MRS. JENNIFER MICHELE GATES (NPI# 1376956367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376956367 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER MICHELE GATES |
| Other Name | MISS JENNIFER MICHELE KRUEGER |
| Practice Address |
W2093 Gary Ln Ixonia WI 53036-9724 |
| Practice Telephone | 9202535625 |
| Mailing Telephone | 9202535625 |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2014-06-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 318264-31 | WI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801364526 | Jennifer Gates | Nurse Practitioner | 606 Mcdonald Dr Apt G1, Clinton, MS 39056-5303 | 2018-11-12 |
| 1730627738 | Jennifer L Gates | Counselor | 108 Manchester Shopping Ctr, Manchester, KY 40962-1401 | 2017-02-09 |
| 1154693885 | Jennifer L Gates | Counselor | 2502 112th Ave Ne, Suite 300, Bellevue, WA 98004 | 2012-01-26 |
| 1033387550 | Jennifer Helene Gates | Social Worker | 1225 W Mitchell St # 223, Milwaukee, WI 53204-3383 | 2008-02-19 |
| 1598378507 | Jennifer Gates | Speech-Language Pathologist | 10435 Downsville Pike, Hagerstown, MD 21740-1732 | 2020-08-28 |
| 1659935591 | Jennifer R Gates | Marriage & Family Therapist | 1640 Alta Dr Ste 4, Las Vegas, NV 89106-4165 | 2019-04-25 |
| 1801363148 | Jennifer M Gates | Counselor | 402 Harris Ave, Raeford, NC 28376-3112 | 2018-10-24 |
| 1932647120 | Jennifer Gates | Speech-Language Pathologist | 326 N Union Ave, Shawnee, OK 74801-7053 | 2017-02-07 |
| 1215308978 | Jennifer Anne Gates | Nurse Practitioner | 1200 E. Michigan Ave, Sparrow Hospital, Lansing, MI 48912 | 2015-10-07 |
| 1487047593 | Jennifer Gates | Registered Nurse | 3122 Route 11, La Fayette, NY 13084-9616 | 2015-03-13 |
| Street Address |
W2093 GARY LN |
| City | IXONIA |
| State | WI |
| Zip Code | 53036-9724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043239676 | Kerry Wayne Lynch | Psychologist | 8380 North St., Ixonia, WI 53036 | 2006-07-18 |
| 1669961124 | Duffy David Eberhardt | Emergency Medical Technician, Basic | N7936 Woody Ln, Ixonia, WI 53036-9479 | 2018-05-09 |
| 1003458472 | Angela Lynn Bubnick | Registered Nurse | W1011 Hunter Ln, Ixonia, WI 53036-9482 | 2019-10-17 |
| 1538110515 | Linda Olson Douglas | Family Medicine | W1046 Marietta Ave, Suite 230, Ixonia, WI 53036-9498 | 2006-05-13 |
| 1033398664 | Watertown Regional Medical Center Inc | Family Medicine | W1046 Marietta Ave, Ste 230, Ixonia, WI 53036-9498 | 2007-10-31 |
| 1851797070 | Kim Michele Jaeger | Counselor | N372 Lincoln Rd, Ixonia, WI 53036-9508 | 2014-11-16 |
| 1730133299 | Town of Ixonia | Ambulance | N8320 North St, Ixonia, WI 53036-9710 | 2006-05-20 |
| 1215476874 | Beth Marie Pape | Registered Nurse | N8832 Leiger Ln, Ixonia, WI 53036-9726 | 2017-02-15 |
| 1598925992 | Amy L Lauersdorf | Licensed Practical Nurse | N9163 Ski Slide Rd, Ixonia, WI 53036-9767 | 2008-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003458472 | Angela Lynn Bubnick | Registered Nurse | W1011 Hunter Ln, Ixonia, WI 53036-9482 | 2019-10-17 |
| 1669961124 | Duffy David Eberhardt | Emergency Medical Technician, Basic | N7936 Woody Ln, Ixonia, WI 53036-9479 | 2018-05-09 |
| 1215476874 | Beth Marie Pape | Registered Nurse | N8832 Leiger Ln, Ixonia, WI 53036-9726 | 2017-02-15 |
| 1851797070 | Kim Michele Jaeger | Counselor | N372 Lincoln Rd, Ixonia, WI 53036-9508 | 2014-11-16 |
| 1598925992 | Amy L Lauersdorf | Licensed Practical Nurse | N9163 Ski Slide Rd, Ixonia, WI 53036-9767 | 2008-06-10 |
| 1043239676 | Kerry Wayne Lynch | Psychologist | 8380 North St., Ixonia, WI 53036 | 2006-07-18 |
| 1730133299 | Town of Ixonia | Ambulance | N8320 North St, Ixonia, WI 53036-9710 | 2006-05-20 |
| 1538110515 | Linda Olson Douglas | Family Medicine | W1046 Marietta Ave, Suite 230, Ixonia, WI 53036-9498 | 2006-05-13 |
| 1033398664 | Watertown Regional Medical Center Inc | Family Medicine | W1046 Marietta Ave, Ste 230, Ixonia, WI 53036-9498 | 2007-10-31 |
| 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 |
|---|---|---|---|---|
| 1598925992 | Amy L Lauersdorf | Licensed Practical Nurse | N9163 Ski Slide Rd, Ixonia, WI 53036-9767 | 2008-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366040180 | Ashlee K Regenauer | Licensed Practical Nurse | 1103 Whitewater Ave, Fort Atkinson, WI 53538-2669 | 2020-10-14 |
| 1538767355 | Samantha Jo Dates | Licensed Practical Nurse | N8273 E Friesland Rd, Randolph, WI 53956-9407 | 2020-10-14 |
| 1861090714 | Kayla Ann Grapentine | Licensed Practical Nurse | 2425 Dewey St Unit 28, Manitowoc, WI 54220-6368 | 2020-10-13 |
| 1457966731 | Denise Brown | Licensed Practical Nurse | 1215 Monroe Ave, Racine, WI 53405-2862 | 2020-09-13 |
| 1720690514 | Kaitlynn Sutor | Licensed Practical Nurse | 6102 Pacific Crest Rd, Mcfarland, WI 53558-8741 | 2020-08-21 |
| 1326650227 | Emily J. Szulczewski | Licensed Practical Nurse | 4724 W Greenfield Rd, Janesville, WI 53548-9111 | 2020-08-20 |
| 1881205359 | Michelle Eichenberg | Licensed Practical Nurse | 1028 East St Apt 8, Fort Atkinson, WI 53538-2643 | 2020-08-10 |
| 1205445509 | Kelsey Tenpas | Licensed Practical Nurse | 8232 State Highway 73, Pittsville, WI 54466-9336 | 2020-07-23 |
| 1013535491 | Debra Ann Martens Mcpherrin | Licensed Practical Nurse | 551 Rivershores Dr, West Bend, WI 53090-2531 | 2020-07-11 |
| 1861019952 | Tasha Harris | Licensed Practical Nurse | 1238 Sunfield St, Sun Prairie, WI 53590-2740 | 2020-07-06 |
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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.