KELLY WEISSE (NPI# 1194156794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194156794 |
| Entity Type | Individual |
| Full Name | KELLY WEISSE |
| Credential | R.N. |
| Practice Address |
322 Washburn Rd Deerfield WI 53531-9577 |
| Practice Telephone | 6087641492 |
| Mailing Telephone | 6087641492 |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2013-12-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
185704-30 | WI | Nursing Service Providers |
| Street Address |
322 WASHBURN RD |
| City | DEERFIELD |
| State | WI |
| Zip Code | 53531-9577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982740544 | Skj Inc. | Pharmacy | 50 N Main St, Deerfield, WI 53531-9353 | 2007-01-30 |
| 1093992703 | Wade Lee Anderson | Pharmacist | 50 N Main St, Deerfield, WI 53531-9453 | 2008-01-24 |
| 1962457531 | Jennifer F Stevens | Family Medicine | 103 Lake St, Dean Medical Center, Deerfield, WI 53531-9455 | 2006-05-23 |
| 1417965260 | Dean Health Systems, Inc. | Durable Medical Equipment & Medical Supplies | 103 Lake St, Deerfield, WI 53531-9455 | 2006-08-04 |
| 1164932091 | Mabie Pharmacy, LLC | Pharmacy | 10 Liberty St # 106, Deerfield, WI 53531-9458 | 2017-10-05 |
| 1356610570 | Md Group, LLC | Pharmacy | 10 Liberty St, Suite 106, Deerfield, WI 53531-9458 | 2011-12-16 |
| 1275994808 | Melissa Bakken | Counselor | 121 Covington Cove Cir, Deerfield, WI 53531-9470 | 2016-03-09 |
| 1073913570 | Ann Saunders | Registered Nurse | 141 Covington Cove Cir, Deerfield, WI 53531-9470 | 2014-09-03 |
| 1598944233 | Deerfield Community Schools | Local Education Agency (LEA) | 300 Simonson Blvd, Deerfield, WI 53531-9543 | 2007-10-30 |
| 1518062884 | Kristin Ann Higgins | Pharmacist | 726 London Rd, Deerfield, WI 53531-9572 | 2006-09-13 |
| Find all providers in zip 53531 | ||||
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356956932 | Timothy J Reichert | Registered Nurse | 227 Kleine St, Deerfield, WI 53531-9596 | 2020-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847300 | Diane Lynn Ryan-pete | Registered Nurse | E8965 State Road 60, Sauk City, WI 53583-9649 | 2020-09-23 |
| 1235749003 | Jason David King | Registered Nurse | 3121 3rd St S, Wisconsin Rapids, WI 54494-1008 | 2020-08-05 |
| 1083242440 | Lisa C Sperle | Registered Nurse | 228 A Main Street, Cambridge, WI 53523 | 2020-03-31 |
| 1245896471 | Ann Elizabeth Riddle | Registered Nurse | 1332 Kellner St, Manitowoc, WI 54220-1515 | 2019-05-14 |
| 1770054934 | Pamela Faye Van Mol | Registered Nurse | 6 Abilene Ct, Madison, WI 53719-2455 | 2018-12-16 |
| 1043786742 | Daniecce Marie Ward | Registered Nurse | 3376 N 36th St, Milwaukee, WI 53216-3718 | 2018-10-19 |
| 1548746076 | Amy Ann Schiedermayer | Registered Nurse | 215 Sunny Meadows Dr, Kaukauna, WI 54130-4301 | 2018-07-18 |
| 1962991620 | Timothy J Schmitt | Registered Nurse | 2509 County Highway I Ste 500, Chippewa Falls, WI 54729-2786 | 2018-05-08 |
| 1740716224 | Lisa Hartjes | Registered Nurse | 332 Cherry Ln, Little Chute, WI 54140-1107 | 2017-05-03 |
| 1881069862 | Thomas Mark Johnson | Registered Nurse | N5733 Gurholt Lake Rd, Scandinavia, WI 54977-9736 | 2015-12-02 |
| 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.