MRS. JILL MARIE NELSON (NPI# 1144410069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144410069 |
| Entity Type | Individual |
| Full Name | MRS. JILL MARIE NELSON |
| Credential | PT |
| Practice Address |
N10732 Newton Lake Rd Athelstane WI 54104-9629 |
| Practice Telephone | 7157572837 |
| Mailing Telephone | 7157572837 |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2007-07-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
3548-024 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603954 | Jill Kristine Nelson | Physician Assistant | 544 N 67th St, Seattle, WA 98103-5312 | 2020-06-12 |
| 1861841637 | Jill Ann Nelson | Counselor | 1070 N Milwaukee Ave, Chicago, IL 60642-4099 | 2016-06-12 |
| 1750319786 | Jill E Nelson | Physician Assistant | 550 17th Ave Ste 500, Seattle, WA 98122 | 2006-06-29 |
| 1316303936 | Jill Nelson | Occupational Therapy Assistant | 1131 S Mabelle Ave, Fergus Falls, MN 56537-3723 | 2016-01-12 |
| 1164898995 | Jill C Nelson | Registered Nurse | 1 Akron General Ave, Akron, OH 44307-2432 | 2015-08-17 |
| 1336532530 | Jill L Nelson | Massage Therapist | 10410 Kensington Pkwy, Ste 112, Kensington, MD 20895-2943 | 2015-03-12 |
| 1235316811 | Jill Nelson | Counselor | 2229 Olan Mills Dr, Chattanooga, TN 37421-1891 | 2008-01-26 |
| 1750562328 | Jill R Nelson | Nurse Practitioner | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2007-11-23 |
| 1790816015 | Jill Diane Nelson | Physician Assistant | 130 S Union St, Suite 7, Olean, NY 14760-3676 | 2007-03-08 |
| 1225108186 | Jill Sandwick Nelson | Dentist | 13 Main Avenue North, Bagley, MN 56621 | 2006-11-08 |
| Street Address |
N10732 NEWTON LAKE RD |
| City | ATHELSTANE |
| State | WI |
| Zip Code | 54104-9629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366688715 | Suzanne M Koch | Licensed Practical Nurse | W10541 Army Lane, Athelstane, WI 54104 | 2009-01-06 |
| 1972641058 | Patricia L Kunz | Licensed Practical Nurse | N12726 Harper Rd, Athelstane, WI 54104-9482 | 2007-02-02 |
| 1265813430 | Silver Cliff Rescue Squad Fund, Inc. | Ambulance | W13600 County Road C, Silver Cliff, WI 54104-9543 | 2015-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366688715 | Suzanne M Koch | Licensed Practical Nurse | W10541 Army Lane, Athelstane, WI 54104 | 2009-01-06 |
| 1972641058 | Patricia L Kunz | Licensed Practical Nurse | N12726 Harper Rd, Athelstane, WI 54104-9482 | 2007-02-02 |
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013321124 | Victoria Ann Moerchen | Physical Therapist | 3409 N Downer Avenue, Uwm, Pavilion, Pt Suite, Rm 366, Milwaukee, WI 53211-2956 | 2014-06-17 |
| 1922368323 | Courtney Wilder | Physical Therapist | 1100 Commerce Drive Suite 114, Racine, WI 53406 | 2012-05-21 |
| 1467763508 | Douglas Litscher | Physical Therapist | 125 Monroe Ave, Rice Lake, WI 54868-3204 | 2010-06-23 |
| 1306163761 | Julie Collison | Physical Therapist | 1409 Swamp Rd, Green Bay, WI 54313-1475 | 2010-04-26 |
| 1447426929 | Developmental Steps By Fons | Physical Therapist | 4102 Foxwood Ct, Janesville, WI 53546-8887 | 2008-05-05 |
| 1821262700 | Patricia E Barina | Physical Therapist | 16185 Burleigh Pl, Brookfield, WI 53005-2851 | 2008-04-22 |
| 1114190618 | Nancy Ellen Reithel | Physical Therapist | 610 Westwood Drive, Onalaska, WI 54650 | 2008-04-07 |
| 1447421656 | Gail Ann May | Physical Therapist | 205 Lodi St, Lodi, WI 53555-1220 | 2008-03-14 |
| 1548450372 | Lori Dominiczak | Physical Therapist | 4002 W Cherrywood Ln, Brown Deer, WI 53209-1002 | 2007-07-27 |
| 1215143524 | Debra R Reichl | Physical Therapist | Center for Blind and Visually Impaired Children, 5600 W Brown Deer Rd, Ste. 4, Milwaukee, WI 53223 | 2007-05-15 |
| Find all providers with the same taxonomy | ||||
| City | ATHELSTANE |
| Zip Code | 54104 |
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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.