CONSTANCE LOUISE REAGAN (NPI# 1316507999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316507999 |
| Entity Type | Individual |
| Full Name | CONSTANCE LOUISE REAGAN |
| Credential | PA-C |
| Practice Address |
5000 W Chambers St Milwaukee WI 53210-1650 |
| Mailing Address |
221 E Oregon St Apt 101 Milwaukee WI 53204-2425 |
| Practice Telephone | 4144472000 |
| Mailing Telephone | 3308074742 |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2019-06-17 |
| 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 |
| Street Address |
5000 W CHAMBERS ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53210-1650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255328308 | Robert Marc Stern | Physical Medicine & Rehabilitation | 5000 W Chambers St, Milwaukee, WI 53210-1650 | 2005-10-04 |
| 1639788748 | Amanda Ruekert | Physical Medicine & Rehabilitation | 5000 W Chambers St, Milwaukee, WI 53210-1650 | 2020-07-24 |
| 1689294274 | Jordan Williams | Pharmacist | 5000 W Chambers St, Milwaukee, WI 53210-1650 | 2020-04-23 |
| 1750900122 | Nikhil Charul Munshi | Student in an Organized Health Care Education/Training Program | 5000 W Chambers St, Milwaukee, WI 53210 | 2020-04-15 |
| 1871112300 | Matthew S Elissa | Student in an Organized Health Care Education/Training Program | 5000 W Chambers St, Milwaukee, WI 53210-1650 | 2020-04-14 |
| 1851929277 | Deena Samir Shaath | Student in an Organized Health Care Education/Training Program | 5000 W Chambers St, Milwaukee, WI 53210-1650 | 2020-03-31 |
| 1679101240 | Madison Mae Breiland | Student in an Organized Health Care Education/Training Program | 5000 W Chambers St, Milwaukee, WI 53210-1650 | 2020-03-30 |
| 1255969267 | Leou Ismael Banla | Student in an Organized Health Care Education/Training Program | 5000 W Chambers St, Milwaukee, WI 53210-1688 | 2020-03-27 |
| 1699302042 | Daniel Wayer | Student in an Organized Health Care Education/Training Program | 5000 W Chambers St, Milwaukee, WI 53210-1650 | 2020-03-25 |
| 1760019178 | Osvaldo Velez-martinez | Student in an Organized Health Care Education/Training Program | 5000 W Chambers St, Milwaukee, WI 53210-1650 | 2020-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499514 | Mckenzie Lisa Lambeck | Non-emergency Medical Transport (VAN) | 3016a N 36th St, Milwaukee, WI 53210 | 2020-08-31 |
| 1922572312 | Walter's Second Chance of Milwaukee, LLC. | In Home Supportive Care | 3043 N. 29th Street, Milwaukee, WI 53210 | 2019-01-18 |
| 1407353469 | Angie F Caballero | Assisted Living Facility | 5918 N 62nd Street, Milwaukee, WI 53210 | 2018-04-06 |
| 1689182636 | Kimberly Casey | Counselor | 5325 W.burleigh, Milwaukee, WI 53210 | 2018-01-11 |
| 1336663640 | Daron Mosby | Counselor | 2643 N 55th St., 2643 N 55th St., Milwaukee, WI 53210 | 2017-07-28 |
| 1881117174 | Advance Home Care, LLC | In Home Supportive Care | 6001 W Center St Ste 98ll, Milwaukee, WI 53210 | 2017-07-19 |
| 1285181735 | Aurora Family Services | Clinic/Center | 3200 W. Highland Blvd, Aurora Family Services, Milwaukee, WI 53210 | 2016-09-01 |
| 1447625264 | Kimberly Beckham | Registered Nurse | 3040 N 40th Street, Milwaukee, WI 53210 | 2015-12-04 |
| 1033595319 | Wisconsin Lutheran Child & Family Service Inc. | Social Worker | 207 North Sherman Blvd, Milwaukee, WI 53210 | 2015-08-10 |
| 1346633112 | Quiana Davis | Licensed Practical Nurse | 2478 North 34th Street, Milwaukee, WI 53210 | 2015-03-18 |
| Find all providers in zip 53210 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093348542 | Christopher Sean Lanctin | Physician Assistant | 557 N 17th St Apt 310, Milwaukee, WI 53233-2128 | 2020-02-12 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1194956417 | Jessica Dawn Hagen | Physician Assistant | 5330 W. Villard Avenue, Milwaukee, WI 53218 | 2009-08-04 |
| 1245335868 | Mary Laan | Physician Assistant | 8901 N. 76th Street, Milwaukee, WI 53223 | 2006-09-14 |
| 1326081316 | Therese Ann Johnson | Physician Assistant | 3267 S 16th Street, Ems Office, Milwaukee, WI 53215 | 2006-06-14 |
| 1386686905 | Irum Ziauddin | Physician Assistant | 3201 S 16th St Ste 2015, Milwaukee, WI 53215-4532 | 2006-06-11 |
| 1528054897 | Nicole Meyer Papermaster | Physician Assistant | 342 N Water St Ste 600, Milwaukee, WI 53202-5715 | 2005-09-22 |
| 1285232793 | Trina Kessel | Physician Assistant | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-10-16 |
| 1124641113 | Emily Rose Johnson | Physician Assistant | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2020-05-25 |
| 1487273561 | Savannah Mathe | Physician Assistant | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-04-09 |
| 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.