JESSICA KUENNEN (NPI# 1295229805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295229805 |
| Entity Type | Individual |
| Full Name | JESSICA KUENNEN |
| Practice Address |
16650 W Bluemound Rd Brookfield WI 53005 |
| Mailing Address |
16650 W Bluemound Rd Brookfield WI 53005-5920 |
| Practice Telephone | 2628279200 |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2018-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1295229805 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| W180n8085 Town Hall Rd, Menomonee Falls, WI 530513558 | 2622511000 |
| Street Address |
16650 W BLUEMOUND RD |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720025638 | Charles F. Reuben | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 16650 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5920 | 2006-05-31 |
| 1518441898 | Marie Therese Ustruck | Nurse Practitioner | 16650 W Bluemound Rd, Brookfield, WI 53005-5920 | 2018-09-21 |
| 1144628033 | Benjamin Alan Lacoursiere | Physician Assistant | 16650 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5920 | 2014-12-09 |
| 1336573401 | Kaitlin E Grady | Physician Assistant | 16650 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5920 | 2013-08-26 |
| 1639402365 | Wisconsin Heart Group Associates LLC | Internal Medicine | 16650 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5920 | 2009-09-14 |
| 1295925576 | Maria L Diener | Physician Assistant | 16650 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5920 | 2007-08-01 |
| 1821207655 | Lance Koji Hashimoto | Dentist | 16650 W Bluemound Rd, 400, Brookfield, WI 53005-5920 | 2007-05-21 |
| 1770792293 | Access Endodontics LLC | Dentist | 16650 W Bluemound Rd, 400, Brookfield, WI 53005-5920 | 2007-05-21 |
| 1922217769 | Sheila Elizabeth Stover | Dentist | 16650 W Bluemound Rd, 400, Brookfield, WI 53005-5920 | 2007-05-21 |
| 1841201514 | Alexei Vasilievich Agapitov | Internal Medicine | 16650 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5920 | 2006-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154937621 | Nsk Precision Healing & Wellness | Acupuncturist | 17040 W. Greenfield Ave #6, Brookfield, WI 53005 | 2020-09-21 |
| 1033772124 | Dbt Consultants LLC | Social Worker | 200 S. Executive Drive, Ste. 101, Brookfield, WI 53005 | 2019-04-15 |
| 1780142588 | Ashley Wing | Registered Nurse | 405 Bishops Way, Apt 555, Brookfield, WI 53005 | 2019-03-11 |
| 1407370398 | Tombolo, LLC | Clinic/Center | 12545 W. Burleigh Rd., Suite 10, Brookfield, WI 53005 | 2017-08-01 |
| 1720509045 | Rss William Conner LLC | Dentist | 15455 W Bluemound Rd Ste 250, Brookfield, WI 53005 | 2017-06-28 |
| 1669926598 | Mackenzie Rondeau | Physical Therapist | 1905 N Calhoun Rd Ste 105, Brookfield, WI 53005 | 2016-08-09 |
| 1699159319 | Charles Alan Kass | Dentist | 12720 W. North Avenue, Brookfield, WI 53005 | 2015-07-13 |
| 1164804274 | Mary-catherine Nimphius | Counselor | 250 S. Sunny Slope Rd, #128, Brookfield, WI 53005 | 2015-06-25 |
| 1528447034 | Weighless Md, LLC | Dietitian, Registered | 14960 W. Greenfield Ave Suite 104, Brookfield, WI 53005 | 2015-05-29 |
| 1366837346 | Maegan Michelle Cook | Dentist | 13780 W Greenfield Ave Ste 780, Brookfield, WI 53005 | 2015-04-06 |
| Find all providers in zip 53005 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871742627 | Nicole Marie Jodat | Physician Assistant | 601 N Barker Rd Ste 110, Brookfield, WI 53045-5929 | 2008-09-17 |
| 1073123758 | Rem Occupational Health & Wellness Inc | Physician Assistant | 21125 Enterprise Ave, Brookfield, WI 53045-5229 | 2020-08-06 |
| 1457910986 | Matthew Joseph Parisi | Physician Assistant | 150 S Sunny Slope Rd Ste 136, Brookfield, WI 53005-4858 | 2019-06-09 |
| 1376063214 | Steven Paul Schinkal Jr. | Physician Assistant | 150 S Sunny Slope Rd Ste 136, Brookfield, WI 53005-4858 | 2017-06-21 |
| 1801200167 | Jaclyn Elizabeth Lucas | Physician Assistant | 150 S Sunny Slope Rd Ste 136, Brookfield, WI 53005-4858 | 2014-06-15 |
| 1871812180 | Jeremy Jason Wojtecki | Physician Assistant | 150 S Sunny Slope Rd, Suite 136, Brookfield, WI 53005-6461 | 2010-05-26 |
| 1790948511 | Sarah Miller | Physician Assistant | 150 S Sunny Slope Rd Ste 136, Brookfield, WI 53005-4858 | 2008-07-02 |
| 1356502231 | Julie Ann Hirokawa | Physician Assistant | 31 Old Route 7, Brookfield, CT 06804 | 2008-06-23 |
| 1740327543 | Brookfield Preventive Medicine, LLC | Physician Assistant | 300 Federal Rd, Building 1, Suite 100, Brookfield, CT 06804-2412 | 2007-01-31 |
| 1639216427 | Eugenia Ann Corriero | Physician Assistant | 300 Federal Rd, Building 1, Suite 108, Brookfield, CT 06804-2412 | 2007-01-31 |
| Find all providers in BROOKFIELD | ||||
| City | BROOKFIELD |
| Zip Code | 53005 |
Please comment or provide details below to improve the information on JESSICA KUENNEN.
| 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.