ERICA L DESSART (NPI# 1174958193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174958193 |
| Entity Type | Individual |
| Full Name | ERICA L DESSART |
| Credential | NP |
| Practice Address |
5300 Memorial Dr Two Rivers WI 54241 |
| Mailing Address |
5300 Memorial Dr Two Rivers WI 54241-3923 |
| Practice Telephone | 9207937420 |
| Practice Fax Number | 9207937430 |
| Mailing Telephone | 9207937420 |
| Mailing Fax Number | 9207937430 |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2019-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 5420-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
5420 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100065260 | 05 | |
| WI | 100065388 | 05 |
| Street Address |
5300 MEMORIAL DR |
| City | TWO RIVERS |
| State | WI |
| Zip Code | 54241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215913207 | Phyllis Kasper | Psychologist | 5300 Memorial Dr, Two Rivers, WI 54241-3923 | 2005-12-21 |
| 1487282802 | Jane B Bersch | Massage Therapist | 5300 Memorial Dr, Two Rivers, WI 54241-3923 | 2020-03-31 |
| 1952938334 | Sara Wendt | Massage Therapist | 5300 Memorial Dr, Two Rivers, WI 54241-3923 | 2020-03-25 |
| 1689156481 | Tyler Luedtke | Physical Therapist | 5300 Memorial Dr, Two Rivers, WI 54241 | 2018-08-29 |
| 1376037499 | Julie Brunner | Registered Nurse | 5300 Memorial Dr, Two Rivers, WI 54241-3923 | 2018-06-21 |
| 1356838049 | Rachel Marie Geiger | Occupational Therapist | 5300 Memorial Dr, Two Rivers, WI 54241-3923 | 2018-04-18 |
| 1740781715 | Lindsey Shea Herman | Occupational Therapist | 5300 Memorial Dr, Two Rivers, WI 54241-3923 | 2018-02-26 |
| 1659898385 | Sandra R Van Groll | Nurse Practitioner | 5300 Memorial Dr, Two Rivers, WI 54241-3923 | 2017-08-23 |
| 1821513136 | Kevin Kornowski | Physician Assistant | 5300 Memorial Dr, Two Rivers, WI 54241-3923 | 2017-08-08 |
| 1336676360 | Pamela J Masci | Social Worker | 5300 Memorial Dr, Two Rivers, WI 54241-3923 | 2017-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629617667 | Karrie May Kudrna Behrent | Counselor | Phoenix Behavioral Health Services LLC, 3120 Memorial Dr., Two Rivers, WI 54241 | 2019-12-21 |
| 1972147460 | Linda Sand | Technician | 11409 Wedge Dr., Two Rivers, WI 54241 | 2019-10-29 |
| 1710536446 | Margaret Smith | Technician | 1916 Roosevelt Ave, Two Rivers, WI 54241 | 2019-09-05 |
| 1770967572 | Baycare Clinic LLP | Ophthalmology | 1603 Washington Street, Two Rivers, WI 54241 | 2015-07-13 |
| 1194091322 | Fisher Chiropractic and Rehab Center LLC | Chiropractor | 1817 Washington Street, Two Rivers, WI 54241 | 2012-04-02 |
| 1396075016 | Holly Lynn Struck | Physical Therapist | 5300 Memorial Drive, Two Rivers, WI 54241 | 2009-12-31 |
| 1558451906 | David James Loritz | Dentist | 1413 22nd St, Two Rivers, WI 54241 | 2006-10-14 |
| 1598737744 | City of Two Rivers | Ambulance | 2122 Monroe St, Two Rivers, WI 54241 | 2006-02-02 |
| 1912426925 | Amy C Nowak | Nurse Practitioner | 2219 Garfield St, Two Rivers, WI 54241 | 2017-09-12 |
| 1710367123 | Matthew J Hobbins | Internal Medicine | 5000 Memorial Dr, Two Rivers, WI 54241 | 2015-06-02 |
| Find all providers in zip 54241 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422726 | Wisconsin Healthcare Family Practices and Behavioral Services LLC | Nurse Practitioner | 10721 W Capitol Dr Ste G103, Wauwatosa, WI 53222-1210 | 2020-09-17 |
| 1689292856 | Julianne Margaret John | Nurse Practitioner | 3237 S 16th St Ste 310, Milwaukee, WI 53215-4526 | 2020-07-13 |
| 1356968002 | Marisa Hiley | Nurse Practitioner | W129 N7055 Northfield Drive, Menomonee Falls, WI 53051 | 2020-06-29 |
| 1932726700 | Lauren Marie Skemp | Nurse Practitioner | 1960 Hyview Rd, Cuba City, WI 53807-9718 | 2020-06-28 |
| 1235779240 | Conscious Practice, LLC | Nurse Practitioner | 119 19th St N, La Crosse, WI 54601-3724 | 2020-01-08 |
| 1073152161 | Stephanie L Ruskell | Nurse Practitioner | 3805 Spring St Ste 240, Mount Pleasant, WI 53405-1667 | 2020-01-06 |
| 1558924811 | Sarah Kathryn Garven | Nurse Practitioner | 5000 West National Ave Rm 3119, Milwaukee, WI 53295-1000 | 2019-04-22 |
| 1104394535 | Therese Ann Alm | Nurse Practitioner | 383 Williamstowne Ste 101, Delafield, WI 53018-2332 | 2018-11-03 |
| 1477079242 | Aeron Rachel Adams | Nurse Practitioner | W10237 Lake Emily Rd, Fox Lake, WI 53933 | 2017-08-14 |
| 1396140398 | Monica Gorski | Nurse Practitioner | 505 King St Ste 218, La Crosse, WI 54601-4289 | 2014-11-03 |
| Find all providers with the same taxonomy | ||||
| City | TWO RIVERS |
| Zip Code | 54241 |
Please comment or provide details below to improve the information on ERICA L DESSART.
| 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.