BROOKE DIETSCHE (NPI# 1235692781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235692781 |
| Entity Type | Individual |
| Full Name | BROOKE DIETSCHE |
| Practice Address |
100 N East Ave Waukesha WI 53186-3103 |
| Mailing Address |
4631 Royal Vista Trail De Pere WI 54115 |
| Practice Telephone | 2625247373 |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2019-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
100 N EAST AVE |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53186-3103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588657902 | Jeffrey P Sischo | Physical Therapist | 100 N East Ave, Pt Building, #116, Waukesha, WI 53186-3103 | 2005-08-31 |
| 1558969568 | Rachelle Parker | Physician Assistant | 100 N East Ave, Waukesha, WI 53186-3103 | 2020-10-12 |
| 1215557566 | Rachel Renee Poenitsch | Physician Assistant | 100 N East Ave, Waukesha, WI 53186-3103 | 2020-04-16 |
| 1841828613 | Carrie Siekierski | Physician Assistant | 100 N East Ave, Waukesha, WI 53186-3103 | 2020-03-29 |
| 1437786795 | Maighlin Marie Kolesar | Physician Assistant | 100 N East Ave, Waukesha, WI 53186-3103 | 2020-03-26 |
| 1902433477 | Christina Nagle | Physician Assistant | 100 N East Ave, Waukesha, WI 53186-3103 | 2020-03-25 |
| 1356804892 | Francesca Vittoria Catalano | Specialist/Technologist | 100 N East Ave, Waukesha, WI 53186-3103 | 2019-04-11 |
| 1003379769 | Brady Clark | Student in an Organized Health Care Education/Training Program | 100 N East Ave, Waukesha, WI 53186-3103 | 2019-04-10 |
| 1467915124 | Lauren Nicole Goebel | Specialist/Technologist | 100 N East Ave, Waukesha, WI 53186-3103 | 2019-04-10 |
| 1790218253 | Melissa Florine | Student in an Organized Health Care Education/Training Program | 100 N East Ave, Waukesha, WI 53186-3103 | 2017-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295391472 | Christine Lowdon Triggs | Dentist | 21680 West Bluemound Rd, Waukesha, WI 53186 | 2019-05-14 |
| 1881182889 | Allure Medical of Wisconsin Pllc | Clinic/Center | 1930 W Bluemound Rd Ste 340, Waukesha, WI 53186 | 2018-04-25 |
| 1316462104 | Mary B Mckee | Dietitian, Registered | 22370 W Bluemound Rd, #102, Waukesha, WI 53186 | 2017-08-14 |
| 1740738343 | Rebecca Menelle | Physical Therapist | 1809 Shepherd Ct, Apt 206, Waukesha, WI 53186 | 2016-09-13 |
| 1568919876 | Dianne Isnard | Physical Therapist | W231n1440 Corporate Court, Waukesha, WI 53186 | 2016-09-02 |
| 1982065991 | Brandon James Decker | Nurse Practitioner | 21775 Hillcrest Drive, Waukesha, WI 53186 | 2016-03-18 |
| 1598142937 | Sophia Marie Klingbiel | Social Worker | 1515 Paramount Dr., Waukesha, WI 53186 | 2015-05-06 |
| 1326478165 | Glen D Haberman | Dentist | 141 Wisconsin Avenue, Waukesha, WI 53186 | 2013-11-14 |
| 1487991014 | Sara Nicole Francis | Counselor | 217 Wisconsin Ave Ste 211, Waukesha, WI 53186 | 2013-01-16 |
| 1770862054 | Alex Colque, M.d. S.c. | Plastic Surgery | 21675 E Moreland Blvd, Suite 100, Waukesha, WI 53186 | 2011-08-04 |
| Find all providers in zip 53186 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023626769 | Jannalynne Joy Beilke-skoug | Student in an Organized Health Care Education/Training Program | 2414 Springdale Rd Apt 210, Waukesha, WI 53186-8704 | 2020-07-20 |
| 1578180022 | Braden Michael Christensen | Student in an Organized Health Care Education/Training Program | 1405 Rockridge Rd Apt 343, Waukesha, WI 53188-2893 | 2020-07-01 |
| 1386260727 | Erika Paige Brown | Student in an Organized Health Care Education/Training Program | 1800 Shepherd Ct Apt 336, Waukesha, WI 53186-1424 | 2020-06-22 |
| 1053936088 | Amanda Lynn Oeder | Student in an Organized Health Care Education/Training Program | 1902 E Broadway Apt 420, Waukesha, WI 53186-8183 | 2020-06-16 |
| 1033734397 | Esther Rose Den Herder | Student in an Organized Health Care Education/Training Program | 2221 Hollidale Dr Apt 206b, Waukesha, WI 53186-2946 | 2020-06-12 |
| 1235754631 | Alex Pekarske | Student in an Organized Health Care Education/Training Program | 1724 E Racine Ave Apt 102, Waukesha, WI 53186-0725 | 2020-06-11 |
| 1306461769 | Raelee Penzi | Student in an Organized Health Care Education/Training Program | 2416 Springdale Rd Apt 205, Waukesha, WI 53186-2738 | 2020-06-11 |
| 1700401189 | Emily Poenitsch | Student in an Organized Health Care Education/Training Program | 1040 River Place Blvd Unit 5, Waukesha, WI 53189-7887 | 2020-06-11 |
| 1023639135 | Michael Roesch | Student in an Organized Health Care Education/Training Program | S51w23773 Turners Pike W, Waukesha, WI 53189-7948 | 2020-04-29 |
| 1649803198 | Brielle Bartes | Student in an Organized Health Care Education/Training Program | S73w26285 Sierra Madre Ct, Waukesha, WI 53189-9643 | 2020-02-12 |
| Find all providers in WAUKESHA | ||||
Please comment or provide details below to improve the information on BROOKE DIETSCHE.
| 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.