MRS. PAMELA JEAN EDL (NPI# 1184977126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184977126 |
| Entity Type | Individual |
| Full Name | MRS. PAMELA JEAN EDL |
| Credential | LPN |
| Practice Address |
103 Wells St Ridgeway WI 53582-9650 |
| Practice Telephone | 6089242520 |
| Mailing Telephone | 6089242520 |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2012-10-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 314201031 | WI | Nursing Service Providers |
| Street Address |
103 WELLS ST |
| City | RIDGEWAY |
| State | WI |
| Zip Code | 53582-9650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902045792 | Melissa Ann Schlimgen | Occupational Therapy Assistant | 108 Meudt Court, Ridgeway, WI 53582-8702 | 2009-02-18 |
| 1376696518 | Martha Pearl Phillips | Registered Nurse | 107 Theobald St, Ridgeway, WI 53582-9759 | 2007-01-19 |
| 1932413242 | Rebecca Lynn Wolfe | Emergency Medical Technician, Paramedic | 109 Keane St, Ridgeway, WI 53582-9784 | 2010-07-28 |
| 1518271923 | Cr Home Healthcare LLC | Home Health | 109 Keane St, Ridgeway, WI 53582-9784 | 2010-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073149241 | Shareka Dellina Hairston | Non-emergency Medical Transport (VAN) | 1799 Old Mill Rd, Ridgeway, VA 24148-4465 | 2020-03-19 |
| 1497395768 | Holistic Health and Healing Inc | Clinic/Center | 3690 Greensboro Road, Ridgeway, VA 24148 | 2020-01-14 |
| 1174168223 | Nurse Practitioner Solutions, LLC | Assisted Living Facility | 388 Elbow Cir, Ridgeway, SC 29130-7115 | 2019-11-13 |
| 1710532536 | Breaudrea Scales | Case Manager/Care Coordinator | 19 Wickersham Road, Ridgeway, VA 24148 | 2019-08-08 |
| 1033699806 | Vivian Galloway Hairston | Case Manager/Care Coordinator | 195 Huntington Rd, Ridgeway, VA 24148-3028 | 2018-08-20 |
| 1962995340 | K&m Care Solutions LLC | Home Health | 6591 Greensboro Rd, Ridgeway, VA 24148-3278 | 2018-06-11 |
| 1376046649 | Melissa Clark Bolt | Non-emergency Medical Transport (VAN) | 4138 Mitchell Rd, Ridgeway, VA 24148-4225 | 2018-03-13 |
| 1912416892 | Lori Hairston | Case Manager/Care Coordinator | 200 Knob Dr, Ridgeway, VA 24148-3915 | 2017-09-23 |
| 1285180455 | Mia Raines | Behavioral Analyst | 110 Stephanee Ln, Ridgeway, SC 29130-9408 | 2016-08-29 |
| 1942659131 | Rebecca Klacko | Registered Nurse | Box 652, Ridgeway, ONTARIO L0S1N0 | 2016-06-08 |
| Find all providers in RIDGEWAY | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366040180 | Ashlee K Regenauer | Licensed Practical Nurse | 1103 Whitewater Ave, Fort Atkinson, WI 53538-2669 | 2020-10-14 |
| 1538767355 | Samantha Jo Dates | Licensed Practical Nurse | N8273 E Friesland Rd, Randolph, WI 53956-9407 | 2020-10-14 |
| 1861090714 | Kayla Ann Grapentine | Licensed Practical Nurse | 2425 Dewey St Unit 28, Manitowoc, WI 54220-6368 | 2020-10-13 |
| 1457966731 | Denise Brown | Licensed Practical Nurse | 1215 Monroe Ave, Racine, WI 53405-2862 | 2020-09-13 |
| 1720690514 | Kaitlynn Sutor | Licensed Practical Nurse | 6102 Pacific Crest Rd, Mcfarland, WI 53558-8741 | 2020-08-21 |
| 1326650227 | Emily J. Szulczewski | Licensed Practical Nurse | 4724 W Greenfield Rd, Janesville, WI 53548-9111 | 2020-08-20 |
| 1881205359 | Michelle Eichenberg | Licensed Practical Nurse | 1028 East St Apt 8, Fort Atkinson, WI 53538-2643 | 2020-08-10 |
| 1205445509 | Kelsey Tenpas | Licensed Practical Nurse | 8232 State Highway 73, Pittsville, WI 54466-9336 | 2020-07-23 |
| 1013535491 | Debra Ann Martens Mcpherrin | Licensed Practical Nurse | 551 Rivershores Dr, West Bend, WI 53090-2531 | 2020-07-11 |
| 1861019952 | Tasha Harris | Licensed Practical Nurse | 1238 Sunfield St, Sun Prairie, WI 53590-2740 | 2020-07-06 |
| Find all providers with the same taxonomy | ||||
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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.