ALYSSA RAE MATUSZAK (NPI# 1093114050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093114050 |
| Entity Type | Individual |
| Full Name | ALYSSA RAE MATUSZAK |
| Other Name | ALYSSA RAE DOUGHTY |
| Credential | CPNP-AC |
| Practice Address |
9000 W. Wisconsin Ave Ms 681 Milwaukee WI 53226 |
| Practice Telephone | 4142663360 |
| Practice Fax Number | 4142663563 |
| Mailing Telephone | 4142663360 |
| Mailing Fax Number | 4142663563 |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2015-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 179985 | WI | Nursing Service Providers |
| Y | 363LP0222X |
Nurse Practitioner Specialization: Pediatrics, Critical Care |
5928-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1093114050 | 05 |
| Street Address |
9000 W. WISCONSIN AVE MS 681 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104105774 | Jeffrey William Kopesky | Genetic Counselor, MS | 9000 W. Wisconsin Ave, Ms 716, Milwaukee, WI 53226-2719 | 2011-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
| 1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
| 1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
| 1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
| Find all providers in zip 53226 | ||||
| Taxonomy Code | 363LP0222X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710408497 | Elizabeth Devries | Nurse Practitioner | 8701 W Watertown Plank Rd # Mfrc3020, Milwaukee, WI 53226-3548 | 2017-07-03 |
| 1205441128 | Kathleen Maloney | Nurse Practitioner | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2020-09-09 |
| 1003425380 | Khira Ahmed-yahia | Nurse Practitioner | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2020-07-23 |
| 1497236921 | Laura Rose | Nurse Practitioner | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2018-08-23 |
| 1043796196 | Kathleen Erin Casper | Nurse Practitioner | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2018-07-12 |
| 1073060679 | Amanda Sadowsky | Nurse Practitioner | 9000 W Wisconsin Ave, Pediatric Critical Care, Milwaukee, WI 53226-4874 | 2016-09-01 |
| 1760724108 | Katie L Mcdermott | Nurse Practitioner | 9000 W Wisconsin Ave, Pediatric Critical Care, Milwaukee, WI 53226-4874 | 2013-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891746921 | Devon Kay Christenson | Nurse Practitioner | 6303 Pheasant Run, Mcfarland, WI 53558-9121 | 2006-05-13 |
| 1417583725 | Kristine M Hippler | Nurse Practitioner | 600 Highland Ave, Madison, WI 53792-0001 | 2020-03-18 |
| 1043719032 | Caroline Cristena Leslie | Nurse Practitioner | 8915 W Connell Ave, Wauwatosa, WI 53226-3067 | 2018-02-06 |
| 1922424589 | Melissa Rose Bennetts | Nurse Practitioner | 9000 W Wisconsin Ave, Wauwatosa, WI 53226-4874 | 2014-03-06 |
| 1942531363 | Molly Anne Russell | Nurse Practitioner | 600 Highland Ave, Madison, WI 53792-0001 | 2010-01-25 |
| 1922231901 | Tricia A Smith | Nurse Practitioner | 600 Highland Ave, Madison, WI 53792-0001 | 2009-08-25 |
| 1669610457 | Lynne M Sears | Nurse Practitioner | 600 Highland Ave, Madison, WI 53792-0001 | 2009-02-02 |
Please comment or provide details below to improve the information on ALYSSA RAE MATUSZAK.
| 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.