LYNDA J. BAHDE (NPI# 1104897412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104897412 |
| Entity Type | Individual |
| Full Name | LYNDA J. BAHDE |
| Credential | APNP |
| Practice Address |
2935 Shore Dr Marinette WI 54143-4237 |
| Mailing Address |
Po Box 22487 Green Bay WI 54305-2487 |
| Practice Telephone | 7157329193 |
| Practice Fax Number | 7157329196 |
| Mailing Telephone | 9204457226 |
| Mailing Fax Number | 9204457229 |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2018-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704200437 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1704-033 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43914800 | 05 |
| Street Address |
2935 SHORE DR |
| City | MARINETTE |
| State | WI |
| Zip Code | 54143-4237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205973575 | Northreach Healthcare, LLC | Internal Medicine | 2935 Shore Dr, Marinette, WI 54143-4237 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669966750 | Allie Parthie | Dentist | 1420 University Dr, Marinette, WI 54143 | 2018-06-21 |
| 1043730690 | Jonathan Weseman | Emergency Medicine | 3003 University Dr, Marinette, Marinette, WI 54143 | 2017-06-25 |
| 1538698618 | Meghan M Russell | Nurse Practitioner | 4061 Old Peshtigo Road, Marinette, WI 54143 | 2017-06-12 |
| 1801279435 | Stephanie Miller | Licensed Practical Nurse | W1902 State Hwy 64, Marinette, WI 54143 | 2015-07-01 |
| 1417298704 | Danielle Risner | Occupational Therapist | Luther Home 831 Pine Beach Rd, Marinette, WI 54143 | 2013-03-12 |
| 1053631903 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | W 716 County B, Ste B, Marinette, WI 54143 | 2010-06-02 |
| 1417105545 | Forefront Dermatology, S.c. | Dermatology | 3515 Murray Street, Marinette, WI 54143 | 2008-09-03 |
| 1245493352 | Judith M Ribbens | Counselor | 1557 Cleveland Ave, Marinette, WI 54143 | 2008-07-08 |
| 1538338926 | Charlene Mae Miller | Licensed Practical Nurse | 1126 Daggett, Marinette, WI 54143 | 2008-02-29 |
| 1104025519 | James Alan Boren | Family Medicine | 5926 Highway 41, Stephenson, MI 54143 | 2007-07-16 |
| Find all providers in zip 54143 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780291401 | Carlie Dell | Nurse Practitioner | 1636 Industrial Pkwy N, Marinette, WI 54143-3703 | 2020-09-27 |
| 1417561937 | Christopher Beardsley | Nurse Practitioner | 1281 Marinette Ave, Marinette, WI 54143-2018 | 2020-09-02 |
| 1942831060 | Brandy Michelle Sabel | Nurse Practitioner | 1409 Cleveland Ave, Marinette, WI 54143-3918 | 2020-01-28 |
| 1326565334 | Stacie Marie Zdroik | Nurse Practitioner | 2820 Roosevelt Rd, Marinette, WI 54143-3834 | 2017-08-30 |
| 1710402714 | Olena V Wiedemeier | Nurse Practitioner | 2741 Roosevelt Rd, Marinette, WI 54143-3833 | 2017-08-10 |
| 1366811689 | Megan Marjorie Lambeau | Nurse Practitioner | 2741 Roosevelt Rd, Marinette, WI 54143-3833 | 2015-09-16 |
| 1821482795 | Heather R Fochesato | Nurse Practitioner | 2820 Roosevelt Rd, Marinette, WI 54143-3834 | 2015-03-27 |
| 1033509963 | Kathy Ann Brattain | Nurse Practitioner | 3200 Shore Dr, Suite 4, Marinette, WI 54143-4292 | 2015-01-30 |
| 1992053177 | Tyler Edward Spletzer | Nurse Practitioner | 2741 Roosevelt Rd, Marinette, WI 54143-3833 | 2012-08-20 |
| 1740446855 | Lisa R Cook | Nurse Practitioner | 2820 Roosevelt Rd, Marinette, WI 54143-3834 | 2008-07-29 |
| Find all providers in MARINETTE | ||||
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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.