JACQUELINE A KEMP (NPI# 1194137836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194137836 |
| Entity Type | Individual |
| Full Name | JACQUELINE A KEMP |
| Other Name | JACQUELINE HOLQUIST |
| Credential | CRNA |
| Practice Address |
1050 Division St Mauston WI 53948 |
| Mailing Address |
1050 Division St Mauston WI 53948-1931 |
| Practice Telephone | 6088476161 |
| Mailing Telephone | 6088476161 |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2019-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 5846-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 5846-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 707 S University Ave, Beaver Dam, WI 539163027 | 4142906720 | 4142906755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598183709 | Jacqueline Moreau Kemp | Dermatology | 75 Francis St, Boston, MA 02115-6110 | 2014-04-03 |
| Street Address |
1050 DIVISION ST |
| City | MAUSTON |
| State | WI |
| Zip Code | 53948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780686006 | John M Murphy | Family Medicine | 1050 Division St, Mauston, WI 53948-1931 | 2005-06-01 |
| 1831708072 | Alyssa Patten | Physical Therapist | 1050 Division St, Mauston, WI 53948-1931 | 2020-07-23 |
| 1619500923 | Brooke Marie Benson | Physician Assistant | 1050 Division St, Mauston, WI 53948-1931 | 2020-02-14 |
| 1336781574 | Leah Bernadette Doughty | Physician Assistant | 1050 Division St, Urgent Care/ed, Mauston, WI 53948 | 2019-10-09 |
| 1093357329 | Tacy Camenga | Physical Therapist | 1050 Division St, Mauston, WI 53948-1931 | 2019-10-08 |
| 1184270332 | Abigail Moring | Speech-Language Pathologist | 1050 Division St, Mauston, WI 53948-1931 | 2019-08-14 |
| 1548812985 | Ashlie Lynn Dushek | Physician Assistant | 1050 Division St, Mauston, WI 53948-1931 | 2019-07-16 |
| 1609437854 | Erin E Hackett | Speech-Language Pathologist | 1050 Division St, Mauston, WI 53948-1931 | 2019-06-27 |
| 1225697766 | Jennifer Birdsey | Physician Assistant | 1050 Division St, Mauston, WI 53948-1931 | 2019-06-09 |
| 1891353223 | Lauren Peterson | Dietitian, Registered | 1050 Division St, Mauston, WI 53948-1931 | 2019-05-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114557691 | Paige Odegard | Case Manager/Care Coordinator | Juneau Co. Dept of Human Services, 200 Hickory Street, Mauston, WI 53948 | 2020-01-23 |
| 1083934418 | Brandon J Valgardson | Dentist | 880 Herriott Drive, Mauston, WI 53948 | 2010-06-08 |
| 1235451204 | Robin Adair Thompson | Dental Hygienist | 880 Herriot Drive, Mauston, WI 53948 | 2010-02-18 |
| 1114169943 | Ptworks LLC | Clinic/Center | 690 Kennedy Street, Mauston, WI 53948 | 2009-03-25 |
| 1609901529 | Mary Ann Brown | Physical Therapy Assistant | N3334 Hwy 58, Mauston, WI 53948 | 2007-02-22 |
| 1497809412 | Bobbi Eckerman | Occupational Therapist | 1050 Division St., Mauston, WI 53948 | 2007-01-23 |
| 1215092820 | Patrick Michael Mccormick | Dentist | 510 E State St, Mauston, WI 53948 | 2006-12-26 |
| 1093772287 | Ann Marie June | Social Worker | Juneau County Dept of Human Services, 200 Hickory St, Mauston, WI 53948 | 2006-05-01 |
| 1740252857 | Phillips Drug Store, Inc. | Pharmacy | 123 E State St, Mauston, WI 53948 | 2006-02-02 |
| 1053876532 | Cassandra A Heideman | Counselor | 200 Hickory Street, Mauston, WI 53948 | 2019-02-08 |
| Find all providers in zip 53948 | ||||
| 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 |
|---|---|---|---|---|
| 1821252123 | David Scott Lenninger | Nurse Anesthetist, Certified Registered | 1050 Division St, Mauston, WI 53948-1931 | 2008-07-15 |
| 1922145077 | Mile Bluff Medical Center Inc | Nurse Anesthetist, Certified Registered | 1050 Division St, Mauston, WI 53948-1931 | 2007-01-30 |
| 1609854900 | Donald S. Hart | Nurse Anesthetist, Certified Registered | 1050 Division St, Mauston, WI 53948-1931 | 2006-01-06 |
| 1689655979 | Ron Dixon | Nurse Anesthetist, Certified Registered | 1050 Division St, Mauston, WI 53948-1931 | 2005-11-14 |
| 1073594362 | August J. Martin | Nurse Anesthetist, Certified Registered | 1050 Division St, Mauston, WI 53948-1931 | 2005-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154943637 | Michael Poeschel | Nurse Anesthetist, Certified Registered | 2109 E Capitol Dr Ste B, Appleton, WI 54911-8726 | 2020-05-07 |
| 1285148643 | River Valley Anesthesia, Inc. | Nurse Anesthetist, Certified Registered | 130 S. Knowles Ave., New Richmond, WI 54017 | 2017-11-21 |
| 1295278356 | Braden Williams | Nurse Anesthetist, Certified Registered | 955 Pheasant Creek Dr, Oshkosh, WI 54904 | 2016-11-22 |
| 1396287447 | Dee Cha | Nurse Anesthetist, Certified Registered | 4851 Rachel Ln Apt 5, Wausau, WI 54401 | 2016-11-07 |
| 1053790972 | Rest Assured Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 1200 John Q Hammons Dr Ste 102, Madison, WI 53717-1967 | 2015-05-26 |
| 1205223898 | Petagaye Tm Johnson | Nurse Anesthetist, Certified Registered | 5150 E Cheryl Pkwy Unit 301, Fitchburg, WI 53711-7659 | 2015-04-21 |
| 1568851194 | Nicholas Joseph Nuccio | Nurse Anesthetist, Certified Registered | 720 S Marquette St, #302, Racine, WI 53403-1174 | 2015-01-20 |
| 1285030452 | Garner Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 254 E Marquette St, Berlin, WI 54923-1298 | 2014-11-14 |
| 1073934048 | Lynne M Krebs Crna Sc | Nurse Anesthetist, Certified Registered | W178n9912 Rivercrest Dr Ste 102, Germantown, WI 53022-4645 | 2013-12-18 |
| 1831537679 | Roxanne Brault | Nurse Anesthetist, Certified Registered | 7929 S 66th St, Franklin, WI 53132-9281 | 2013-06-13 |
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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.