MRS. KRISTIAN NOELLE BASTRESS


Address: 1855 S Koeller St, Oshkosh, WI 54902-6186
Phone: 9202237100

MRS. KRISTIAN NOELLE BASTRESS (NPI# 1154947851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154947851
Entity Type Individual
Full Name MRS. KRISTIAN NOELLE BASTRESS
Other Name KRISTIAN NOELLE JOHANNES
Credential DNP, APNP, FNP-BC
Practice Address 1855 S Koeller St
Oshkosh
WI 54902-6186
Mailing Address N9052 Lilac Rd
Menasha
WI 54952-8115
Practice Telephone 9202237100
Mailing Telephone 9203791073
Enumeration Date 2020-06-19
Last Update Date 2020-07-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
10195-33 WI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1855 S KOELLER ST
City OSHKOSH
State WI
Zip Code 54902-6186

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639170301 David Eugene Coleman Personal Emergency Response Attendant 1855 S Koeller St, Oshkosh, WI 54902-6186 2005-08-03
1770050585 Donna Jo Hawley General Practice 1855 S Koeller St, Oshkosh, WI 54902-6186 2018-10-30
1588155139 Natasha Garbe Nurse Practitioner 1855 S Koeller St, Oshkosh, WI 54902-6186 2018-05-18
1336639202 Kassondra K Korth Family Medicine 1855 S Koeller St, Oshkosh, WI 54902-6186 2018-05-15
1881197028 Angela Marie Beach Nurse Practitioner 1855 S Koeller St, Oshkosh, WI 54902-6186 2018-03-14
1568994853 Sarah Wypiszynski Family Medicine 1855 S Koeller St, Oshkosh, WI 54902-6186 2017-03-28
1942669049 Mercy Medical Center of Oshkosh Inc Clinic/Center 1855 S Koeller St, Oshkosh, WI 54902-6186 2016-02-17
1245699321 Tracy Rank Nurse Practitioner 1855 S Koeller St, Oshkosh, WI 54902-6186 2016-02-17
1295193282 Jennifer Haen Nurse Practitioner 1855 S Koeller St, Oshkosh, WI 54902-6186 2016-02-04
1518340090 Ruth Staszak Nurse Practitioner 1855 S Koeller St, Oshkosh, WI 54902-6186 2015-07-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528688363 Grandpa Ray's Home Care Partners LLC In Home Supportive Care 1755 W 7th Avenue, Oshkosh, WI 54902 2020-04-22
1942866314 Shoptikal LLC Eyewear Supplier (Equipment, not the service) 1212 S Koeller St, Oshkosh, WI 54902 2019-05-11
1508299926 Wisconsin Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 1736 W. 9th Ave., Oshkosh, WI 54902 2013-08-21
1881971513 Eric D Jachthuber Pharmacist 950 Koeller Rd, Oshkosh, WI 54902 2011-11-09
1912158148 Jennifer L Daly Registered Nurse 648 West 5th Avenue, Oshkosh, WI 54902 2008-10-07
1093873028 Phyllis Ann Pieplow Registered Nurse 2307 Doty St, Oshkosh, WI 54902 2006-12-04
1336210939 Juliette P M Sterkens Audiologist 1820 West Pointe Drive, Fox Valley Hearing Ctr Inc, Oshkosh, WI 54902 2006-11-13
1043266927 Christopher S. Mcfarlane Dentist 1875 West Pointe Dr., Oshkosh, WI 54902 2006-05-25
1285688192 Theresa Lynn Petrick Gatchell Optometrist 1300 S Koeller Road, Oshkosh, WI 54902 2006-05-22
1558329821 Teresa M Vanaacken Physical Therapist 300 S Koeller Street, Suite B, Oshkosh, WI 54902 2006-05-03
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629683065 Yia Lor Nurse Practitioner 3750 Summerset Way Apt 1, Oshkosh, WI 54901-0501 2020-09-11
1033670088 Jennifer Krueger Nurse Practitioner 1304 Tammy Rd, Oshkosh, WI 54904-9310 2019-03-30
1457822058 John Concepcion Nurse Practitioner 4485 Ravine Way, Oshkosh, WI 54904-7150 2018-12-08
1750479820 Mary K Friess Nurse Practitioner 500 Algoma Blvd, Uw Oshkosh - College of Nursing, Oshkosh, WI 54901 2006-10-11
1346335734 Jill M Collier Nurse Practitioner 2310 Westowne Ave, Oshkosh, WI 54904-7778 2006-10-03
1629547633 Tosha Wright Nurse Practitioner 2700 W 9th Ave, Oshkosh, WI 54904-7247 2018-11-19
1881197028 Angela Marie Beach Nurse Practitioner 1855 S Koeller St, Oshkosh, WI 54902-6186 2018-03-14
1518340090 Ruth Staszak Nurse Practitioner 1855 S Koeller St, Oshkosh, WI 54902-6186 2015-07-02
1528460839 Kristi Ziolkowski Nurse Practitioner 777 Algoma Blvd, Radford Hall, Student Health Center, Oshkosh, WI 54901-3534 2014-09-17
1467853622 Samantha Adams Nurse Practitioner 1855 S Koeller St, Oshkosh, WI 54902-6186 2014-09-08
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Competitor

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City OSHKOSH
Zip Code 54902

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Dataset Information

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.

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