KRYSTAL MARIE RAFENSTEIN (NPI# 1336798685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336798685 |
| Entity Type | Individual |
| Full Name | KRYSTAL MARIE RAFENSTEIN |
| Credential | APNP, FNP-BC |
| Practice Address |
4536 22nd Ave Kenosha WI 53140-5917 |
| Mailing Address |
7000 84th Ave Kenosha WI 53142-7422 |
| Practice Telephone | 2626560044 |
| Mailing Telephone | 2629146696 |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2019-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
9303-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4536 22ND AVE |
| City | KENOSHA |
| State | WI |
| Zip Code | 53140-5917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265435960 | Kenosha Community Health Center, Inc. | Family Medicine | 4536 22nd Ave, Kenosha, WI 53140-5917 | 2005-05-27 |
| 1407454572 | Reed Stanek | Social Worker | 4536 22nd Ave, Kenosha, WI 53140-5917 | 2020-10-12 |
| 1770181844 | Anna Rose Amari | Social Worker | 4536 22nd Ave, Kenosha, WI 53140-5917 | 2020-10-12 |
| 1043879935 | Katherine Jean Tura Spencer-schuerman | Nurse Practitioner | 4536 22nd Ave, Kenosha, WI 53140-5917 | 2019-06-13 |
| 1265978878 | Melissa Pestka | Nurse Practitioner | 4536 22nd Ave, Kenosha, WI 53140-5917 | 2017-01-06 |
| 1588037691 | Julie Perrault | Counselor | 4536 22nd Ave, Kenosha, WI 53140-5917 | 2015-11-11 |
| 1316345416 | Angela Martin | Counselor | 4536 22nd Ave, Kenosha, WI 53140-5917 | 2014-12-05 |
| 1407294937 | David T Marx | Psychologist | 4536 22nd Ave, Kenosha, WI 53140-5917 | 2013-06-06 |
| 1316296171 | Emily Jane Collins | Dietitian, Registered | 4536 22nd Ave, Kenosha, WI 53140-5917 | 2012-09-07 |
| 1356605323 | Dominique Shantelle Pritchett | Social Worker | 4536 22nd Ave, Kenosha, WI 53140-5917 | 2012-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225663396 | Lydia Zopf | Counselor | 2001 Alford Park Dr., Carthage College, Kenosha, WI 53140 | 2020-03-09 |
| 1952949406 | Rotate Rehabilitation and Performance | Physical Therapist | 5606 6th Avenue Suite Ll9, Kenosha, WI 53140 | 2019-12-16 |
| 1134778590 | Brenda Chiapetta | Registered Nurse | 3233 23rd Ave, Kenosha, WI 53140 | 2019-09-09 |
| 1275003394 | Kimberly Shaffner | Family Medicine | 4536 22nd Avenue, Kenosha, WI 53140 | 2018-12-01 |
| 1659863389 | Bart L Mengo | Contractor | 1715 60th Street, Kenosha, WI 53140 | 2018-05-30 |
| 1093182941 | Guided Wellness Counseling | Community/Behavioral Health | 1112 56th St, Kenosha, WI 53140 | 2015-08-26 |
| 1376970764 | Stacey L Andersen | Acupuncturist | 5603 7th Ave, Kenosha, WI 53140 | 2013-10-01 |
| 1841467438 | Deborah Schwerdtfeger | Occupational Therapy Assistant | 3415 Sheridan Road, Woodstock Rehab Dept, Kenosha, WI 53140 | 2008-05-13 |
| 1942492020 | Rebecca Ann Burdette | Counselor | 920 60th Street, Renosha, WI 53140 | 2007-08-13 |
| 1851598619 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 2707 15th Place, Kenosha, WI 53140 | 2007-06-27 |
| Find all providers in zip 53140 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952957987 | Hun Hee Han | Nurse Practitioner | 6125 Green Bay Rd Ste 200, Kenosha, WI 53142-2945 | 2019-08-15 |
| 1689127086 | Jennifer Donna Ouweneel | Nurse Practitioner | 3520 30th Ave, Wheaton Franciscan Healthcare Clinic, Kenosha, WI 53144-1619 | 2016-08-02 |
| 1669713319 | Rebecca Shawn Swenson | Nurse Practitioner | 4777 88th Ave, Kenosha, WI 53144-7439 | 2013-03-05 |
| 1932394764 | Annmarie D Wendorf | Nurse Practitioner | 6308 8th Ave # 3040, Kenosha, WI 53143-5031 | 2007-09-14 |
| 1083236715 | Krista Ann Tappa | Nurse Practitioner | 8600 Sheridan Rd, Kenosha, WI 53143-6506 | 2020-05-15 |
| 1063031045 | Guadalupe Orlando Romero | Nurse Practitioner | 4777 88th Ave, Kenosha, WI 53144-7439 | 2020-04-10 |
| 1518595230 | Anne Nudi | Nurse Practitioner | 1400 75th St, Kenosha, WI 53143-1544 | 2020-03-29 |
| 1205476603 | Drew Velasco | Nurse Practitioner | 6121 Green Bay Rd, Kenosha, WI 53142-2926 | 2020-01-14 |
| 1518509413 | Jennifer E Armstrong | Nurse Practitioner | 7401 104th Ave Ste 110, Kenosha, WI 53142-7845 | 2019-10-11 |
| 1043879935 | Katherine Jean Tura Spencer-schuerman | Nurse Practitioner | 4536 22nd Ave, Kenosha, WI 53140-5917 | 2019-06-13 |
| Find all providers in KENOSHA | ||||
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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.