JOAN M KACZINSKI (NPI# 1255484325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255484325 |
| Entity Type | Individual |
| Full Name | JOAN M KACZINSKI |
| Credential | NP |
| Practice Address |
2500 W Layton Ave Suite 30 Milwaukee WI 53221-5420 |
| Practice Telephone | 4142695336 |
| Practice Fax Number | 4142695437 |
| Mailing Telephone | 4142695336 |
| Mailing Fax Number | 4142695437 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2016-08-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1999-033 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2500 W LAYTON AVE SUITE 30 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53221-5420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063405751 | Constance M. Ganapes | Internal Medicine | 2500 W Layton Ave, Suite 250, Milwaukee, WI 53221-5420 | 2005-08-26 |
| 1669911277 | Garland W. Yarborough M.d S,c | Clinic/Center | 2500 W Layton Ave, Suite250, Milwaukee, WI 53221-5420 | 2017-02-15 |
| 1376087247 | Eric Everson | Occupational Therapist | 2500 W Layton Ave, Suite 160, Milwaukee, WI 53221-5420 | 2016-12-13 |
| 1508312570 | Azh Vascular Center Mke LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2500 W Layton Ave, Suite 40, Milwaukee, WI 53221-5420 | 2016-08-30 |
| 1497105837 | Jill Bergersen | Physical Therapist | 2500 W Layton Ave, Suite 160, Milwaukee, WI 53221-5420 | 2016-06-16 |
| 1780032219 | Azh Wound Center Mke LLC | Emergency Medicine | 2500 W Layton Ave, Suite 30, Milwaukee, WI 53221-5420 | 2016-05-25 |
| 1528412798 | Kurt P Hackbarth | Physical Therapist | 2500 W Layton Ave, Milwaukee, WI 53221-5420 | 2016-04-14 |
| 1700249992 | Jennifer Zomchek | Nurse Practitioner | 2500 W Layton Ave, Suite 30, Milwaukee, WI 53221-5420 | 2016-04-04 |
| 1588046890 | Rebecca Rudella | Occupational Therapist | 2500 W Layton Ave, Milwaukee, WI 53221-5420 | 2015-06-23 |
| 1154702975 | Stephanie M Mcdonald | Physical Therapist | 2500 W Layton Ave, Suite 160, Milwaukee, WI 53221-5420 | 2015-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487205944 | Hayat Pharmacy 20 LLC | Pharmacy | 805 W. Layton Ave., Suite B, Milwaukee, WI 53221 | 2019-09-26 |
| 1962053421 | Hayat Pharmacy 19 LLC | Pharmacy | 805 W. Layton Ave. Suite A, Milwaukee, WI 53221 | 2019-09-26 |
| 1407343965 | Informe Healthcare LLC | Counselor | 2741 W Layton Ave., Suite 106, Milwaukee, WI 53221 | 2018-04-19 |
| 1447781992 | Itamar Yaakov Gnatt | Emergency Medicine | 2900 W Oklahoma Ave, St Lukes Medical Center, Milwaukee, WI 53221 | 2017-03-27 |
| 1194277160 | Suzanne Derosier | Licensed Practical Nurse | 3910 W Bridge, Greenfield, WI 53221 | 2016-10-26 |
| 1265988117 | Obi Home Care | Clinic/Center | 4439 S 20th St, Milwaukee, WI 53221 | 2016-08-31 |
| 1427430602 | Zezenya Health Care S.c. | Pain Medicine | 5114 S 27th St # 763, Milwaukee, WI 53221 | 2015-06-24 |
| 1851771091 | Feisal J Salahadyn | Counselor | 4800 South 10th Street, Milwaukee, WI 53221 | 2015-06-03 |
| 1114312386 | Holistic Home Health Care Incorporated | Adult Companion | 3422 West Howard Ave, Greenfield, WI 53221 | 2015-04-03 |
| 1841698834 | Srt Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 5220 S 27th St., Milwaukee, WI 53221 | 2014-12-08 |
| Find all providers in zip 53221 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| 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 |
| 1093320459 | Tyronda T Gray | Nurse Practitioner | 5833 N 117th St, Milwaukee, WI 53225-2207 | 2020-09-12 |
| 1861005837 | Clair Roser Rivera | Nurse Practitioner | 3734 W Ohio Ave, Milwaukee, WI 53215-4047 | 2020-08-28 |
| 1760003909 | Mary Esson | Nurse Practitioner | 100 N 75th St, Milwaukee, WI 53213-3516 | 2020-04-28 |
| 1487297271 | Mackenna Leslie Hill | Nurse Practitioner | 11002 W Park Pl, Milwaukee, WI 53224-3615 | 2019-10-24 |
| 1093276040 | Danielle L Laczniak | Nurse Practitioner | 3070 N 51st St Fl 6, Milwaukee, WI 53210-1645 | 2019-03-30 |
| 1871066506 | Lisa Ann Parker | Nurse Practitioner | 3237 S 16th St # 208, Milwaukee, WI 53215-4526 | 2019-01-04 |
| 1467922948 | Gretchen Louise Grencer-liegel | Nurse Practitioner | 1555 N Rivercenter Dr Ste 205, Milwaukee, WI 53212-3958 | 2018-11-28 |
| 1871074385 | Mary Teresa Falk | Nurse Practitioner | 2350 N Lake Dr Ste 306, Milwaukee, WI 53211-4528 | 2018-08-23 |
| Find all providers in MILWAUKEE | ||||
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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.