MRS. SALLY RAE NIZIOL (NPI# 1255398947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255398947 |
| Entity Type | Individual |
| Full Name | MRS. SALLY RAE NIZIOL |
| Credential | LPN |
| Practice Address |
Highway 64 W6604 Medford WI 54451 |
| Mailing Address |
721 Florence St Ironwood MI 49938-1417 |
| Practice Telephone | 1715748091 |
| Mailing Telephone | 1906932500 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
WI | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38297500 | 05 |
| Street Address |
HIGHWAY 64 W6604 |
| City | MEDFORD |
| State | WI |
| Zip Code | 54451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710536321 | Bone & Joint Clinic S.c. | Durable Medical Equipment & Medical Supplies | 724 S. 8th St, Medford, WI 54451 | 2019-09-06 |
| 1215474671 | Heidi Marie Nernberger | Dental Hygienist | 124 S. Main Street, Medford, WI 54451 | 2017-01-24 |
| 1497152656 | Rachel E Nichols | Dental Hygienist | 124 South Main St, Medford, WI 54451 | 2014-12-03 |
| 1811305360 | Amanda Mosse | Social Worker | 10649 W Perkinstown Ave, Medford, WI 54451 | 2014-07-29 |
| 1891081113 | Debra Jeanne Zenner | Nurse Practitioner | 143 South Gibson St., Medford, WI 54451 | 2011-06-24 |
| 1033445036 | Greg George Schoofs II | Ophthalmology | N 4803 Wigwam Ave, Medford, WI 54451 | 2009-10-26 |
| 1558511295 | Aspirus Medford Hospital & Clinics, Inc. | Clinic/Center | 111 S Gibson St, Medford, WI 54451 | 2008-09-30 |
| 1013132430 | Aspirus Medford Hospital & Clinics, Inc. | Pharmacy | 139 S Gibson St, Medford, WI 54451 | 2007-04-13 |
| 1356566707 | Peter G Kiefer | Pharmacist | 139 South Gibson St, Medford, WI 54451 | 2007-04-13 |
| 1851426753 | Steven Todd Dietzman | Specialist/Technologist | 103 South Gibson Street, Medford, WI 54451 | 2007-02-22 |
| Find all providers in zip 54451 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
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| 1396372546 | Laura L Cassidy | Technician | 4074 S Pacific Hwy Spc 36, Medford, OR 97501-9026 | 2020-03-26 |
| 1447504238 | Jin Ah Lee | Technician | 34 Blackpine Dr, Medford, NY 11763-4103 | 2012-11-01 |
| 1225363674 | Georgiana Chevry | Technician | 7 Berwick Rd, Medford, MA 02155-6017 | 2009-10-02 |
| 1902065154 | Cheyenne Glenn | Technician | 123 N Ivy St, Medford, OR 97501-2723 | 2008-06-03 |
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|---|---|---|---|---|
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| 1952917585 | Neeny Holdings, Inc. | Technician | 109 Prairie Grass Rd, Oregon, WI 53575-3948 | 2020-09-18 |
| 1669002200 | Cheryl Brown | Technician | S50w30392 Seville Ln, Mukwonago, WI 53149-8732 | 2020-01-23 |
| 1265085740 | Best Life Residential | Technician | 4709 Ferris Ave, Madison, WI 53716-1413 | 2019-07-23 |
| 1497315204 | Ravn Williams | Technician | 3532 E Tesch Ave, St Francis, WI 53235-4863 | 2019-06-14 |
| 1780170852 | Patricia Howard | Technician | 2941 Fish Hatchery Rd Apt 209, Fitchburg, WI 53713-3147 | 2018-07-02 |
| 1245749050 | Zehs Home Health Care LLC | Technician | 6001 W Center St Ste 208, Milwaukee, WI 53210-2154 | 2017-09-25 |
| 1245764588 | Pang Vue | Technician | 12714 W Hampton Ave, Ste E, Butler, WI 53007-1640 | 2017-04-13 |
| 1568996049 | Tammie Lynn Du Pree | Technician | 1349 N 37th Pl, Milwaukee, WI 53208-2835 | 2017-04-12 |
| 1184174419 | Cecile Gambrell | Technician | 309 Joellen Dr, Waukesha, WI 53188-4977 | 2016-10-11 |
| Find all providers with the same taxonomy | ||||
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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.