BRANDON FETT (NPI# 1215214408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215214408 |
| Entity Type | Individual |
| Full Name | BRANDON FETT |
| Credential | LPN |
| Practice Address |
160 Proudfit St Madison WI 53715-1428 |
| Mailing Address |
160 Proudfit St. Madison WI 53715 |
| Practice Telephone | 6085568155 |
| Mailing Telephone | 6085568155 |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2011-11-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 307420-31 | WI | Nursing Service Providers |
| Street Address |
160 PROUDFIT ST |
| City | MADISON |
| State | WI |
| Zip Code | 53715-1428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851807697 | Kristi M Batchelor | Nurse Practitioner | 20 S Park St Fl 4, Madison, WI 53715 | 2017-12-15 |
| 1578927026 | Petra A Kelsey | Family Medicine | 1107 Emerald St, Madison, WI 53715 | 2016-04-11 |
| 1467889238 | Group Health Cooperative of South Central Wi | Durable Medical Equipment & Medical Supplies | 740 Regent Street, Suite 106, Madison, WI 53715 | 2013-10-10 |
| 1275888760 | Sandra Beth Miller | Physician Assistant | 700 S. Park, Suite A 404, Madison, WI 53715 | 2012-07-20 |
| 1134418486 | Matthew Lochen | Emergency Medicine | 700 S. Park Street, Department of Emergency Medicine, Madison, WI 53715 | 2011-04-06 |
| 1225275720 | Eileen J Breitweiser | Social Worker | 202 South Parkt Street, Madison, WI 53715 | 2009-01-21 |
| 1225293137 | Kenneth H. Yuska, Md, Sc | Orthopaedic Surgery | 4726 East Towne Blvd., 110, Madison, WI 53715 | 2008-07-21 |
| 1063689727 | Rachel I Kornik | Dermatology | Uw Health Dept of Dermatology 1 S. Park St, Administrative Office 7th Floor, Madison, WI 53715 | 2008-05-13 |
| 1144434911 | Rebecca Sue Frye | Pharmacist | 1 South Park Street, Suite 101 Pharmacy, Madison, WI 53715 | 2007-05-10 |
| 1376755496 | Eileen C. Scrivner | Social Worker | 1008 Fish Hatchery Road, Madison, WI 53715 | 2007-05-03 |
| Find all providers in zip 53715 | ||||
| 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 |
|---|---|---|---|---|
| 1609484716 | Taneeka Barfield | Licensed Practical Nurse | 168 Ne Gibson Trailer Park Way Lot 10, Madison, FL 32340-2825 | 2020-07-15 |
| 1033751177 | Bionca Buie | Licensed Practical Nurse | 810 Jupiter Dr Apt 304, Madison, WI 53718-2991 | 2019-10-10 |
| 1689135469 | Geraldine Clemons-walker | Licensed Practical Nurse | 2461 Old Camden Sq Apt 104, Madison, WI 53718-8012 | 2019-03-26 |
| 1417449638 | Ashley Renee Zander | Licensed Practical Nurse | 1715 Camus Ln Apt 7, Madison, WI 53705-1204 | 2018-06-04 |
| 1184151466 | Debra Cooks Boatman | Licensed Practical Nurse | 1062 Ne Reagan Rd, Madison, FL 32340-5541 | 2017-05-17 |
| 1972042018 | Shirley Haynes | Licensed Practical Nurse | 219 Sw Third Ave, Madison, FL 32340-2906 | 2017-02-22 |
| 1700329125 | Sheilakay Ann Jowett | Licensed Practical Nurse | 7530 Mid Town Rd Apt 108, Madison, WI 53719-3460 | 2016-12-02 |
| 1124570841 | Shirley Norman-johnson | Licensed Practical Nurse | 115 East Badger Rd, Suite A, Madison, WI 53713 | 2016-10-28 |
| 1114475225 | Jesse Willard | Licensed Practical Nurse | 1128 Morraine View Dr, Unit 301, Madison, WI 53719-3078 | 2016-09-18 |
| 1366809113 | Maria Joseph | Licensed Practical Nurse | 2925 Wimbledon Way, Madison, WI 53713-3427 | 2016-01-25 |
| Find all providers in MADISON | ||||
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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.