MS. RAELYN KATHERINE EANNELLI (NPI# 1124052451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124052451 |
| Entity Type | Individual |
| Full Name | MS. RAELYN KATHERINE EANNELLI |
| Credential | APNP |
| Practice Address |
405 Water St Prairie Du Sac WI 53578-1126 |
| Mailing Address |
4525 Pawnee Pass Fitchburg WI 53711-4711 |
| Practice Telephone | 6086433396 |
| Practice Fax Number | 6086434361 |
| Mailing Telephone | 6082719031 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2013-09-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
2503 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
405 WATER ST |
| City | PRAIRIE DU SAC |
| State | WI |
| Zip Code | 53578-1126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962831552 | Michael A Eannelli Sr. | Pharmacist | 405 Water St, Prairie Du Sac, WI 53578-1126 | 2013-11-05 |
| 1558790188 | Mary E Johnson | Pharmacy Technician | 405 Water St, Prairie Du Sac, WI 53578-1126 | 2013-11-04 |
| 1174534671 | E-scripts, Inc | Pharmacy | 405 Water St, Prairie Du Sac, WI 53578-1126 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437272341 | Christianson Pfau Chiropractic LLC | Chiropractor | 1190 Prairie Street, Prairie Du Sac, WI 53578 | 2007-04-06 |
| 1184665291 | Kerri Michele Lehman | Psychologist | 1190 Prairie St., Prairie Du Sac, WI 53578 | 2006-06-09 |
| 1619933496 | Jennifer Ann Yessa-kast | Social Worker | 560 4th St, Prairie Du Sac, WI 53578 | 2006-04-21 |
| 1598734956 | Eric A Warbasse | Family Medicine | 80 First St, Sauk Prairie Memorial Hospital and Clinics, Prairie Du Sac, WI 53578 | 2006-03-16 |
| 1215959812 | James Franklin Williams | Social Worker | 560 4th St, Pathway Clinic, Prairie Du Sac, WI 53578 | 2006-07-24 |
| 1629035324 | Michael L Hammer | Psychologist | 560 4th St, Pathway Clinic Sc, Prairie Du Sac, WI 53578 | 2006-04-27 |
| 1871550517 | Jean Mcelhaney | Counselor | 560 4th St, Prairie Du Sac, WI 53578 | 2006-04-27 |
| 1407093693 | Mihal Davis | Acupuncturist | 608 Water St, Prairie Du Sac, WI 53578-1027 | 2009-01-09 |
| 1528220472 | Tina Rios | Custodial Care Facility | 601 21st St, Prairie Du Sac, WI 53578-1068 | 2008-07-01 |
| 1992273668 | Melissa M Graf | Acupuncturist | 432 Water St, Prairie Du Sac, WI 53578-1127 | 2018-11-11 |
| Find all providers in zip 53578 | ||||
| Taxonomy Code | 363LC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102905 | Alex M Martinelli | Nurse Practitioner | 600 Highland Ave, Madison, WI 53792-0001 | 2020-07-24 |
| 1013464833 | Annie Schuette | Nurse Practitioner | 9200 W Wisconsin Ave, Pulmonary Disease, Milwaukee, WI 53226-3522 | 2016-09-09 |
| 1851630834 | Suzette M Bornemann | Nurse Practitioner | 3021 Voyager Dr, Green Bay, WI 54311-8303 | 2013-02-11 |
| 1073798096 | Courtney E Hoy | Nurse Practitioner | 801 Braxton Pl, Madison, WI 53715-1415 | 2008-01-09 |
| 1811040736 | Rose M. Dodd | Nurse Practitioner | 5900 S Lake Dr, Cudahy, WI 53110-3171 | 2007-01-22 |
| 1306837984 | Catherine M Caspary | Nurse Practitioner | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2005-11-02 |
| City | PRAIRIE DU SAC |
| Zip Code | 53578 |
Please comment or provide details below to improve the information on MS. RAELYN KATHERINE EANNELLI.
| 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.