BRANDEN J KOOIMAN (NPI# 1295189686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295189686 |
| Entity Type | Individual |
| Full Name | BRANDEN J KOOIMAN |
| Credential | APNP |
| Practice Address |
1186 Appleton Rd Menasha WI 54952-1906 |
| Practice Telephone | 9207278700 |
| Practice Fax Number | 9207878740 |
| Mailing Telephone | 9207278700 |
| Mailing Fax Number | 9207878740 |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2016-04-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4127-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1186 APPLETON RD |
| City | MENASHA |
| State | WI |
| Zip Code | 54952-1906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396747010 | Gerald T Tate | Physical Therapist | 1186 Appleton Rd, Menasha, WI 54952-1906 | 2005-08-12 |
| 1477909885 | Jessica Schmidt | Specialist/Technologist | 1186 Appleton Rd, Menasha, WI 54952-1906 | 2016-05-05 |
| 1578972733 | Georgine Wood | Nurse Practitioner | 1186 Appleton Rd, Menasha, WI 54952-1906 | 2014-08-12 |
| 1790069920 | Sarah A Eskofski | Nurse Practitioner | 1186 Appleton Rd, Menasha, WI 54952-1906 | 2011-10-06 |
| 1447565379 | Matthew J Feldbruegge | Nurse Practitioner | 1186 Appleton Rd, Menasha, WI 54952-1906 | 2010-08-16 |
| 1164693453 | Lisa Kasperek | Nurse Practitioner | 1186 Appleton Rd, Menasha, WI 54952-1906 | 2008-03-14 |
| 1437146412 | Brian D Harrison | Preventive Medicine | 1186 Appleton Rd, Menasha, WI 54952-1906 | 2005-10-04 |
| 1528053097 | Charles A Capasso | Preventive Medicine | 1186 Appleton Rd, Menasha, WI 54952-1906 | 2005-09-12 |
| 1598759375 | Richard A Menet | Internal Medicine | 1186 Appleton Rd, Menasha, WI 54952-1906 | 2005-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275776239 | Sharon Louise Crowe | Dental Hygienist | 1814 North Appleton Road, Menasha, WI 54952 | 2009-04-07 |
| 1003056110 | Nicole Marie Guyette | Dental Hygienist | 814 N. Appleton Road, Menasha, WI 54952 | 2009-03-02 |
| 1760627624 | Jan Charles Sarnecki | Orthopaedic Surgery | 1814 N. Appleton Road, Menasha, WI 54952 | 2008-12-08 |
| 1588828297 | Lesley R Lathrop | Registered Nurse | 1764 Oakridge Court, Menasha, WI 54952 | 2008-07-11 |
| 1699965137 | Lisa Randerson | Counselor | 1427c Province Terrace, Menasha, WI 54952 | 2007-07-31 |
| 1689748675 | Lisa Lynn Lang Riegel | Dentist | 1155 Wittman Drive, Menasha, WI 54952 | 2006-11-20 |
| 1164596144 | Robert Charles Lang | Dentist | 1155 Wittmann Drive, Menasha, WI 54952 | 2006-11-20 |
| 1366527947 | Karen Patricia Schmidt | Case Manager/Care Coordinator | 1810 Appleton Road, Menasha, WI 54952 | 2006-10-25 |
| 1376647388 | Goodwill Industries of North Central Wi | Counselor | 1800 Appleton Road, Menasha, WI 54952 | 2006-09-11 |
| 1386135614 | Leslie J Steckbauer | Counselor | 1095 Midway Rd, Menasha, WI 54952 | 2018-05-22 |
| Find all providers in zip 54952 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669952297 | Megan E Abler | Nurse Practitioner | 1550 Midway Pl, Menasha, WI 54952-1165 | 2018-08-14 |
| 1487080446 | Carol A Veltus | Nurse Practitioner | 1550 Midway Pl, Menasha, WI 54952-1165 | 2013-09-23 |
| 1437438371 | Mary Frances Hilgenberg | Nurse Practitioner | 1814 Appleton Rd, Menasha, WI 54952-1110 | 2011-08-09 |
| 1447565379 | Matthew J Feldbruegge | Nurse Practitioner | 1186 Appleton Rd, Menasha, WI 54952-1906 | 2010-08-16 |
| 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 |
| 1497352090 | Carlotta Williams | Nurse Practitioner | 1205 Juniper Ln, Oconomowoc, WI 53066-3100 | 2020-10-06 |
| 1932706611 | Rachel Sullivan | Nurse Practitioner | 304 E Northlawn Dr, Cottage Grove, WI 53527-8917 | 2020-10-05 |
| 1649877663 | Kirk O'hanison | Nurse Practitioner | 1020 Oconomowoc Pkwy Unit B, Oconomowoc, WI 53066-4616 | 2020-10-02 |
| 1780291401 | Carlie Dell | Nurse Practitioner | 1636 Industrial Pkwy N, Marinette, WI 54143-3703 | 2020-09-27 |
| 1093320459 | Tyronda T Gray | Nurse Practitioner | 5833 N 117th St, Milwaukee, WI 53225-2207 | 2020-09-12 |
| 1629683065 | Yia Lor | Nurse Practitioner | 3750 Summerset Way Apt 1, Oshkosh, WI 54901-0501 | 2020-09-11 |
| 1245844364 | Asia Ann Gomez | Nurse Practitioner | 2816 E Allison Ave, Cudahy, WI 53110-2541 | 2020-09-04 |
| 1861005837 | Clair Roser Rivera | Nurse Practitioner | 3734 W Ohio Ave, Milwaukee, WI 53215-4047 | 2020-08-28 |
| 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.