PEGGY STEWART (NPI# 1366980583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366980583 |
| Entity Type | Individual |
| Full Name | PEGGY STEWART |
| Practice Address |
1547 Russell St Green Bay WI 54304-3013 |
| Practice Telephone | 9202658631 |
| Mailing Telephone | 9202658631 |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2017-02-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 320267 | WI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316303662 | Peggy Stewart | Social Worker | 1029 N Brighton St, Burbank, CA 91506-1518 | 2015-12-31 |
| 1962925941 | Peggy Anne Stewart | Counselor | 8915 Sw Center St, Tigard, OR 97223-6307 | 2017-07-20 |
| Street Address |
1547 RUSSELL ST |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54304-3013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689196255 | Kristen Ashley Haltom | Registered Nurse | 2979 Allied St Suite C, Green Bay, WI 54304 | 2017-07-14 |
| 1649671421 | Heather Marie Novak | Counselor | 2979 Allied St Unit C, Green Bay, WI 54304 | 2014-09-11 |
| 1356777684 | Nathan Weir | Specialist/Technologist | 1265 Lombardi Avenue, Green Bay, WI 54304 | 2013-09-18 |
| 1922349927 | John W Hartman | Internal Medicine | 916 Willard Dr, Suite 200, Green Bay, WI 54304 | 2013-03-15 |
| 1447551379 | Citralina M Haruo | Community Health Worker | 1110 11th Avenue, Green Bay, WI 54304 | 2010-11-09 |
| 1497061352 | Daniel James Gustin | Pharmacist | 1109 Lombardi Ave, Green Bay, WI 54304 | 2010-08-28 |
| 1316259898 | Karen A Detrick | Occupational Therapy Assistant | 1040 Pilgram Way, Woodside Senior Communities, Green Bay, WI 54304 | 2010-07-13 |
| 1861667362 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 2605 S. Oneida St. Suite 107, Green Bay, WI 54304 | 2008-04-25 |
| 1891967303 | Kimberley M Welk | Marriage & Family Therapist | 926 Willard Dr Ste 136, Green Bay, WI 54304 | 2008-03-25 |
| 1750563698 | Richard Lawrence Beyer | Hearing Instrument Specialist | 2154 S Ridge Rd, Green Bay, WI 54304 | 2007-12-03 |
| Find all providers in zip 54304 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407412125 | Melinda Sue Trinkner | Licensed Practical Nurse | 1012 Forest Hill Dr, Green Bay, WI 54311-5930 | 2019-05-17 |
| 1295295483 | Anna Lee Kolb | Licensed Practical Nurse | 1061 Kellogg St, Green Bay, WI 54303-2968 | 2019-03-22 |
| 1124515861 | Celia M Diehl | Licensed Practical Nurse | 2124 Orrie Ln, Green Bay, WI 54304-4345 | 2018-04-18 |
| 1114475712 | Amy Mueller | Licensed Practical Nurse | 1525 Rosalie Ln, Green Bay, WI 54304-2926 | 2016-09-13 |
| 1285021592 | Bobbi Schaetz | Licensed Practical Nurse | 2610 Gemini Rd, Green Bay, WI 54311-4610 | 2015-04-24 |
| 1790173698 | Susan Johnson | Licensed Practical Nurse | 2697 Hillside Heights Dr, Green Bay, WI 54311-6774 | 2014-12-30 |
| 1619370178 | Paula Jean Boehm | Licensed Practical Nurse | 1663 Birchwood Dr, Green Bay, WI 54304-2936 | 2014-09-29 |
| 1518398999 | Rexann Hammons | Licensed Practical Nurse | 605 W Briar Ln, Apt 223, Green Bay, WI 54301-1367 | 2013-12-10 |
| 1700212255 | Jessica Barszcz | Licensed Practical Nurse | 3066 W Point Rd, Green Bay, WI 54313-5442 | 2013-09-16 |
| 1184064511 | Shawn B Backus | Licensed Practical Nurse | 2221 S Webster Ave Ste A160, Green Bay, WI 54301-2158 | 2013-06-30 |
| Find all providers in GREEN BAY | ||||
Please comment or provide details below to improve the information on PEGGY STEWART.
| 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.