STEPHANIE SHANE CROFT (NPI# 1235789199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235789199 |
| Entity Type | Individual |
| Full Name | STEPHANIE SHANE CROFT |
| Credential | FNP-BC |
| Practice Address |
900 College Ave W Ladysmith WI 54848-2116 |
| Mailing Address |
W3632 Artisan Dr Glen Flora WI 54526-9728 |
| Practice Telephone | 7155325561 |
| Mailing Telephone | 2198635546 |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2019-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0270027 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AANP CERTIFICATION | F09190747 | 01 |
| Street Address |
900 COLLEGE AVE W |
| City | LADYSMITH |
| State | WI |
| Zip Code | 54848-2116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528044617 | John G Ahle | Nurse Anesthetist, Certified Registered | 900 College Ave W, Ladysmith, WI 54848-2116 | 2005-12-20 |
| 1831702976 | Jennifer Lea Zimmer | Nurse Practitioner | 900 College Ave W, Ladysmith, WI 54848-2116 | 2020-08-28 |
| 1346716263 | Mchs Hospitals, Inc. | Medicare Defined Swing Bed Unit | 900 College Ave W, Ladysmith, WI 54848-2116 | 2018-10-18 |
| 1952890873 | Mchs Hospitals, Inc. | General Acute Care Hospital | 900 College Ave W, Ladysmith, WI 54848-2116 | 2018-05-07 |
| 1730621053 | Virginia Sedarski | Occupational Therapist | 900 College Ave W, Ladysmith, WI 54848-2116 | 2016-11-17 |
| 1215327564 | Amy Lynn Junk | Specialist/Technologist | 900 College Ave W, Ladysmith, WI 54848-2116 | 2015-01-26 |
| 1790194728 | Kendra Kopecky | Physical Therapy Assistant | 900 College Ave W, Ladysmith, WI 54848-2116 | 2014-08-04 |
| 1528478542 | County of Rusk | Clinic/Center | 900 College Ave W, Ladysmith, WI 54848-2116 | 2014-04-29 |
| 1194069831 | Erin S. Konichek | Occupational Therapy Assistant | 900 College Ave W, Ladysmith, WI 54848-2116 | 2012-11-19 |
| 1659625168 | Robin Johnson | Physical Therapy Assistant | 900 College Ave W, Ladysmith, WI 54848-2116 | 2012-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730356387 | Community Support Center of Rusk County | Community/Behavioral Health | 219 W 2nd Str N, Ladysmith, WI 54848 | 2008-05-13 |
| 1053586412 | Rusk County Csp | Community/Behavioral Health | 219 W 2nd St North, Lady Smith, WI 54848 | 2008-04-28 |
| 1114103843 | Ruth A Pooler | Marriage & Family Therapist | 804 W. 9th St. N, Suite B, Ladysmith, WI 54848 | 2008-01-11 |
| 1831309459 | Sandy Radwanski | Occupational Therapist | W7045 Silvernale Lane, Ladysmith, WI 54848 | 2007-05-23 |
| 1356417018 | Gayle L Pierce | Counselor | 804 W 9th St N Suite B, Aurora Community Counseling Employee Support & Services, Ladysmith, WI 54848 | 2006-11-27 |
| 1306930698 | Indianhead Community Action Agency Incorporated | Home Health | 1000 College Avenue W, Ladysmith, WI 54848 | 2006-10-03 |
| 1043304744 | Maria Fairbert | Physical Therapy Assistant | 900 College Ave. West, Ladysmith, WI 54848 | 2006-10-03 |
| 1467569715 | Elizabeth Henderson Cernohous | Nurse Practitioner | 906 College Ave West, Ladysmith, WI 54848 | 2006-08-24 |
| 1588670350 | Barry Emrick | Physician Assistant | 900 College Ave West, Ladysmith, WI 54848 | 2006-07-31 |
| 1225488448 | Sara L. Luke | Dentist | 315 Miner Ave W, Ladysmith, WI 54848 | 2016-06-18 |
| Find all providers in zip 54848 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164033387 | Brita Lynn Bush | Nurse Practitioner | 906 College Ave W, Ladysmith, WI 54848-2116 | 2020-08-11 |
| 1467004887 | Amanda Michelle Crabb | Nurse Practitioner | 1101 Lake Ave W, Ladysmith, WI 54848-1062 | 2019-07-16 |
| 1891209664 | Sheila Patricia Heiser | Nurse Practitioner | 906 College Ave W, Ladysmith, WI 54848-2116 | 2017-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203857 | Tiera Manuel | Nurse Practitioner | 3956 N 28th St, Milwaukee, WI 53216-2637 | 2020-10-22 |
| 1801494778 | Tajana Jovicic | Nurse Practitioner | 3157 S 66th St, Milwaukee, WI 53219-4105 | 2020-10-13 |
| 1497352090 | Carlotta Williams | Nurse Practitioner | 1205 Juniper Ln, Oconomowoc, WI 53066-3100 | 2020-10-06 |
| 1932706611 | Rachel Sullivan | Nurse Practitioner | 304 E Northlawn Dr, Cottage Grove, WI 53527-8917 | 2020-10-05 |
| 1649877663 | Kirk O'hanison | Nurse Practitioner | 1020 Oconomowoc Pkwy Unit B, Oconomowoc, WI 53066-4616 | 2020-10-02 |
| 1780291401 | Carlie Dell | Nurse Practitioner | 1636 Industrial Pkwy N, Marinette, WI 54143-3703 | 2020-09-27 |
| 1093320459 | Tyronda T Gray | Nurse Practitioner | 5833 N 117th St, Milwaukee, WI 53225-2207 | 2020-09-12 |
| 1629683065 | Yia Lor | Nurse Practitioner | 3750 Summerset Way Apt 1, Oshkosh, WI 54901-0501 | 2020-09-11 |
| 1245844364 | Asia Ann Gomez | Nurse Practitioner | 2816 E Allison Ave, Cudahy, WI 53110-2541 | 2020-09-04 |
| 1861005837 | Clair Roser Rivera | Nurse Practitioner | 3734 W Ohio Ave, Milwaukee, WI 53215-4047 | 2020-08-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on STEPHANIE SHANE CROFT.
| 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.