ANDREA MARIA DOSEDLA (NPI# 1326679663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326679663 |
| Entity Type | Individual |
| Full Name | ANDREA MARIA DOSEDLA |
| Practice Address |
N61w23044 Harrys Way Sussex WI 53089-3995 |
| Mailing Address |
1141 S 75th St West Allis WI 53214-3020 |
| Practice Telephone | 4145667627 |
| Mailing Telephone | 2622107127 |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2020-01-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 405300000X | Prevention Professional | 1682-39 | WI | Other Service Providers |
| Street Address |
N61W23044 HARRYS WAY |
| City | SUSSEX |
| State | WI |
| Zip Code | 53089-3995 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932713146 | Athletico, Ltd | Physical Therapist | N63w23675 Main St, Sussex, WI 53089 | 2020-09-04 |
| 1538707120 | Schyler M Schultz | Pharmacist | N65w24838 Main St, Sussex, Wi 53089, Sussex, WI 53089 | 2019-12-15 |
| 1558917617 | Quad/med, LLC | Clinic/Center | N61 W23044 Harry's Way, Sussex, WI 53089 | 2019-08-14 |
| 1982176590 | Katherine Tsiampas | Registered Nurse | W236 N6128 Pine Terrace, Sussex, Sussex, WI 53089 | 2018-12-20 |
| 1437529120 | Quad/med, LLC | Clinic/Center | W227 N6103 Sussex Rd, Sussex, WI 53089 | 2015-10-07 |
| 1265839849 | Amber Louise Bergner | Registered Nurse | W232n7066 Salem Dr, Sussex, WI 53089 | 2014-11-26 |
| 1407129604 | Cheryl Marie Werra | Registered Nurse | N73w23260 Blakestone Ct., Sussex, WI 53089 | 2012-02-17 |
| 1144508730 | Oriental Wellness Center & Spa | Acupuncturist | W249 N5245 Executive Dr., Suite 208, Sussex, WI 53089 | 2011-07-30 |
| 1982865945 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | N 66 W 25201, Cth V V, Sussex, WI 53089 | 2008-06-23 |
| 1316108376 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | N66 W25201 Cth V V, Sussex, WI 53089 | 2008-06-23 |
| Find all providers in zip 53089 | ||||
| Taxonomy Code | 405300000X |
| Grouping | Other Service Providers |
| Classification | Prevention Professional |
| Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063981710 | Jon Maurice Smoots | Prevention Professional | 7710 W. Casper Street, Milwaukee, WI 53216 | 2018-11-23 |
| 1023527769 | Red Road House | Prevention Professional | 152 S Locust St, Janesville, WI 53548-3767 | 2017-09-26 |
| 1164963187 | Anna Lanman | Prevention Professional | 303 12th Ave, Baraboo, WI 53913-1612 | 2017-03-09 |
| 1407396013 | Douglas Radtke | Prevention Professional | 6233 Bankers Rd, Suite 12, Mount Pleasant, WI 53403-9700 | 2017-03-01 |
| 1659819076 | Haley Jacob | Prevention Professional | 1725 State St, 126 Mitchell Hall, La Crosse, WI 54601-3742 | 2017-02-06 |
| 1043627912 | Sonia Porter | Prevention Professional | 5151 W Silver Spring Dr, Milwaukee, WI 53218-3300 | 2014-07-12 |
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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.