KAITLIN E GRADY (NPI# 1336573401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336573401 |
| Entity Type | Individual |
| Full Name | KAITLIN E GRADY |
| Credential | PA |
| Practice Address |
16650 W Bluemound Rd Suite 200 Brookfield WI 53005-5920 |
| Practice Telephone | 2628279200 |
| Practice Fax Number | 2628279858 |
| Mailing Telephone | 2628279200 |
| Mailing Fax Number | 2628279858 |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2013-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 3203 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
16650 W BLUEMOUND RD SUITE 200 |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53005-5920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720025638 | Charles F. Reuben | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 16650 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5920 | 2006-05-31 |
| 1518441898 | Marie Therese Ustruck | Nurse Practitioner | 16650 W Bluemound Rd, Brookfield, WI 53005-5920 | 2018-09-21 |
| 1295229805 | Jessica Kuennen | Physician Assistant | 16650 W Bluemound Rd, Brookfield, WI 53005 | 2018-06-18 |
| 1144628033 | Benjamin Alan Lacoursiere | Physician Assistant | 16650 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5920 | 2014-12-09 |
| 1639402365 | Wisconsin Heart Group Associates LLC | Internal Medicine | 16650 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5920 | 2009-09-14 |
| 1295925576 | Maria L Diener | Physician Assistant | 16650 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5920 | 2007-08-01 |
| 1821207655 | Lance Koji Hashimoto | Dentist | 16650 W Bluemound Rd, 400, Brookfield, WI 53005-5920 | 2007-05-21 |
| 1770792293 | Access Endodontics LLC | Dentist | 16650 W Bluemound Rd, 400, Brookfield, WI 53005-5920 | 2007-05-21 |
| 1922217769 | Sheila Elizabeth Stover | Dentist | 16650 W Bluemound Rd, 400, Brookfield, WI 53005-5920 | 2007-05-21 |
| 1841201514 | Alexei Vasilievich Agapitov | Internal Medicine | 16650 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5920 | 2006-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154937621 | Nsk Precision Healing & Wellness | Acupuncturist | 17040 W. Greenfield Ave #6, Brookfield, WI 53005 | 2020-09-21 |
| 1033772124 | Dbt Consultants LLC | Social Worker | 200 S. Executive Drive, Ste. 101, Brookfield, WI 53005 | 2019-04-15 |
| 1780142588 | Ashley Wing | Registered Nurse | 405 Bishops Way, Apt 555, Brookfield, WI 53005 | 2019-03-11 |
| 1407370398 | Tombolo, LLC | Clinic/Center | 12545 W. Burleigh Rd., Suite 10, Brookfield, WI 53005 | 2017-08-01 |
| 1720509045 | Rss William Conner LLC | Dentist | 15455 W Bluemound Rd Ste 250, Brookfield, WI 53005 | 2017-06-28 |
| 1669926598 | Mackenzie Rondeau | Physical Therapist | 1905 N Calhoun Rd Ste 105, Brookfield, WI 53005 | 2016-08-09 |
| 1699159319 | Charles Alan Kass | Dentist | 12720 W. North Avenue, Brookfield, WI 53005 | 2015-07-13 |
| 1164804274 | Mary-catherine Nimphius | Counselor | 250 S. Sunny Slope Rd, #128, Brookfield, WI 53005 | 2015-06-25 |
| 1528447034 | Weighless Md, LLC | Dietitian, Registered | 14960 W. Greenfield Ave Suite 104, Brookfield, WI 53005 | 2015-05-29 |
| 1366837346 | Maegan Michelle Cook | Dentist | 13780 W Greenfield Ave Ste 780, Brookfield, WI 53005 | 2015-04-06 |
| Find all providers in zip 53005 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386277838 | Nicholas Edward Graunke | Physician Assistant | 21125 Enterprise Ave, Brookfield, WI 53045-5229 | 2020-02-12 |
| 1104300987 | Chelsea Ann Clemens | Physician Assistant | 304 Federal Rd Ste 201, Brookfield, CT 06804-2421 | 2018-09-18 |
| 1982085874 | Daniel Neis | Physician Assistant | 2455 Whipple Tree Ln, Brookfield, WI 53045-4225 | 2015-06-16 |
| 1720215353 | Laura M Ozimek | Physician Assistant | 13800 W North Ave Ste 100, Brookfield, WI 53005-4977 | 2009-06-22 |
| 1154581064 | Taylor Marie Honnold | Physician Assistant | 2085 N Calhoun Rd Ste 203, Brookfield, WI 53005-5003 | 2008-06-13 |
| 1730130253 | Summer J Kimble | Physician Assistant | 150 S Sunny Slope Rd, Suite 136, Brookfield, WI 53005-6461 | 2006-05-12 |
| 1326098328 | Robert L Paxton | Physician Assistant | 150 Sunnyslope Road Suite 136, Brookfield, WI 53005-4858 | 2006-05-11 |
| 1477199271 | Jayne Eslinger | Physician Assistant | 19333 W North Ave, Brookfield, WI 53045-4132 | 2019-11-27 |
| 1023671112 | Lauren Elizabeth Wanie | Physician Assistant | 16650 W Bluemound Rd Ste 200, Brookfield, WI 53005-5959 | 2019-04-15 |
| 1558849166 | Jodie Magyari | Physician Assistant | 60 Old New Milford Rd Ste 3e, Brookfield, CT 06804 | 2018-08-06 |
| Find all providers in BROOKFIELD | ||||
| City | BROOKFIELD |
| Zip Code | 53005 |
Please comment or provide details below to improve the information on KAITLIN E GRADY.
| 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.