MARK RUSSELL SCHMITT (NPI# 1376981811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376981811 |
| Entity Type | Individual |
| Full Name | MARK RUSSELL SCHMITT |
| Credential | RN |
| Practice Address |
1804 Dixie Dr. Waukesha WI 53189 |
| Practice Telephone | 1262408216 |
| Mailing Telephone | 2624082167 |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2013-06-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
161492-30 | WI | Nursing Service Providers |
| Street Address |
1804 DIXIE DR. |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275017907 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 1166 W Sunset Drive, Suite F100, Waukesha, WI 53189 | 2018-09-19 |
| 1851841910 | Jane Knoblock | Speech-Language Pathologist | S48w23663 Merlin Ln, Waukesha, WI 53189 | 2016-10-12 |
| 1063850246 | Tracey Sue Kochanski | Nurse Practitioner | 1130 W Sunset Ave, Waukesha, WI 53189 | 2013-06-10 |
| 1760738546 | Schreve and Associates Inc. | Durable Medical Equipment & Medical Supplies | 406 Travis Ln., Ste 50, Waukesha, WI 53189 | 2012-07-30 |
| 1407152879 | Kimberly Lyn Moravec | Registered Nurse | W326 S3994 Spring Ridge Ct, Waukesha, WI 53189 | 2011-02-02 |
| 1154505113 | Le Ann Le Blanc | Day Training, Developmentally Disabled Services | S31 W28251 Sunset Drive, Waukesha, WI 53189 | 2007-12-26 |
| 1801934807 | Wisconsin Vision, Inc. | Technician/Technologist | 203a Sunset Drive, Waukesha, WI 53189 | 2007-02-02 |
| 1497828172 | Donna G. Kraklow D.d.s. | Dentist | 1507 E Sunset Dr, Suite 110, Waukesha, WI 53189 | 2006-11-17 |
| 1285713461 | Robert Evan Davies | Dentist | 2117 Corporate Dr., Suite 100, Waukesha, WI 53189 | 2006-11-06 |
| 1427139542 | Wal-mart Stores East Lp | Technician/Technologist | 2000 Sw Avenue, Waukesha, WI 53189 | 2006-10-17 |
| Find all providers in zip 53189 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851649651 | Charline D Williams-weah | Registered Nurse | 2422 N. Grandview Boulevard, Waukesha, WI 53188 | 2012-08-27 |
| 1457773962 | Lisa Rodriguez-gonzalez | Registered Nurse | 2422 N Grandview Blvd, Waukesha, WI 53188-6105 | 2014-01-17 |
| 1255668208 | Kelly M Blackburn | Registered Nurse | 2422 N Grandview Blvd, Waukesha, WI 53188-6105 | 2009-11-12 |
| 1922241280 | Amy E Radatz | Registered Nurse | 2422 N Grandview Blvd, Waukesha, WI 53188-6105 | 2009-04-15 |
| 1154575173 | Christine L Elmer | Registered Nurse | 2422 N Grandview Blvd, Waukesha, WI 53188-6105 | 2008-11-05 |
| 1447449319 | Barbara J Kuechler | Registered Nurse | 2422 North Grandview Blvd, Waukesha, WI 53188 | 2007-10-17 |
| 1831303577 | Kathleen J Maloney | Registered Nurse | 2422 North Grandview Blvd, Waukesha, WI 53188 | 2007-05-10 |
| 1427262237 | Tamara Lynn Domansky | Registered Nurse | 2422 North Grandview Blvd, Waukesha, WI 53188 | 2007-05-10 |
| 1295949006 | Jeffrey Merle Fosso | Registered Nurse | 2422 North Grandview Blvd, Waukesha, WI 53188 | 2007-05-10 |
| 1720292469 | Margaret Mary Crarn | Registered Nurse | 2422 North Grandview Blvd, Waukesha, WI 53188 | 2007-05-10 |
| Find all providers in WAUKESHA | ||||
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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.