MRS. JENNIFER THERESE KRALL (NPI# 1336497197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336497197 |
Entity Type | Individual |
Full Name | MRS. JENNIFER THERESE KRALL |
Credential | N.P. |
Practice Address |
500 Wind Ridge Dr Wausau WI 54401-4173 |
Mailing Address |
T9376 N 33rd St Wausau WI 54403-9482 |
Practice Telephone | 7158472611 |
Mailing Telephone | 7153701869 |
Enumeration Date | 2012-08-27 |
Last Update Date | 2012-08-27 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
4975-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437577954 | Jennifer Thi Wing Krall | Student in an Organized Health Care Education/Training Program | Medical Center Boulevard, Winston Salem, NC 27157 | 2014-04-01 |
Street Address |
500 WIND RIDGE DR |
City | WAUSAU |
State | WI |
Zip Code | 54401-4173 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386644409 | Timothy P Grady | Internal Medicine | 500 Wind Ridge Dr, Wausau, WI 54401-4173 | 2005-07-29 |
1942852504 | Patrick Henry Drechsler | Physician Assistant | 500 Wind Ridge Dr, Wausau, WI 54401-4173 | 2019-07-14 |
1306407010 | Abbey Crossman | Physician Assistant | 500 Wind Ridge Dr, Wausau, WI 54401-4173 | 2019-06-24 |
1144755232 | Kali Kann | Physician Assistant | 500 Wind Ridge Dr, Wausau, WI 54401-4173 | 2017-04-26 |
1437699717 | Meghan Walls | Registered Nurse | 500 Wind Ridge Dr, Wausau, WI 54401-4173 | 2017-03-06 |
1477905909 | Aaron Follensbee | Physician Assistant | 500 Wind Ridge Dr, Wausau, WI 54401-4173 | 2016-07-08 |
1548688419 | Aspirus Wausau Hospital, Inc. | Internal Medicine | 500 Wind Ridge Dr, Wausau, WI 54401-4173 | 2014-03-28 |
1336424316 | Deborah Sauer | Nurse Practitioner | 500 Wind Ridge Dr, Wausau, WI 54401-4173 | 2011-10-20 |
1033411822 | Aspirus Clinics Inc. | Clinic/Center | 500 Wind Ridge Dr, Wausau, WI 54401-4173 | 2010-11-30 |
1699087411 | Jacklyn A Knoll | Physician Assistant | 500 Wind Ridge Dr, Wausau, WI 54401-4173 | 2010-07-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164031464 | Central Wisconsin Endodontic Specialists LLC | Dentist | 2606 Stewart Avenue, #102, Wausau, WI 54401 | 2020-07-23 |
1376161976 | Family Foot and Ankle Clinic LLC | Podiatrist | 1901 Westwood Boulevard, Wausau, WI 54401 | 2020-07-09 |
1336701895 | Amy Kluetz | Counselor | 3000 Westhill Drive, Suite 100, Wausau, WI 54401 | 2019-07-05 |
1437640877 | Joseph T Fitz | Student in an Organized Health Care Education/Training Program | Aspirus Wausau Family Medicine, 425 Wind Ridge Drive, Wausau, WI 54401 | 2018-05-22 |
1699293241 | Amanda Nedd | Dietitian, Registered | 425 Pine Ridge Boulevard Suite 220 C, Wausau, WI 54401 | 2017-09-05 |
1396287447 | Dee Cha | Nurse Anesthetist, Certified Registered | 4851 Rachel Ln Apt 5, Wausau, WI 54401 | 2016-11-07 |
1013389618 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 2727 Plaza Dr., Wausau, WI 54401 | 2015-10-22 |
1881091163 | Judy Lao | Dental Hygienist | 413 North 17th Avenue, Wausau, WI 54401 | 2014-12-02 |
1295012011 | Allison Waraksa | Pharmacist | 504 S. 17th Ave, Wausau, WI 54401 | 2011-11-08 |
1881974053 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 504 S 17th Ave, Wausau, WI 54401 | 2011-08-19 |
Find all providers in zip 54401 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700403821 | Robbi M Tracy | Nurse Practitioner | 510 N 17th Ave Ste A, Wausau, WI 54401-4254 | 2020-07-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205436821 | Elizabeth Stevenson | Nurse Practitioner | 1021 Gilson St, Madison, WI 53715-1721 | 2020-11-01 |
1427678176 | Cody Cameron Brunet | Nurse Practitioner | 1002 Bultman Rd, Madison, WI 53704-8933 | 2020-04-23 |
1023643434 | Rochelle Allexia Codlyn | Nurse Practitioner | 2268 Manley Dr, Sun Prairie, WI 53590-9688 | 2020-03-05 |
1861953960 | Youa Thao | Nurse Practitioner | 132 Devonshire Ct Apt 2, Plover, WI 54467-4194 | 2019-03-29 |
1053886465 | Elizabeth A Jarecki | Nurse Practitioner | 3115 Lilly Rd Unit 209, Brookfield, WI 53005-7612 | 2018-10-11 |
1669862868 | Jami Marie Lyons | Nurse Practitioner | 234 Cashman Dr, Chippewa Falls, WI 54729-3543 | 2015-01-27 |
1619374816 | Melissa Kaye Miller | Nurse Practitioner | 710 W Starin Rd, Whitewater, WI 53190-1121 | 2014-12-03 |
1275703233 | Mary Ellen Devine Touhey | Nurse Practitioner | N79w28630 Appaloosa Ln, Hartland, WI 53029-9038 | 2008-03-06 |
1366636797 | Karen R. Sinnett | Nurse Practitioner | 125 W Nebraska St, Muscoda, WI 53573 | 2007-08-29 |
1508851239 | Rita Marie Thomas | Nurse Practitioner | 910 Fremont St, 217 Delzell Hall, Uwsp, Stevens Point, WI 54481-3105 | 2005-09-19 |
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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.