SHANNA BADJE (NPI# 1174099634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174099634 |
| Entity Type | Individual |
| Full Name | SHANNA BADJE |
| Other Name | SHANNA POPP |
| Practice Address |
425 Pine Ridge Blvd Ste 211 Wausau WI 54401-4123 |
| Mailing Address |
3809 Cliffside Dr Apt 8 La Crosse WI 54601-8337 |
| Practice Telephone | 7158455505 |
| Mailing Telephone | 2627490914 |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2018-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 123477 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
425 PINE RIDGE BLVD STE 211 |
| City | WAUSAU |
| State | WI |
| Zip Code | 54401-4123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598916199 | Rebecca Lynn Schmitz | Nurse Anesthetist, Certified Registered | 425 Pine Ridge Blvd Ste 211, Wausau, WI 54401-4123 | 2008-10-02 |
| 1598246548 | Max Kyle Brainard | Registered Nurse | 425 Pine Ridge Blvd Ste 211, Wausau, WI 54401-4123 | 2018-08-28 |
| 1023416559 | Aaron Zondlo | Specialist | 425 Pine Ridge Blvd Ste 211, Wausau, WI 54401-4123 | 2014-12-16 |
| 1356596415 | Renee Marie Carlson | Nurse Anesthetist, Certified Registered | 425 Pine Ridge Blvd Ste 211, Wausau, WI 54401-4123 | 2008-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031464 | Central Wisconsin Endodontic Specialists LLC | Dentist | 2606 Stewart Avenue, #102, Wausau, WI 54401 | 2020-07-23 |
| 1376161976 | Family Foot and Ankle Clinic LLC | Podiatrist | 1901 Westwood Boulevard, Wausau, WI 54401 | 2020-07-09 |
| 1336701895 | Amy Kluetz | Counselor | 3000 Westhill Drive, Suite 100, Wausau, WI 54401 | 2019-07-05 |
| 1437640877 | Joseph T Fitz | Student in an Organized Health Care Education/Training Program | Aspirus Wausau Family Medicine, 425 Wind Ridge Drive, Wausau, WI 54401 | 2018-05-22 |
| 1699293241 | Amanda Nedd | Dietitian, Registered | 425 Pine Ridge Boulevard Suite 220 C, Wausau, WI 54401 | 2017-09-05 |
| 1396287447 | Dee Cha | Nurse Anesthetist, Certified Registered | 4851 Rachel Ln Apt 5, Wausau, WI 54401 | 2016-11-07 |
| 1013389618 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 2727 Plaza Dr., Wausau, WI 54401 | 2015-10-22 |
| 1881091163 | Judy Lao | Dental Hygienist | 413 North 17th Avenue, Wausau, WI 54401 | 2014-12-02 |
| 1295012011 | Allison Waraksa | Pharmacist | 504 S. 17th Ave, Wausau, WI 54401 | 2011-11-08 |
| 1881974053 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 504 S 17th Ave, Wausau, WI 54401 | 2011-08-19 |
| Find all providers in zip 54401 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396287447 | Dee Cha | Nurse Anesthetist, Certified Registered | 4851 Rachel Ln Apt 5, Wausau, WI 54401 | 2016-11-07 |
| 1598916199 | Rebecca Lynn Schmitz | Nurse Anesthetist, Certified Registered | 425 Pine Ridge Blvd Ste 211, Wausau, WI 54401-4123 | 2008-10-02 |
| 1760654842 | Julie Ann Wilcox | Nurse Anesthetist, Certified Registered | 425 Pine Ridge Blvd., Suite 211, Wausau, WI 54401 | 2008-03-28 |
| 1104821651 | Michael J Hein | Nurse Anesthetist, Certified Registered | 411 Westwood Dr, Wausau, WI 54401-4152 | 2005-06-20 |
| 1467009282 | Anson Mcquigg | Nurse Anesthetist, Certified Registered | 333 Pine Ridge Blvd, Wausau, WI 54401-4102 | 2019-08-26 |
| 1447807086 | Kelly Jonathon Douck | Nurse Anesthetist, Certified Registered | 333 Pine Ridge Blvd, Wausau, WI 54401-4102 | 2019-08-19 |
| 1336612795 | Midwest Alliance Services LLC | Nurse Anesthetist, Certified Registered | 800 N. 1st St., Wausau, WI 54403 | 2019-01-09 |
| 1346768009 | James Kenneth Harris | Nurse Anesthetist, Certified Registered | 425 Pine Ridge Blvd, Wausau, WI 54401-4123 | 2017-09-01 |
| 1255878237 | Jonathan A Levin | Nurse Anesthetist, Certified Registered | 425 Pine Ridge Blvd, Suite 211, Wausau, WI 54401-4123 | 2017-01-27 |
| 1013453497 | Elliott Adent | Nurse Anesthetist, Certified Registered | 425 Pine Ridge Blvd, Suite 211, Wausau, WI 54401-4123 | 2017-01-10 |
| Find all providers in WAUSAU | ||||
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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.