MRS. STEPHANIE MARIE BUCHHOLTZ (NPI# 1194818500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194818500 |
| Entity Type | Individual |
| Full Name | MRS. STEPHANIE MARIE BUCHHOLTZ |
| Credential | RN |
| Practice Address |
4923 Big Bend Rd Waterford WI 53185-3542 |
| Practice Telephone | 2625344963 |
| Mailing Telephone | 2625344963 |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
97425-030 | WI | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | RN PRIVATE DUTY | 39850400 | 01 |
| Street Address |
4923 BIG BEND RD |
| City | WATERFORD |
| State | WI |
| Zip Code | 53185-3542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649755695 | Alyssa Jane Revolinski | Respite Care | 269435 S Elm Lane, Waterford, WI 53185 | 2018-09-26 |
| 1871973370 | Julie Minikowski | Community Health Worker | 207 Milwaukee Avenue, A, Waterford, WI 53185 | 2015-06-01 |
| 1629235031 | Fluegge Optical | Technician/Technologist | 920 E Main Street, Waterford, WI 53185 | 2008-05-22 |
| 1659598209 | Julie Michals | Occupational Therapist | 1701 Sharp Road, Waterford, WI 53185 | 2007-04-18 |
| 1518072768 | Jennifer Jayne Decker | Family Medicine | 818 Forrest Ln, Waterford, WI 53185 | 2006-08-20 |
| 1215966908 | Amy Beth Flock | Physical Therapy Assistant | 2319 Fox Knoll Dr, Waterford, WI 53185 | 2006-07-03 |
| 1750762472 | Tesalia R Renteria | Family Medicine | 818 Forest Ln, Waterford, WI 53185 | 2015-06-18 |
| 1649651092 | Kathryn C Halyko | Pediatrics | 818 Forest Ln, Waterford, WI 53185 | 2015-06-11 |
| 1518109735 | Daniel A Allison | Family Medicine | 818 Forest Ln, Waterford, WI 53185 | 2009-04-02 |
| 1811178478 | Daniel Mark Gifford | Speech-Language Pathologist | 1701 Sharp Rd, Lakeview Specialty Hospital, Waterford, WI 53185 | 2007-11-23 |
| Find all providers in zip 53185 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073134441 | Nicole M Ulrich | Registered Nurse | 4489 W Walton Blvd, Waterford, MI 48329-4076 | 2020-04-27 |
| 1013431618 | Anita Mccann | Registered Nurse | 279 Summit Dr, Waterford, MI 48328-3364 | 2017-07-26 |
| 1346665783 | Debby Basilico | Registered Nurse | 279 Summit Dr, Waterford, MI 48328-3364 | 2014-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538781885 | Camila Anderson-fernandez | Registered Nurse | 110 Corrina Blvd Apt 468, Waukesha, WI 53186-3709 | 2020-05-09 |
| 1265078513 | Stephanie Soto | Registered Nurse | 3632 S 77th St, Milwaukee, WI 53220-1146 | 2019-11-21 |
| 1073072187 | Sara Marie Mehring | Registered Nurse | 222 Lincolnshire Pl Apt 202, Wales, WI 53183-9106 | 2019-03-18 |
| 1740755628 | Shelly L Devant | Registered Nurse | N4912 County Road P # 1, Helenville, WI 53137-9763 | 2018-10-08 |
| 1710463419 | Joyce R Jackson | Registered Nurse | 3533 N 76th St Apt 3, Milwaukee, WI 53222-3057 | 2018-07-16 |
| 1437537511 | Eleanor Sobkowiak | Registered Nurse | W6019 County Rd S, Onalaska, WI 54650-8810 | 2015-05-11 |
| 1053662452 | Traci Hoch | Registered Nurse | W1445 Berkans Rd, Fremont, WI 54940-8648 | 2012-09-25 |
| 1164771499 | Sherry Louise Hildebrandt | Registered Nurse | N71w39757 Lang Rd, Oconomowoc, WI 53066-1552 | 2012-08-31 |
| 1417203910 | Cassandra Lee Jenkins | Registered Nurse | 1600 W Green Tree Rd, #301, Glendale, WI 53209-2955 | 2012-08-02 |
| 1902183064 | Malissa L Washington | Registered Nurse | 7748 West Grantosa Drive, Milwaukee, WI 53218 | 2011-11-03 |
| 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.