PENNY JO SCHULTZ (NPI# 1235436841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235436841 |
Entity Type | Individual |
Full Name | PENNY JO SCHULTZ |
Credential | NURSE PRACTITIONER |
Practice Address |
500 E Veterans St Tomah WI 54660-3105 |
Practice Telephone | 6083723791 |
Mailing Telephone | 6083723791 |
Enumeration Date | 2011-02-16 |
Last Update Date | 2011-02-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4348-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | ADVANCED PRACTICE NURSE PRESCRIBER LICENSE | 4348-33 | 01 |
WI | RESISTERED NURSE | 115450-030 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124222377 | Penny L. Schultz | Massage Therapist | 6325 York Rd, Suite #101, Parma Heights, OH 44130-3030 | 2007-06-12 |
1023521366 | Penny Schultz | Registered Nurse | 1501 Airport Rd, Waukesha, WI 53188-2461 | 2017-11-08 |
Street Address |
500 E VETERANS ST |
City | TOMAH |
State | WI |
Zip Code | 54660-3105 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790788826 | Patrick John Hardiman | Podiatrist | 500 E Veterans St, Tomah, WI 54660-3105 | 2005-05-23 |
1205436532 | April Ann Lassa | Family Medicine | 500 E Veterans St, Tomah, WI 54660-3105 | 2020-10-27 |
1215534607 | Kari Leigh Ebert | Recreation Therapist | 500 E Veterans St, Tomah, WI 54660-3105 | 2020-10-08 |
1801493325 | Haley Evelyn Sidie | Recreation Therapist | 500 E Veterans St, Tomah, WI 54660-3105 | 2020-10-07 |
1437766383 | Susan Mercy Humphrey | Social Worker | 500 E Veterans St, Tomah, WI 54660-3105 | 2020-09-24 |
1740899608 | Gabrielle Lujan | Nurse Practitioner | 500 E Veterans St, Tomah, WI 54660-3105 | 2020-07-27 |
1174149827 | Hannah Von Behren | Social Worker | 500 E Veterans St, Tomah, WI 54660-3105 | 2020-06-18 |
1154943959 | Gina Rae Chmelka | Social Worker | 500 E Veterans St, Tomah, WI 54660-3105 | 2020-05-14 |
1417579210 | Ashley Ann Greeno | Social Worker | 500 E Veterans St, Tomah, WI 54660-3105 | 2020-05-14 |
1053933853 | Allissa Marie Burns-gilbert | Social Worker | 500 E Veterans St, Tomah, WI 54660-3105 | 2020-05-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255786281 | Jean Hinrichsen | Nurse Practitioner | 500 E Veterans Administration, Tomah, WI 54660 | 2016-04-27 |
1871994418 | Jennifer Annette Aeling | Psychologist | 500 E Veterans Street, Mh Admin, Tomah, WI 54660 | 2014-09-15 |
1003182346 | James Arthur Hennes | Psychiatric Unit | 515 Veterans St., Tomah, WI 54660 | 2012-03-30 |
1619114931 | Saint-mark Enterprises 1798 LLC | Durable Medical Equipment & Medical Supplies | 300 Superior Avenue, Tomah, WI 54660 | 2009-01-08 |
1629259163 | Mark Frederick Mueller | Counselor | 324 Butts Avenue, Tomah, WI 54660 | 2007-11-26 |
1073713293 | Sheetal Reddy Marri | Psychiatry & Neurology | 5000 Veterans St., Tomah, WI 54660 | 2007-07-25 |
1528144946 | Kevin Albert Stagman | Optometrist | 222 West Mccoy Blvd, Tomah, WI 54660 | 2006-10-27 |
1346320058 | Eugenia S Durst | Nurse Practitioner | 500 East Veterans St, Tomah, WI 54660 | 2006-10-17 |
1962596536 | Angela Kay Fuller | Nurse Practitioner | 321 Butts Ave., Tomah Memorial Hospital, Tomah, WI 54660 | 2006-10-03 |
1285737767 | James John Blado | Dentist | 1116 Superior Ave, Superior Suites, Tomah, WI 54660 | 2006-09-07 |
Find all providers in zip 54660 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396749222 | Annette Elizabeth Gregoire | Nurse Practitioner | 500 E. Veterans St., Tomah, WI 54660-3105 | 2005-06-09 |
1225326630 | Nancy Wenzel Patterson | Nurse Practitioner | 500 E Veterans St, Tomah, WI 54660-3105 | 2011-07-19 |
1053558015 | Denise J Carter | Nurse Practitioner | 500 E Veterans St, Tomah, WI 54660-3105 | 2009-01-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952870289 | Sujata Karki | Nurse Practitioner | 402 N Eau Claire Ave Apt 309, Madison, WI 53705-2820 | 2018-11-15 |
1861926750 | Lisa Somers | Nurse Practitioner | W126n7338 Flint Dr, Menomonee Falls, WI 53051-4532 | 2017-04-17 |
1750828299 | Nanette Marie Kloth | Nurse Practitioner | 18110 W Bluemond Rd, Brookfield, WI 53045 | 2017-01-23 |
1902341852 | Rebecca Weld Hall | Nurse Practitioner | 3245 Milwaukee St, Madison, WI 53714-1829 | 2017-01-02 |
1629525613 | Katherine Simons Melde | Nurse Practitioner | 2222 S Park St Ste 210, Madison, WI 53713 | 2016-09-07 |
1134574643 | Victoria White | Nurse Practitioner | 2500 N Mayfair Rd Ste 260, Wauwatosa, WI 53226-1443 | 2016-05-03 |
1326414442 | Diane Marie Kelley | Nurse Practitioner | 300 Femrite Drive, Monona, WI 53716 | 2015-08-12 |
1841673829 | M Christine Meulemans | Nurse Practitioner | 3391 Wilderness Trl, Suamico, WI 54313-8746 | 2015-07-08 |
1548659725 | Patricia Ann Kender | Nurse Practitioner | 17495 W. Capitol Dr., Brookfield, WI 53045 | 2015-01-12 |
1588062947 | Laura Swett | Nurse Practitioner | 733 Woodside Dr, Seymour, WI 54165-1661 | 2014-12-16 |
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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.