QUINCY RAEANN ROMAN (NPI# 1326587890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326587890 |
| Entity Type | Individual |
| Full Name | QUINCY RAEANN ROMAN |
| Practice Address |
815 Enterprise Dr Verona WI 53593-1919 |
| Practice Telephone | 6084459923 |
| Mailing Telephone | 6084459923 |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2017-02-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | WI | Student, Health Care |
| Street Address |
815 ENTERPRISE DR |
| City | VERONA |
| State | WI |
| Zip Code | 53593-1919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609385467 | Tracy D. Pollack | Physical Therapist | 1049 North Edge Trail, Verona, WI 53593 | 2017-09-25 |
| 1851748115 | Jonna L Bier | Physical Therapy Assistant | 1049 N. Edge Trail, Verona, WI 53593 | 2016-05-17 |
| 1730451162 | Ultimate Performance Therapy, LLC | Physical Therapist | 403 Venture Ct, Suite 2, Verona, WI 53593 | 2012-02-01 |
| 1417246372 | Hammes Family Chiropractic LLC | Chiropractor | 1029 North Edge Trail, Verona, WI 53593 | 2011-03-31 |
| 1457678120 | Danielle Marie Waite | Licensed Practical Nurse | 606 Green Meadow Dr., Verona, WI 53593 | 2010-04-21 |
| 1316113418 | Linda T Hofstetter | Occupational Therapist | 720 Arbor Vitae Pl, Verona, WI 53593 | 2008-05-08 |
| 1902070758 | Judith F. Koeppl | Counselor | 4123 Monona Drive, Madison, WI 53593 | 2008-04-14 |
| 1881885408 | Carolyn J Moynihan | Marriage & Family Therapist | 8283 N Riley Rd, Verona, WI 53593 | 2007-08-08 |
| 1194810515 | Selma Herbst | Social Worker | 3657 Vickiann St, Verona, WI 53593 | 2006-10-03 |
| 1295830529 | Daniel Joseph Wadzinski | Dentist | 109 East Verona Avenue, Verona, WI 53593 | 2006-09-13 |
| Find all providers in zip 53593 | ||||
| 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 |
|---|---|---|---|---|
| 1831726017 | John Roland Yeiser IIi | Student in an Organized Health Care Education/Training Program | Mountainside Family Practice Group, 799 Bloomfield Ave, 2nd Floor, Verona, NJ 07044 | 2020-03-26 |
| 1386291359 | Alessandra Pulvirenti | Student in an Organized Health Care Education/Training Program | Via Alessandro Turchi 17, Verona, VERONA 37131 | 2019-08-23 |
| 1659934396 | Emily Francis | Student in an Organized Health Care Education/Training Program | 403 Jenna Dr, Verona, WI 53593-8309 | 2019-04-18 |
| 1376047894 | Miriam Hanna | Student in an Organized Health Care Education/Training Program | 799 Bloomfield Ave Fl 2, Verona, NJ 07044-1367 | 2018-03-20 |
| 1679003958 | Michelle H Lucena | Student in an Organized Health Care Education/Training Program | 30 Otsego Rd, Verona, NJ 07044-2513 | 2017-06-19 |
| 1184253775 | Melissa Ricker | Student in an Organized Health Care Education/Training Program | 100 N Nine Mound Rd, Verona, WI 53593-1032 | 2020-04-06 |
| 1013546910 | Eartha Taylor | Student in an Organized Health Care Education/Training Program | 100 N Nine Mound Rd, Verona, WI 53593-1032 | 2020-04-03 |
| 1134758097 | Nathan Gorman | Student in an Organized Health Care Education/Training Program | 100 N Nine Mound Rd, Verona, WI 53593-1032 | 2020-04-03 |
| 1053940049 | Adam Cordum | Student in an Organized Health Care Education/Training Program | 100 N Nine Mound Rd, Verona, WI 53593-1032 | 2020-04-02 |
| 1114554755 | Matthew David Rivkin | Student in an Organized Health Care Education/Training Program | 799 Bloomfield Ave Fl 2, Verona, NJ 07044-1367 | 2020-03-24 |
| Find all providers in VERONA | ||||
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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.