MRS. JEAN ANNA EDWARDS (NPI# 1245665744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245665744 |
Entity Type | Individual |
Full Name | MRS. JEAN ANNA EDWARDS |
Other Name | JEAN ANNA PONGRATZ |
Credential | M.S.T. CCC-SLP |
Practice Address |
701 E 11th St New Richmond WI 54017-2399 |
Practice Telephone | 7152431615 |
Mailing Telephone | 7152431615 |
Enumeration Date | 2013-09-04 |
Last Update Date | 2017-12-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 235500000X | Specialist/Technologist | 1998-154 | WI | Speech, Language and Hearing Service Providers |
N | 235Z00000X | Speech-Language Pathologist | 1998-154 | WI | Speech, Language and Hearing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477535359 | Jean M Edwards | Registered Nurse | Building 1041, Tmc 9, Evans Army Community Hospital, Ft Carson, CO 80913 | 2005-11-16 |
Street Address |
701 E 11TH ST |
City | NEW RICHMOND |
State | WI |
Zip Code | 54017-2399 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467631168 | School District of New Richmond | Local Education Agency (LEA) | 701 E 11th St, New Richmond, WI 54017-2399 | 2007-10-30 |
1386253268 | Kate Elizabeth Watkins | Dietitian, Registered | 701 E 11th St, New Richmond, WI 54017-2399 | 2020-07-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871105619 | Matthew Michael Richard Kobriger | Marriage & Family Therapist | 1477 S Knowles Ave Suite 120, New Richmond, WI 54017 | 2020-08-22 |
1285148643 | River Valley Anesthesia, Inc. | Nurse Anesthetist, Certified Registered | 130 S. Knowles Ave., New Richmond, WI 54017 | 2017-11-21 |
1013351899 | Deerfield Care Cener, LLC | Clinic/Center | 575 Hospital Road, New Richmond, WI 54017 | 2013-04-23 |
1215239736 | Family Therapy Associates, LLC | Clinic/Center | 150 W. First St., Suite 270, New Richmond, WI 54017 | 2010-12-04 |
1255452215 | Joseph Scott Gustafson Sr. | Acupuncturist | 1475 Hwy 65, Pain Management Acupuncture of St Croix, New Richmond, WI 54017 | 2007-04-03 |
1467582957 | New Richmond Dental | Dentist | 1367 Campus Dr, New Richmond, WI 54017 | 2007-03-06 |
1588709513 | Holly Wolf | Occupational Therapist | 908 Brady Lane, New Richmond, WI 54017 | 2007-02-20 |
1396891867 | Jamie Marie Neumann | Physical Therapy Assistant | 535 Hospital Rd., New Richmond, WI 54017 | 2007-01-26 |
1467519660 | New Richmond Chiropractic Clinic Inc | Chiropractor | 446 S Knowles Ave, New Richmond, WI 54017 | 2007-01-03 |
1750457156 | Susan Ann Johnson | Chiropractor | 446 S. Knowles Ave, New Richmond, WI 54017 | 2006-11-28 |
Find all providers in zip 54017 |
Taxonomy Code | 235500000X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Specialist/Technologist |
General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033474416 | Jessica Sperstad | Specialist/Technologist | 204 W Warren St, Roberts, WI 54023-9617 | 2012-07-11 |
1073839338 | Amber D Zimmer | Specialist/Technologist | 204 W Warren St, Roberts, WI 54023 | 2010-04-12 |
1063649341 | Troy Beirne | Specialist/Technologist | 770 S Main St, Ste C14, Fond Du Lac, WI 54935-5766 | 2009-06-15 |
1033361456 | Helen Clara Swanson | Specialist/Technologist | 204 W Warren St, Roberts, WI 54023-9617 | 2008-10-16 |
1962695080 | Amanda Rae Stanek | Specialist/Technologist | 204 W Warren St, Roberts, WI 54023-9617 | 2007-08-22 |
City | NEW RICHMOND |
Zip Code | 54017 |
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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.