MISTY FAST (NPI# 1235748815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235748815 |
| Entity Type | Individual |
| Full Name | MISTY FAST |
| Credential | SAC-IT |
| Practice Address |
819 Ash St Spooner WI 54801-1201 |
| Mailing Address |
Po Box 93 Spooner WI 54801-0093 |
| Practice Telephone | 7159391248 |
| Practice Fax Number | 7159391248 |
| Mailing Telephone | 7159391248 |
| Mailing Fax Number | 7159391248 |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2020-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
18954-130 | WI | Behavioral Health & Social Service Providers |
| Street Address |
819 ASH ST |
| City | SPOONER |
| State | WI |
| Zip Code | 54801-1201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063486983 | Patrick J Mccann | Family Medicine | 819 Ash St, Spooner, WI 54801-1201 | 2006-02-15 |
| 1699160218 | Rachel Keenan | Registered Nurse | 819 Ash St, Spooner, WI 54801-1201 | 2015-03-31 |
| 1770823536 | Allen Daniel Eli | Physical Therapy Assistant | 819 Ash St, Spooner, WI 54801-1201 | 2013-02-15 |
| 1114262490 | Danae J Johnson | Physical Therapist | 819 Ash St, Spooner, WI 54801-1201 | 2012-11-28 |
| 1134393721 | Jill Renee Butkus | Occupational Therapist | 819 Ash St, Spooner, WI 54801-1201 | 2008-04-15 |
| 1861614208 | Renita J Flood | Occupational Therapist | 819 Ash St, Spooner, WI 54801-1201 | 2007-05-03 |
| 1710104658 | The Duluth Clinic, Ltd | Internal Medicine | 819 Ash St, Spooner, WI 54801-1201 | 2007-04-20 |
| 1528181245 | Stephen John Carlson | Family Medicine | 819 Ash St, Spooner, WI 54801-1201 | 2007-04-09 |
| 1093837239 | Comprehensive Foot & Ankle, Sc | Podiatrist | 819 Ash St, Spooner, WI 54801-1201 | 2007-04-06 |
| 1336267368 | Anne C Kristy | Nurse Anesthetist, Certified Registered | 819 Ash St, Spooner Health System, Spooner, WI 54801-1201 | 2007-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952766974 | Joan M Ruch | Registered Nurse | 702 Front Street, Spooner, WI 54801 | 2015-12-17 |
| 1013266394 | Erik Lee Larson | Physical Therapist | 314 Service Rd, Spooner, WI 54801 | 2012-09-03 |
| 1912102484 | Betsy J Salquist | Speech-Language Pathologist | N5653 Ironwood Dr, Spooner, WI 54801 | 2007-06-15 |
| 1184759201 | Jo Ann E Pomerleau | Counselor | N4851 Hwy 63 South, Spooner, WI 54801 | 2007-02-22 |
| 1881752921 | Wendy J Prigge | Counselor | 410 N River St, Aurora Comm Counseling Employee Support & Services Dba, Spooner, WI 54801 | 2006-12-04 |
| 1881767754 | Strickland Chiropractic Sc | Chiropractor | 211 E Linn St, Spooner, WI 54801 | 2006-11-16 |
| 1093888455 | Vernon Edward Andersen | Chiropractor | 780 Lafollette St, Spooner, WI 54801 | 2006-11-15 |
| 1558445064 | Dellin Richard Bakkum | Dentist | W7154 Green Valley Road, Spooner, WI 54801 | 2006-10-24 |
| 1861574543 | Lyle L Lauritsen | Chiropractor | 214 Spruce St, Spooner, WI 54801 | 2006-10-20 |
| 1720169675 | Steven Leslie Schreiber | Counselor | N4851 Highway 63 South, Spooner, WI 54801 | 2006-10-18 |
| Find all providers in zip 54801 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720169675 | Steven Leslie Schreiber | Counselor | N4851 Highway 63 South, Spooner, WI 54801 | 2006-10-18 |
| 1871847194 | Ashley L Goffin | Counselor | 1661 Hams Rd, Spooner, WI 54801-9138 | 2012-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396255 | Cassandra C Coates | Counselor | 134 Main St Apt 117, Racine, WI 53403-4623 | 2020-11-03 |
| 1649879982 | Veronicia S Green | Counselor | 2821 N Vel R Phillips Ave Ste 131, Milwaukee, WI 53212-2370 | 2020-10-19 |
| 1578160974 | Jennifer A Nyman | Counselor | 2408 N 89th St, Wauwatosa, WI 53226-1804 | 2020-10-08 |
| 1558977991 | Guided Solutions Therapy, LLC | Counselor | 126 W Holum St, Deforest, WI 53532-1108 | 2020-09-21 |
| 1396359337 | Sarah Luetzow Marten | Counselor | 6441 Enterprise Ln Ste 101, Madison, WI 53719-1180 | 2020-09-08 |
| 1891313656 | Kayla Lynn Fazzari | Counselor | N168w20964 Main St, Jackson, WI 53037-9634 | 2020-07-08 |
| 1518580182 | Michele Denise Perron | Counselor | 912 Baxter Ave, Superior, WI 54880-1735 | 2020-05-18 |
| 1003438391 | Kimberly Rose Schlomann | Counselor | W227s10580 River Ave, Big Bend, WI 53103-9563 | 2020-05-10 |
| 1477174381 | Sarah Ross | Counselor | 302 West Lake St., Friendship, WI 55934 | 2020-05-01 |
| 1124657721 | Joanne Berthelsen Lcsw LLC | Counselor | 830 Armour Rd Ste 2, Oconomowoc, WI 53066-3959 | 2020-04-06 |
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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.