MS. CHRISTA JEAN PROUD (NPI# 1376920033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376920033 |
| Entity Type | Individual |
| Full Name | MS. CHRISTA JEAN PROUD |
| Other Name | CHRISTA JEAN YOUNG |
| Credential | LPN |
| Practice Address |
2001-32nd Street Kenosha WI 53140-2208 |
| Practice Telephone | 2625156771 |
| Mailing Telephone | 2625156771 |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2015-05-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 305156-31 | WI | Nursing Service Providers |
| Street Address |
2001-32ND STREET |
| City | KENOSHA |
| State | WI |
| Zip Code | 53140-2208 |
| 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 | 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 |
|---|---|---|---|---|
| 1659920585 | Judi Innis | Licensed Practical Nurse | 12832 71st St Apt 1005, Kenosha, WI 53142-8437 | 2019-09-04 |
| 1609383546 | Megan Elizabeth Devictoria | Licensed Practical Nurse | 4816 21st Ave, Kenosha, WI 53140-5911 | 2018-01-01 |
| 1609228972 | Melanie Newborn | Licensed Practical Nurse | 4425 18th Ave Lowr, Kenosha, WI 53140-2709 | 2016-07-11 |
| 1437511037 | Jennifer Marie Perri | Licensed Practical Nurse | 6612 44th Ave, Kenosha, WI 53142-3235 | 2016-03-23 |
| 1811397409 | Julie Capodarco | Licensed Practical Nurse | 6912 30th Ave, Kenosha, WI 53142-3902 | 2014-09-02 |
| 1417391426 | Deborah Jakala | Licensed Practical Nurse | 7851 45th Ave, Kenosha, WI 53142-4205 | 2013-04-21 |
| 1912237942 | Debra Jean Conforti | Licensed Practical Nurse | 1459 30th Ave, Kenosha, WI 53144-2945 | 2010-01-14 |
| 1942441597 | Kristine Marie Lamothe | Licensed Practical Nurse | 914 69th St, Kenosha, WI 53143-5410 | 2009-03-11 |
| 1578736914 | Julie Ann Shinske | Licensed Practical Nurse | 6406 10th Ave, Kenosha, WI 53143-5004 | 2008-04-07 |
| 1447439435 | Susan Rice | Licensed Practical Nurse | 4739 83rd St, Kenosha, WI 53142-2015 | 2007-10-26 |
| 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.