MR. RUSSEL RAYMOND PELOQUIN (NPI# 1306906656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306906656 |
| Entity Type | Individual |
| Full Name | MR. RUSSEL RAYMOND PELOQUIN |
| Credential | RN |
| Practice Address |
17 Muller Rd Waterloo WI 53594-9515 |
| Practice Telephone | 9206230516 |
| Mailing Telephone | 9206230516 |
| Enumeration Date | 2006-12-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
WI | Nursing Service Providers |
| Street Address |
17 MULLER RD |
| City | WATERLOO |
| State | WI |
| Zip Code | 53594-9515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437571320 | Waterloo Family Dental | Dentist | 245 N. Monroe Street, Waterloo, WI 53594 | 2014-01-10 |
| 1073672440 | Drs Anderson & Arena | Dentist | 245 N Monroe St, Waterloo, WI 53594 | 2006-12-08 |
| 1407921729 | Krystal Renee Allison | Registered Nurse | N7809 Toppe Rd, Waterloo, WI 53594 | 2006-11-21 |
| 1467837054 | Emilie Benisch | Licensed Practical Nurse | 362 Crestview Dr, Waterloo, WI 53594-1011 | 2015-07-23 |
| 1528382793 | Schumann Chiropractic LLC | Chiropractor | 143 N Monroe St, Waterloo, WI 53594-1124 | 2010-03-17 |
| 1447445465 | Joseph L Arena | Dentist | 245 N Monroe St, Drs Anderson & Arena, Waterloo, WI 53594-1126 | 2007-09-12 |
| 1831693134 | Waterloo Hometown Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 806 N Monroe St, Waterloo, WI 53594-1135 | 2018-03-21 |
| 1447882212 | Adrianne Parker Anding | Specialist/Technologist | 324 N Monroe St Apt A, Waterloo, WI 53594-1154 | 2020-02-10 |
| 1275712804 | Waterloo School District | Local Education Agency (LEA) | 813 N Monroe St, Waterloo, WI 53594-1171 | 2007-10-31 |
| 1053361246 | Jenifer A Siragusa | Family Medicine | 111 Anna St, Waterloo, WI 53594-1184 | 2006-05-11 |
| Find all providers in zip 53594 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033667068 | Angela Stuelke | Registered Nurse | W12072 Clarkson Rd, Waterloo, WI 53594-9603 | 2016-09-20 |
| 1306204441 | Janice Osserman | Registered Nurse | 39 N Seneca St, Waterloo, NY 13165-1006 | 2016-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033717111 | Emilie S Steiner | Registered Nurse | 1121 River Place Blvd, Waukesha, WI 53189-7871 | 2020-10-12 |
| 1447858733 | Kelly Wendt | Registered Nurse | 204 Morrissey Dr, North Prairie, WI 53153-9732 | 2020-10-09 |
| 1942815683 | Catherine Mary Waldvogel | Registered Nurse | W8046 Moose Lake Rd, Antigo, WI 54409-8961 | 2020-09-10 |
| 1407468176 | Pageen Manolis Small | Registered Nurse | 308 Owen Rd, Monona, WI 53716-3526 | 2020-08-23 |
| 1932717410 | Paulette Jo Whalen | Registered Nurse | W267s7535 Olympia Ct N, Waukesha, WI 53189-9637 | 2020-07-21 |
| 1760009419 | Kerstin Leslie Nedegaard | Registered Nurse | W1080 Mohawk Valley Rd, Stoddard, WI 54658-9025 | 2020-06-29 |
| 1477177079 | Chanelle Anshela Causey | Registered Nurse | 3840 N 57th St, Milwaukee, WI 53216-2216 | 2020-05-31 |
| 1093339756 | April Schoeller | Registered Nurse | 4327 Huntinghorne Dr, Janesville, WI 53546-3541 | 2020-05-28 |
| 1255954822 | Karen M Johnson | Registered Nurse | 7555 Franklin St, Iron River, WI 54847-3420 | 2020-05-18 |
| 1487276705 | Monica Lynn Paar | Registered Nurse | 21343 Wolfe Run Ln Apt 3a, Galesville, WI 54630-8794 | 2020-05-08 |
| 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.