MRS. MICHELENE HOLLENBECK (NPI# 1265739130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265739130 |
Entity Type | Individual |
Full Name | MRS. MICHELENE HOLLENBECK |
Credential | S.W. INTERN |
Practice Address |
1407 Saint Andrew St Ste 100 La Crosse WI 54603-2378 |
Mailing Address |
1903 23rd St S La Crosse WI 54601-6646 |
Practice Telephone | 6087856266 |
Mailing Telephone | 6087884088 |
Enumeration Date | 2011-02-11 |
Last Update Date | 2011-02-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
1407 SAINT ANDREW ST STE 100 |
City | LA CROSSE |
State | WI |
Zip Code | 54603-2378 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225160492 | La Crosse County Cmo | Health Maintenance Organization | 1407 Saint Andrew St Ste 100, La Crosse, WI 54603-2378 | 2007-03-12 |
1881059129 | Tonya Lee Anderson | Registered Nurse | 1407 Saint Andrew St Ste 100, La Crosse, WI 54603-2378 | 2015-12-30 |
1144695537 | Amy Sackmaster | Case Manager/Care Coordinator | 1407 Saint Andrew St Ste 100, La Crosse, WI 54603-2378 | 2015-12-10 |
1871963199 | Evelyn Louis Haack | Registered Nurse | 1407 Saint Andrew St Ste 100, La Crosse, WI 54603-2378 | 2015-09-29 |
1538537329 | Debra Lieske | Registered Nurse | 1407 Saint Andrew St Ste 100, La Crosse, WI 54603-2378 | 2015-09-10 |
1548641905 | Scott Buschman | Case Manager/Care Coordinator | 1407 Saint Andrew St Ste 100, La Crosse, WI 54603-2378 | 2015-06-11 |
1750761037 | Anne Trepanier | Case Manager/Care Coordinator | 1407 Saint Andrew St Ste 100, La Crosse, WI 54603-2378 | 2015-06-02 |
1386037315 | Sherry Taylor | Case Manager/Care Coordinator | 1407 Saint Andrew St Ste 100, La Crosse, WI 54603-2378 | 2015-03-16 |
1861885360 | Tabitha Michelle Farr | Case Manager/Care Coordinator | 1407 Saint Andrew St Ste 100, La Crosse, WI 54603-2378 | 2015-03-09 |
1811386550 | Jessie Anderson | Case Manager/Care Coordinator | 1407 Saint Andrew St Ste 100, La Crosse, WI 54603-2378 | 2015-01-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215581855 | Sophia Buchda | Behavior Technician | 901 Caledonia Street, La Crosse, WI 54603 | 2019-08-01 |
1891142865 | Hha of Wisconsin, LLC | Home Health | 2400 Rose St Ste 14, La Crosse, WI 54603 | 2016-05-19 |
1225415540 | Alexander Blaschke | Podiatrist | 1009 Caledonia St, La Crosse, WI 54603 | 2015-05-06 |
1982986345 | Christopher W Hutchinson | Pharmacist | 2626 Rose Street, La Crosse, WI 54603 | 2011-09-12 |
1932284494 | Vision World Inc | Eyewear Supplier (Equipment, not the service) | 3800 State Road 16, La Crosse, WI 54603 | 2006-10-25 |
1083618722 | Teddy Leonard Thompson | Family Medicine | 1526 Rose Street, La Crosse, WI 54603 | 2005-06-10 |
1518459155 | Alexis Ericson | Occupational Therapy Assistant | 901 Caledonia St, La Crosse, WI 54603 | 2018-05-30 |
1578925046 | Vicki Lynne Iverson | Registered Nurse | 1407 St. Andrew St., La Crosse, WI 54603 | 2016-03-24 |
1194158865 | John Patrick Smieja | Pharmacist | 2400 Rose St, La Crosse, WI 54603 | 2013-08-16 |
1275726663 | Jacqueline Berry Newcomb | Case Manager/Care Coordinator | 1407 St Andrew St, Suite 100 Lacrosse Co Human Services, La Crosse, WI 54603 | 2007-08-20 |
Find all providers in zip 54603 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144830480 | Eve E Viner | Student in an Organized Health Care Education/Training Program | 122 10th St S, La Crosse, WI 54601-4113 | 2020-08-02 |
1609494533 | Morgan Elizabeth Miller | Student in an Organized Health Care Education/Training Program | W3902 State Road 33, La Crosse, WI 54601-2530 | 2020-07-07 |
1891324265 | Meagan Mcrae | Student in an Organized Health Care Education/Training Program | 1725 State St., 4051 Health Science Center, La Crosse, WI 54601 | 2020-04-07 |
1255969671 | Erin Dingman | Student in an Organized Health Care Education/Training Program | 1751 State Street, 4051 Health Science Center, La Crosse, WI 54601 | 2020-03-31 |
1619505047 | Nicole Kay Lynch | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State St, La Crosse, WI 54601 | 2020-03-31 |
1174151757 | Jenna Sells | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
1740818301 | Katie Irene Tahtinen | Student in an Organized Health Care Education/Training Program | Uwl- 4051 Health Science Center, 1725 State St., La Crosse, WI 54601 | 2020-03-30 |
1932737517 | Margaret May Grimm | Student in an Organized Health Care Education/Training Program | Univesity of Wisconsin-la Crosse, 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
1831727312 | Matthew Timothy Axler | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
1861020893 | Katherine Elizabeth Bluhm | Student in an Organized Health Care Education/Training Program | 1725 State St # 4051, La Crosse, WI 54601-3742 | 2020-03-27 |
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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.