MS. STELLA M MAHAGA (NPI# 1255598140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255598140 |
Entity Type | Individual |
Full Name | MS. STELLA M MAHAGA |
Credential | NP |
Practice Address |
6980 N Port Washington Rd Suite 202 Milwaukee WI 53217 |
Mailing Address |
6980 N Port Washington Rd Suite 202 Milwaukee WI 53217-3900 |
Practice Telephone | 4147734312 |
Mailing Telephone | 4147734312 |
Enumeration Date | 2008-05-19 |
Last Update Date | 2018-06-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 7261-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
7261-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 1255598140 | 05 |
Street Address |
6980 N PORT WASHINGTON RD SUITE 202 |
City | MILWAUKEE |
State | WI |
Zip Code | 53217 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952325904 | Rina A Patel | Psychiatry & Neurology | 6980 N Port Washington Rd, Suite 202, Milwaukee, WI 53217-3900 | 2006-07-26 |
1922473065 | Carol Lynn Brown I | Psychologist | 6980 N Port Washington Rd, Milwaukee, WI 53217-3900 | 2015-12-01 |
1245619907 | Tracy C Keller | Counselor | 6980 N Port Washington Rd, Ste 202, Milwaukee, WI 53217 | 2015-05-27 |
1316213929 | Andrew Devera Ronquillo | Counselor | 6980 N Port Washington Rd, Suite 202, Milwaukee, WI 53217-3900 | 2012-03-28 |
1538308580 | Andrea Lynne Knuth | Counselor | 6980 N Port Washington Rd, Suite 202, Milwaukee, WI 53217-3900 | 2009-02-16 |
1982874434 | Victoria J Pfeifer | Psychologist | 6980 N Port Washington Rd, #202, Milwaukee, WI 53217-3900 | 2008-03-11 |
1598953879 | Ann M Dolan | Social Worker | 6980 N Port Washington Rd, #202, Milwaukee, WI 53217-3900 | 2007-10-11 |
1891832283 | Jill Bley Klink | Counselor | 6980 N Port Washington Rd, #202, Milwaukee, WI 53217-3900 | 2007-02-01 |
1689775348 | Dennis D. Kozel | Psychiatry & Neurology | 6980 N Port Washington Rd, Milwaukee, WI 53217-3900 | 2006-09-26 |
1639286503 | James A Williams | Social Worker | 6980 N Port Washington Rd, #202, Milwaukee, WI 53217-3921 | 2006-08-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922632587 | Jasmine Dockery | Pharmacist | 5400 N Port Washington, Glendale, WI 53217 | 2020-02-23 |
1174017339 | North Lakes Nursing Home Health Care Agency LLC | Home Health | 225 E Fairmount Ave, Milwaukee, WI 53217 | 2018-06-20 |
1083140289 | Miriah Ann King, Ms, Lpc | Counselor | 7805 North Boyd Way, Fox Point, WI 53217 | 2017-05-08 |
1245783067 | Lakesha L Jones | Counselor | 5235 N Ironwood Rd, Glendale, WI 53217 | 2016-07-28 |
1750783312 | Ibrahim S Abouzeid | Specialist/Technologist, Other | 333 W Brown Deer Road, #240, Milwaukee, WI 53217 | 2014-09-25 |
1255733598 | Victoria Gorodetsky | Pharmacist | 229 W Indian Creek Ct, Milwaukee, WI 53217 | 2014-09-18 |
1174800049 | John Herman Esser | Internal Medicine | 1050 W Acacia Rd, Milwaukee, WI 53217 | 2011-11-07 |
1710298351 | Leann M Harman | Physical Therapist | 5333 N Port Washington Rd Ste B, Glendale, WI 53217 | 2010-06-29 |
1306012455 | Emily Marie Gallagher | Speech-Language Pathologist | 6700 N. Port Washington Road, Milwaukee, WI 53217 | 2008-05-07 |
1164625455 | Mary Catherine Enderlin | Psychologist | 6110 N Port Washington Road, The Cambridge Group, Glendale, WI 53217 | 2007-06-06 |
Find all providers in zip 53217 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689292856 | Julianne Margaret John | Nurse Practitioner | 3237 S 16th St Ste 310, Milwaukee, WI 53215-4526 | 2020-07-13 |
1558924811 | Sarah Kathryn Garven | Nurse Practitioner | 5000 West National Ave Rm 3119, Milwaukee, WI 53295-1000 | 2019-04-22 |
1588292700 | Christopher Adam Schuman | Nurse Practitioner | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-04-01 |
1003442849 | Jurgita Gronkowski | Nurse Practitioner | 5000 W National Ave, Milwaukee, WI 53295-2247 | 2020-03-12 |
1336775170 | Barbara Rebekah Demares | Nurse Practitioner | 949 N 9th St, Milwaukee, WI 53233-1422 | 2020-03-12 |
1639723711 | Amanda Marie Olivas | Nurse Practitioner | 210 W Capitol Dr, Milwaukee, WI 53212-1123 | 2019-07-28 |
1396219036 | Amy Heidenreich | Nurse Practitioner | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2019-01-16 |
1801376140 | Lisa Eileen Calabrese | Nurse Practitioner | 4570 S 27th St, Milwaukee, WI 53221-2145 | 2018-08-16 |
1295247237 | Judy A Conti | Nurse Practitioner | 210 W Capitol Dr, Milwaukee, WI 53212-1123 | 2017-10-31 |
1770008492 | Judith Ann Evenson | Nurse Practitioner | 1155 N Mayfair Rd, Milwaukee, WI 53226-3462 | 2017-08-03 |
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.