LYNN D. REZACHEK (NPI# 1104845387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104845387 |
| Entity Type | Individual |
| Full Name | LYNN D. REZACHEK |
| Credential | RN |
| Practice Address |
141 Siegler St Green Bay WI 54303-2635 |
| Mailing Address |
630 N 7th St Manitowoc WI 54220-3917 |
| Practice Telephone | 9204973126 |
| Mailing Telephone | 9206844989 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 82150-030 | WI | Nursing Service Providers |
| Street Address |
141 SIEGLER ST |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54303-2635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265458053 | Suzanne Victoria Powell | Hospitalist | 141 Siegler St, Dept of Veterans Affairs, Green Bay, WI 54303-2635 | 2006-07-14 |
| 1104338102 | David Orr | Physician Assistant | 141 Siegler St, Green Bay, WI 54303-2635 | 2017-10-30 |
| 1649611963 | Kathryn Elizabeth Vils | Physician Assistant | 141 Siegler St, Green Bay, WI 54303-2635 | 2013-07-15 |
| 1396041984 | Sharon Jean Butnick | Dietitian, Registered | 141 Siegler St, Green Bay, WI 54303-2635 | 2011-01-31 |
| 1316102031 | Helen Ruth Huetter | Dietitian, Registered | 141 Siegler St, Green Bay, WI 54303-2635 | 2008-07-22 |
| 1770767394 | Elise Mcghee | Licensed Practical Nurse | 141 Siegler St, Green Bay, WI 54303-2635 | 2007-12-18 |
| 1427249515 | Jeffrey Alan Gruse | Registered Nurse | 141 Siegler St, Green Bay, WI 54303-2635 | 2007-08-05 |
| 1811198799 | Ida Mary Umentum | Social Worker | 141 Siegler St, Green Bay, WI 54303-2635 | 2007-05-30 |
| 1053332734 | Diane Lynn Dewinter | Licensed Practical Nurse | 141 Siegler St, Green Bay, WI 54303-2635 | 2006-07-21 |
| 1174544555 | Michael Leo Gallagher | Internal Medicine | 141 Siegler St, Green Bay, WI 54303-2635 | 2006-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952921033 | Ashley Marie Vandermoss | Social Worker | 1601 W Mason Street, Green Bay, WI 54303 | 2020-04-20 |
| 1598307423 | Jean Marie Castaneda | Case Manager/Care Coordinator | 2517 N. Court, Green Bay, WI 54303 | 2019-10-11 |
| 1215579552 | Integrated Treatment Centers, LLC | Clinic/Center | 2311 W Mason Street, Green Bay, WI 54303 | 2019-10-08 |
| 1003460551 | Affordable Dentures & Implants - Green Bay, S.c. | Dentist | 1800-c W. Mason Street, Green Bay, WI 54303 | 2019-08-01 |
| 1164940375 | Kaeley Rae Blaney | Student in an Organized Health Care Education/Training Program | 2088 Memorial Drive #208, Green Bay, WI 54303 | 2017-09-07 |
| 1518498047 | Treatment Providers LLC | Clinic/Center | 2731 N Packerland Dr Ste A, Green Bay, WI 54303 | 2017-03-26 |
| 1851840565 | Back To Balance Chiropractic, LLC | Chiropractor | 110 Packerland Drive, Suite B, Green Bay, WI 54303 | 2016-09-23 |
| 1710361001 | Matthew Lemay | Acupuncturist | 727 E Walnut, Suite B2, Green Bay, WI 54303 | 2015-07-16 |
| 1144600149 | Carrie Jean Banaszak | Counselor | 1039 Mason Street, Green Bay, WI 54303 | 2015-06-04 |
| 1174921993 | Kensey Meyer | Occupational Therapy Assistant | 1555 Dousman Road, Seymour, WI 54303 | 2014-12-10 |
| Find all providers in zip 54303 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and 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 |
|---|---|---|---|---|
| 1043810898 | Courtney L Schumacher | Registered Nurse | 162 Custer Ct, Green Bay, WI 54301-1243 | 2020-10-30 |
| 1720601297 | Kelly Flack | Registered Nurse | 2428 Pinehurst Cir, Green Bay, WI 54302-4215 | 2020-05-19 |
| 1205475597 | Laura A Wilz | Registered Nurse | 2815 University Ave, Green Bay, WI 54311-5946 | 2020-01-03 |
| 1598229478 | Shaina Marie Conner | Registered Nurse | 835 S Vanburen St, Green Bay, WI 54301 | 2019-01-25 |
| 1326525049 | Brittany Walczyk | Registered Nurse | 2710 Executive Drive, Green Bay, WI 54307 | 2018-07-25 |
| 1114448040 | Kimberly J Hoffman | Registered Nurse | Po Box 22425, Green Bay, WI 54305-2425 | 2017-06-30 |
| 1962944819 | Rebecca Lucille Reinbold | Registered Nurse | 917 Catherine Street, Green Bay, WI 54301 | 2016-11-09 |
| 1427505486 | Tomi Schmidt | Registered Nurse | 800 Liebman Ct, Apt 7, Green Bay, WI 54302-5089 | 2016-09-07 |
| 1891242178 | Melissa Roubal | Registered Nurse | 3024 Greenview Dr, Green Bay, WI 54311-5715 | 2016-09-05 |
| 1881051100 | Tara Rysewyk | Registered Nurse | 2020 W Point Ter, Green Bay, WI 54304-1764 | 2016-01-16 |
| Find all providers in GREEN BAY | ||||
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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.