GREGORY NORDWIG (NPI# 1376001636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376001636 |
| Entity Type | Individual |
| Full Name | GREGORY NORDWIG |
| Practice Address |
504 Lakeland Rd Shawano WI 54166-3836 |
| Practice Telephone | 7155246844 |
| Mailing Telephone | 7155246844 |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2019-03-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 198322-30 | WI | Nursing Service Providers |
| Street Address |
504 LAKELAND RD |
| City | SHAWANO |
| State | WI |
| Zip Code | 54166-3836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992894224 | Joann W Liska | Counselor | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2006-10-12 |
| 1811495294 | Jenna Hammer | Counselor | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2018-01-31 |
| 1326582305 | Christopher Kuhn | Counselor | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2016-12-12 |
| 1659821981 | Shawano County Department of Human Services | Counselor | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2016-10-11 |
| 1891180337 | Tracy Porath | Counselor | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2015-04-01 |
| 1942695481 | Jeffrey Herman | Counselor | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2015-04-01 |
| 1942607056 | Judy Laude | Social Worker | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2014-12-04 |
| 1750798914 | Alicia Elliott | Counselor | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2014-07-18 |
| 1558778324 | Julie Behnke | Counselor | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2014-07-14 |
| 1942613609 | Cassandra Ebeling | Counselor | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2014-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134641848 | Nicole Jeannine Klotzbuecher | Optometrist | 150 County Road B, Shawano, WI 54166 | 2017-07-13 |
| 1437605714 | Jennifer Marie Franke | Counselor | 504 Lakeland St, Shawano, WI 54166 | 2016-08-28 |
| 1699017913 | Benjamin D Schlais | Family Medicine | 100 County Hwy B, Shawano, WI 54166 | 2013-03-25 |
| 1154574366 | Luke T Johnson | Speech-Language Pathologist | N3684 River Road, Shawano, WI 54166 | 2008-10-31 |
| 1902054315 | Robert Joseph Bohr Jr. | Physical Therapy Assistant | N6590 Fox Lane, Shawano, WI 54166 | 2008-08-28 |
| 1790945863 | Patricia Rae Ainsworth | Physical Therapist | 1436 South Lincoln Street, Shawano, WI 54166 | 2008-06-12 |
| 1649491820 | Shawano-gresham School District | Local Education Agency (LEA) | 1050 South Union Street, Shawano, WI 54166 | 2007-05-02 |
| 1114043387 | Thomas G Peterson | Optometrist | 150a County Road B, Shawano, WI 54166 | 2007-03-21 |
| 1740343086 | John Milton Dovorany | Dentist | 1488 E Green Bay St, Shawano, WI 54166 | 2006-12-18 |
| 1265526305 | Charles E Lamarche | Counselor | 420 E Green Bay St, Ste 201, Shawano, WI 54166 | 2006-10-03 |
| Find all providers in zip 54166 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and 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 |
|---|---|---|---|---|
| 1174043947 | Tiffani Lee Bohm | Registered Nurse | 513 E Green Bay St Apt 3, Shawano, WI 54166-2531 | 2017-06-22 |
| 1134579766 | Bryanna L Wendt | Registered Nurse | 803 E Maurer St, Shawano, WI 54166-2627 | 2016-06-14 |
| 1134499585 | Tyler Rich | Registered Nurse | 1123 S Cleveland St, Shawano, WI 54166-3507 | 2012-01-03 |
| 1013235795 | Jordan Giessel | Registered Nurse | 1003 S Franklin St, Shawano, WI 54166-3205 | 2010-05-05 |
| 1730704420 | Katherine Dewane | Registered Nurse | 100 County Road B, Shawano, WI 54166-7072 | 2020-06-09 |
| 1952932972 | Kerry L Baird | Registered Nurse | 100 County Road B, Shawano, WI 54166-7072 | 2020-01-29 |
| 1417599804 | Calla J Scheel | Registered Nurse | 100 County Road B, Shawano, WI 54166-7072 | 2019-10-17 |
| 1477100477 | Cynthia M Bohringer | Registered Nurse | 100 County Road B, Shawano, WI 54166-7072 | 2019-08-23 |
| 1619523115 | Heather Kristine Elertson | Registered Nurse | 100 County Road B, Shawano, WI 54166-7072 | 2019-08-12 |
| 1831681402 | Heidi Marie Bruckert | Registered Nurse | 1300 E Green Bay St, Shawano, WI 54166-2210 | 2018-05-30 |
| Find all providers in SHAWANO | ||||
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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.