KEITH C RINDAHL (NPI# 1093360380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093360380 |
| Entity Type | Individual |
| Full Name | KEITH C RINDAHL |
| Credential | NP |
| Practice Address |
1020 N 12th St Milwaukee WI 53233-1308 |
| Practice Telephone | 4142195000 |
| Mailing Telephone | 4142195000 |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2019-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 31574-31 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
9649 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100094127 | 05 | |
| WI | 100093937 | 05 |
| Street Address |
1020 N 12TH ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53233-1308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003882994 | Soryal A Soryal | Internal Medicine | 1020 N 12th St, 3rd Floor, Milwaukee, WI 53233-1308 | 2006-02-28 |
| 1114533478 | Rebecca Ann Biskup | Massage Therapist | 1020 N 12th St, Milwaukee, WI 53233-1308 | 2020-09-21 |
| 1215547369 | Kimberly Dee Chobanian Balash | Advanced Practice Midwife | 1020 N 12th St, Milwaukee, WI 53233-1308 | 2020-08-04 |
| 1073132387 | Marybeth M Hordyk | Social Worker | 1020 N 12th St, Milwaukee, WI 53233-1308 | 2020-04-16 |
| 1336774132 | Kari L Jensen | Social Worker | 1020 N 12th St, Milwaukee, WI 53233-1308 | 2020-03-12 |
| 1881232270 | Pamela Newbury-scheife | Nurse Practitioner | 1020 N 12th St, Milwaukee, WI 53233-1308 | 2019-12-16 |
| 1780153387 | Ashanti Dean | Advanced Practice Midwife | 1020 N 12th St, Milwaukee, WI 53233-1308 | 2018-11-13 |
| 1295229037 | Emilie I Franchow | Psychologist | 1020 N 12th St, Milwaukee, WI 53233-1308 | 2018-06-15 |
| 1447757596 | Traci J Hempler | Counselor | 1020 N 12th St, Milwaukee, WI 53233-1308 | 2018-04-06 |
| 1831628338 | Holly Neuman | Social Worker | 1020 N 12th St, Milwaukee, WI 53233-1308 | 2017-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104454750 | Henok Desta Hardilo | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center 945 N 12th Street, Milwaukee, WI 53233 | 2020-03-30 |
| 1821633314 | Ann E Millard | Occupational Therapist | 560 N. 16th Street, Room 214a, Milwaukee, WI 53233 | 2019-11-08 |
| 1306480918 | Teng Kai Ong | Dentist | 1801 West Wisconsin Ave., Milwaukee, WI 53233 | 2019-11-06 |
| 1356800478 | Nebiyu Abera Tilahun | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center, 945 N. 12th Street, Milwaukee, WI 53233 | 2019-03-18 |
| 1548748387 | Emily Claire Goetz | Physical Therapist | 945 N. 12th St. Suite 1100, Milwaukee, WI 53233 | 2018-08-03 |
| 1801373378 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 1721 W Canal St, Milwaukee, WI 53233 | 2018-07-26 |
| 1184170706 | Lauren Troll | Physical Therapist | 925 N 12th Street, Milwaukee, WI 53233 | 2016-09-01 |
| 1942694401 | Iryna Nemesh | Internal Medicine | 1020 N 12th St Fl 2, Milwaukee, WI 53233 | 2015-03-23 |
| 1649676032 | Matina Angelopoulou | Dentist | 1801 West Winsconsin Ave, Milwaukee, WI 53233 | 2014-11-12 |
| 1780007831 | John Ladisa | Technician, Other | 1637 W. Wisconsin Ave, Room 311, Milwaukee, WI 53233 | 2014-01-27 |
| Find all providers in zip 53233 | ||||
| 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 |
|---|---|---|---|---|
| 1689292856 | Julianne Margaret John | Nurse Practitioner | 3237 S 16th St Ste 310, Milwaukee, WI 53215-4526 | 2020-07-13 |
| 1558924811 | Sarah Kathryn Garven | Nurse Practitioner | 5000 West National Ave Rm 3119, Milwaukee, WI 53295-1000 | 2019-04-22 |
| 1588292700 | Christopher Adam Schuman | Nurse Practitioner | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-04-01 |
| 1003442849 | Jurgita Gronkowski | Nurse Practitioner | 5000 W National Ave, Milwaukee, WI 53295-2247 | 2020-03-12 |
| 1336775170 | Barbara Rebekah Demares | Nurse Practitioner | 949 N 9th St, Milwaukee, WI 53233-1422 | 2020-03-12 |
| 1639723711 | Amanda Marie Olivas | Nurse Practitioner | 210 W Capitol Dr, Milwaukee, WI 53212-1123 | 2019-07-28 |
| 1396219036 | Amy Heidenreich | Nurse Practitioner | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2019-01-16 |
| 1801376140 | Lisa Eileen Calabrese | Nurse Practitioner | 4570 S 27th St, Milwaukee, WI 53221-2145 | 2018-08-16 |
| 1295247237 | Judy A Conti | Nurse Practitioner | 210 W Capitol Dr, Milwaukee, WI 53212-1123 | 2017-10-31 |
| 1770008492 | Judith Ann Evenson | Nurse Practitioner | 1155 N Mayfair Rd, Milwaukee, WI 53226-3462 | 2017-08-03 |
| Find all providers in MILWAUKEE | ||||
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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.