MS. NANCY LYNN WHITEHEAD (NPI# 1205943404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205943404 |
| Entity Type | Individual |
| Full Name | MS. NANCY LYNN WHITEHEAD |
| Credential | FNP |
| Practice Address |
807 Pleasant Valley Rd West Bend WI 53095-9767 |
| Mailing Address |
743 S 7th Ave West Bend WI 53095-3944 |
| Practice Telephone | 2626756533 |
| Practice Fax Number | 2626752827 |
| Mailing Telephone | 2623347921 |
| Mailing Fax Number | 2623347921 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1914-033 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821287475 | Nancy Jovet Whitehead | Nurse Practitioner | 2151 College Ave, Bakersfield, CA 93305-4172 | 2007-10-19 |
| Street Address |
807 PLEASANT VALLEY RD |
| City | WEST BEND |
| State | WI |
| Zip Code | 53095-9767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902067473 | Elizabeth Anne Wildt | Registered Nurse | 807 Pleasant Valley Rd, West Bend, WI 53095-9767 | 2008-06-18 |
| 1932369121 | Dave James Moore | Occupational Therapist | 807 Pleasant Valley Rd, West Bend, WI 53095-9767 | 2008-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820428 | David Fountain | Contractor | 726 Creedwood Lane, West Bend, WI 53095 | 2020-04-24 |
| 1922664358 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1745 South Main St, West Bend, WI 53095 | 2019-05-10 |
| 1912423773 | Michelle R Prentice | Family Medicine | West Bend Health Center, 1700 W. Paradise Drive, West Bend, WI 53095 | 2017-08-14 |
| 1386165918 | Quad/med, LLC | Clinic/Center | 432 E. Washington St. #1115, West Bend, WI 53095 | 2017-07-05 |
| 1508230632 | Jesen Daniel | Counselor | 111 East Washington St, Affiliated Clinical Services, West Bend, WI 53095 | 2015-12-01 |
| 1477965259 | Jenna Crofts | Specialist/Technologist | 1190 East Paradise Drive, West Bend, WI 53095 | 2014-05-28 |
| 1023436342 | Visionworks | Optometrist | 1437 S. Main St., West Bend, WI 53095 | 2014-04-03 |
| 1295157295 | Stephanie Rabe | Registered Nurse | 910 E. Paradise Drive, West Bend, WI 53095 | 2014-01-09 |
| 1477898815 | Ralph Norman Olsen | Pediatrics | 6267 Riesch Road, West Bend, WI 53095 | 2012-12-11 |
| 1932458536 | Joshua Aaron Barta | Dentist | 2090 Continental Drive, West Bend, WI 53095 | 2012-08-29 |
| Find all providers in zip 53095 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588031934 | Tracy Plaskey | Nurse Practitioner | 1700 W Paradise Drive, Gastroenterology and Hepatlogy, West Bend, WI 53095-9795 | 2015-09-01 |
| 1538426192 | Kay Marie Wolff | Nurse Practitioner | 4727 Whitetail Trl, West Bend, WI 53095-7812 | 2012-04-19 |
| 1578731899 | Jane M Kassens | Nurse Practitioner | 2180 S Main St, West Bend, WI 53095-5754 | 2008-02-20 |
| 1184180994 | Jennifer Jean Schmidt | Nurse Practitioner | 1700 W Paradise Dr, West Bend, WI 53095-9795 | 2019-02-17 |
| 1184115586 | Brittney Stich | Nurse Practitioner | 525 S Silverbrook Dr, West Bend, WI 53095-3868 | 2018-05-22 |
| 1306360409 | Jeremiah Christian Parve | Nurse Practitioner | 1700 W Paradise Dr, West Bend, WI 53095-9795 | 2017-07-31 |
| 1407378086 | Amalia A Brouillard | Nurse Practitioner | 3200 Pleasant Valley Rd, West Bend, WI 53095-9274 | 2017-07-14 |
| 1891215539 | Erica Ann Schoenike | Nurse Practitioner | 735 S Main St, West Bend, WI 53095-3965 | 2017-06-23 |
| 1043768724 | Alyssa Sekadlo | Nurse Practitioner | 111 E Washington St, West Bend, WI 53095-2571 | 2016-09-12 |
| 1376935395 | Jessica Anne Held | Nurse Practitioner | 3200 Pleasant Valley Rd, West Bend, WI 53095-9274 | 2015-02-27 |
| Find all providers in WEST BEND | ||||
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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.