenosha, WI 53143-6507 | 2007-08-14 |
| 1467643130 | Kenosha County Division of Health | Public Health or Welfare | 8600 Sheridan Rd, Suite 600, Kenosha, WI 53143-6506 | 2007-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891262275 | Shanda L Goecks | Registered Nurse | 6916 26th Ave, Kenosha, WI 53143 | 2018-10-24 |
| 1689942989 | Racine Kenosha Community Action Agency | Public Health or Welfare | 2000 63rd Street, Kenosha, WI 53143 | 2011-12-01 |
| 1538497797 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7525 Sheridan Rd, Kenosha, WI 53143 | 2009-11-30 |
| 1497929012 | Ebba M Johnson | Physical Therapist | 524 74th Street, Kenosha, WI 53143 | 2008-04-15 |
| 1770789489 | Kenosha Community Health Center, Inc | Family Medicine | 6226 14th Ave, Kenosha, WI 53143 | 2007-06-21 |
| 1558413161 | Junith M Thompson | Obstetrics & Gynecology | 6530 Sheridan Road, Kenosha, WI 53143 | 2007-01-17 |
| 1154471332 | Ljh Ambulance, Inc | Ambulance | 6329 28th Ave, Kenosha, WI 53143 | 2007-01-11 |
| 1578625794 | Michael A Schellpfeffer Md Ob Gyn Sc | Obstetrics & Gynecology | 1400 75th Street, Kenosha, WI 53143 | 2006-12-14 |
| 1457468654 | Yasmine S Sido | Physician Assistant | 7550 22nd Ave, Kenosha, WI 53143 | 2006-08-24 |
| 1356307359 | Nancy Jane Houtchens | Dentist | 7533 22nd Ave, Ste 100, Kenosha, WI 53143 | 2006-04-26 |
| Find all providers in zip 53143 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952957987 | Hun Hee Han | Nurse Practitioner | 6125 Green Bay Rd Ste 200, Kenosha, WI 53142-2945 | 2019-08-15 |
| 1689127086 | Jennifer Donna Ouweneel | Nurse Practitioner | 3520 30th Ave, Wheaton Franciscan Healthcare Clinic, Kenosha, WI 53144-1619 | 2016-08-02 |
| 1669713319 | Rebecca Shawn Swenson | Nurse Practitioner | 4777 88th Ave, Kenosha, WI 53144-7439 | 2013-03-05 |
| 1932394764 | Annmarie D Wendorf | Nurse Practitioner | 6308 8th Ave # 3040, Kenosha, WI 53143-5031 | 2007-09-14 |
| 1063031045 | Guadalupe Orlando Romero | Nurse Practitioner | 4777 88th Ave, Kenosha, WI 53144-7439 | 2020-04-10 |
| 1518595230 | Anne Nudi | Nurse Practitioner | 1400 75th St, Kenosha, WI 53143-1544 | 2020-03-29 |
| 1205476603 | Drew Velasco | Nurse Practitioner | 6121 Green Bay Rd, Kenosha, WI 53142-2926 | 2020-01-14 |
| 1518509413 | Jennifer E Armstrong | Nurse Practitioner | 7401 104th Ave Ste 110, Kenosha, WI 53142-7845 | 2019-10-11 |
| 1336798685 | Krystal Marie Rafenstein | Nurse Practitioner | 4536 22nd Ave, Kenosha, WI 53140-5917 | 2019-09-10 |
| 1043879935 | Katherine Jean Tura Spencer-schuerman | Nurse Practitioner | 4536 22nd Ave, Kenosha, WI 53140-5917 | 2019-06-13 |
| Find all providers in KENOSHA | ||||
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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.