KENDRA E HESEBECK (NPI# 1124542535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124542535 |
| Entity Type | Individual |
| Full Name | KENDRA E HESEBECK |
| Other Name | KENDRA E JEFFERS |
| Credential | PA |
| Practice Address |
201 E Morrissey Dr Elkhorn WI 53121-4395 |
| Practice Telephone | 2627236666 |
| Mailing Telephone | 2627236666 |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2019-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 4104 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100069467 | 05 |
| Street Address |
201 E MORRISSEY DR |
| City | ELKHORN |
| State | WI |
| Zip Code | 53121-4395 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386629525 | Steven Weiner | Urology | 201 E Morrissey Dr, Elkhorn, WI 53121-4395 | 2005-12-09 |
| 1649744558 | Megan Burg | Nurse Practitioner | 201 E Morrissey Dr, Elkhorn, WI 53121-4395 | 2019-01-14 |
| 1538631296 | Susan L Guthart | Nurse Practitioner | 201 E Morrissey Dr, Elkhorn, WI 53121-4395 | 2018-12-19 |
| 1992291728 | Brittni L Gilling | Nurse Practitioner | 201 E Morrissey Dr, Elkhorn, WI 53121 | 2018-07-04 |
| 1497102347 | Ryan Brower | Family Medicine | 201 E Morrissey Dr, Elkhorn, WI 53121 | 2016-05-20 |
| 1972997344 | Nichole Lea Adami | Obstetrics & Gynecology | 201 E Morrissey Dr, Elkhorn, WI 53121-4395 | 2015-03-24 |
| 1851791800 | Cory Michael Brown | Nurse Practitioner | 201 E Morrissey Dr, Elkhorn, WI 53121-4395 | 2014-08-27 |
| 1033518667 | Corinne M. Hansen | Physician Assistant | 201 E Morrissey Dr, Elkhorn, WI 53121-4395 | 2014-08-20 |
| 1154730133 | Jessie Lamberty | Nurse Practitioner | 201 E Morrissey Dr, Elkhorn, WI 53121-4395 | 2014-08-04 |
| 1932532009 | Chandra A Norder-brandli | Nurse Practitioner | 201 E Morrissey Dr, Elkhorn, WI 53121-4395 | 2013-08-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851857601 | All Encompassing Counseling LLC | Clinic/Center | 209 O'connor Drive, Elkhorn, WI 53121 | 2019-02-18 |
| 1689023848 | Jill Bestul | Occupational Therapist | 1532 N. Fairway Lane, Elkhorn, WI 53121 | 2016-06-08 |
| 1578984571 | Aurora Pharmacy Inc. | Pharmacy | 201 E. Morrissey Dr, Suite 100, Elkhorn, WI 53121 | 2013-12-18 |
| 1467894394 | Stephanie Lynn Coates | Counselor | 1 1/2 West Geneva Street, Credence Therapy Associates, Elkhorn, WI 53121 | 2013-07-19 |
| 1871853846 | Roger Dwight Petersen | Family Medicine | 20 South Washington St, Elkhorn, WI 53121 | 2012-05-23 |
| 1184993792 | Adam D Lewis | Pharmacist | 939 N. Wisconsin St., Elkhorn, WI 53121 | 2011-12-28 |
| 1609035328 | Paul V Kreul | Dentist | 715 W Walworth St, Elkhorn, WI 53121 | 2008-06-06 |
| 1548482508 | Mary Brauer | Physical Therapist | W3930 Co Rd Nn, Elkhorn, WI 53121 | 2007-05-02 |
| 1245458140 | Tammie Eileen Demicco | Occupational Therapy Assistant | 1922 County Rd. Nn, Elkhorn, WI 53121 | 2007-04-23 |
| 1215150198 | Laura L Barnes | Physical Therapy Assistant | 1922 County Road Nn, Elkhorn, WI 53121 | 2007-04-10 |
| Find all providers in zip 53121 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170082 | Audrey Caroline Smith | Physician Assistant | 1303 N 188th St, Elkhorn, NE 68022-4501 | 2020-06-30 |
| 1255860110 | Ronda Jean Foley | Physician Assistant | 20160 Harney St, Elkhorn, NE 68022-2071 | 2017-06-05 |
| 1164539789 | Laura M Hobbs | Physician Assistant | 205 E Commerce St, Elkhorn, WI 53121 | 2006-08-23 |
| 1871518175 | Michaelyn Marie Brewer | Physician Assistant | 1130 N 204th Ave, Elkhorn, NE 68022-1849 | 2006-07-13 |
| 1235695198 | Brianna R Thacker | Physician Assistant | 717 N 190th Plz Ste 3200, Elkhorn, NE 68022-3913 | 2019-02-15 |
| 1518325190 | Kathryn Dearing | Physician Assistant | 717 N 190th Plz Ste 2200, Elkhorn, NE 68022-3984 | 2016-02-10 |
| 1275990905 | Joli Hallowell | Physician Assistant | 717 N 190th Plz, Ste. 3100, Elkhorn, NE 68022-3913 | 2016-01-26 |
| 1780068627 | Amanda J Pipp | Physician Assistant | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2015-07-09 |
| 1033518667 | Corinne M. Hansen | Physician Assistant | 201 E Morrissey Dr, Elkhorn, WI 53121-4395 | 2014-08-20 |
| 1992137012 | Lindsey Jo Provenzano Burgess | Physician Assistant | 201 E Morrissey Dr, Elkhorn, WI 53121-4395 | 2013-07-31 |
| Find all providers in ELKHORN | ||||
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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.