REGINALD HISLOP III (NPI# 1346223732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346223732 |
| Entity Type | Individual |
| Full Name | REGINALD HISLOP III |
| Credential | N.H.A., PH.D. |
| Practice Address |
3023 S 84th St Milwaukee WI 53227-3703 |
| Practice Telephone | 4146074100 |
| Practice Fax Number | 4146074502 |
| Mailing Telephone | 4146074100 |
| Mailing Fax Number | 4146074502 |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376G00000X | Nursing Home Administrator | 2251 | WI | Nursing Service Related Providers |
| Street Address |
3023 S 84TH ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53227-3703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154303287 | Jim Enlund | Nursing Home Administrator | 3023 S 84th St, Milwaukee, WI 53227-3703 | 2005-11-15 |
| 1588293732 | Matthew Daniel Anderson | Physical Therapy Assistant | 3023 S 84th St, Milwaukee, WI 53227-3703 | 2020-04-08 |
| 1447800362 | Valerie Taylor Runingen | Physical Therapist | 3023 S 84th St, Milwaukee, WI 53227-3703 | 2019-09-12 |
| 1376022749 | Eric Whalen | Physical Therapist | 3023 S 84th St, Milwaukee, WI 53227-3703 | 2018-08-07 |
| 1639551138 | Kori Cybulski | Occupational Therapist | 3023 S 84th St, Milwaukee, WI 53227-3703 | 2015-06-22 |
| 1376943068 | Jennifer Fechter | Occupational Therapy Assistant | 3023 S 84th St, Milwaukee, WI 53227-3703 | 2014-08-29 |
| 1003216235 | Lisa Naymick | Speech-Language Pathologist | 3023 S 84th St, Milwaukee, WI 53227-3703 | 2014-08-25 |
| 1174862072 | Heather Koll | Speech-Language Pathologist | 3023 S 84th St, Milwaukee, WI 53227-3703 | 2013-02-12 |
| 1063735769 | Sarah Maki | Occupational Therapist | 3023 S 84th St, Milwaukee, WI 53227-3703 | 2010-03-09 |
| 1699758862 | Mary Haarmann | Pharmacist | 3023 S 84th St, Milwaukee, WI 53227-3703 | 2005-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205451564 | Ginger Renee Bland | Nurse Practitioner | 11133 W. National Avenue, West Allis, WI 53227 | 2020-06-12 |
| 1003312141 | Dynamic Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 10236 W National Ave, West Allis, WI 53227 | 2018-04-05 |
| 1932572641 | Alissa Kristine Walker | Specialist/Technologist | 11601 W Lincoln Ave, West Allis, WI 53227 | 2015-11-03 |
| 1396155990 | Bradly Earl Helinski | Physical Therapy Assistant | 3023 S 84th St., Milwaukee, WI 53227 | 2014-05-05 |
| 1609299783 | Amy Renee Rozumalski | Occupational Therapy Assistant | 10150 W. National Ave, Suite 150, Premiere Medical Staffing Services, LLC, Milwaukee, WI 53227 | 2014-01-27 |
| 1497098438 | Kathleen Marie Schneider | Physical Therapy Assistant | 3023 S. 84th Street, Milwaukee, WI 53227 | 2013-03-28 |
| 1760723373 | Lee Ann Schraith | Physical Therapy Assistant | 3023 S. 84th St, Milwaukee, WI 53227 | 2013-03-06 |
| 1740520725 | Samantha Lynn Wozniak | Physical Therapist | 3023 S. 84th St., Milwaukee, WI 53227 | 2013-02-27 |
| 1831434901 | Andrew Paul Roeder | Physical Therapy Assistant | 3023 S. 89th Street, Milwaukee, WI 53227 | 2012-11-30 |
| 1538418116 | Christine Wilford | Social Worker | 2044 S 96th Street, West Allis, WI 53227 | 2012-08-29 |
| Find all providers in zip 53227 | ||||
| Taxonomy Code | 376G00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nursing Home Administrator |
| An individual, often licensed by the state, who is responsible for the management of a nursing home. |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations, and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL, 1994, p. 552. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538539762 | Katelyn Gomez | Nursing Home Administrator | 6613 W Fairview Ave, Milwaukee, WI 53213-3934 | 2015-09-30 |
| 1578835229 | Rosland Annette Anderson | Nursing Home Administrator | 6914 West Appleton Avenue, Milwaukee, WI 53216-2732 | 2012-01-26 |
| 1154303287 | Jim Enlund | Nursing Home Administrator | 3023 S 84th St, Milwaukee, WI 53227-3703 | 2005-11-15 |
| 1962484097 | Bette Hanel | Nursing Home Administrator | 3023 S 84th St, Milwaukee, WI 53227-3703 | 2005-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821140039 | Paul Maulucci | Nursing Home Administrator | W20298 State Road 121, Whitehall, WI 54773-9685 | 2007-01-17 |
Please comment or provide details below to improve the information on REGINALD HISLOP III.
| 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.