MARY BETH WELLACH (NPI# 1386613222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386613222 |
| Entity Type | Individual |
| Full Name | MARY BETH WELLACH |
| Credential | LPN |
| Practice Address |
N3355 Quest Rd Juneau WI 53039-9686 |
| Practice Telephone | 9206963793 |
| Mailing Telephone | 9206963793 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 20384-031 | WI | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39843900 | 05 |
| Street Address |
N3355 QUEST RD |
| City | JUNEAU |
| State | WI |
| Zip Code | 53039-9686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487994281 | Erin Elizabeth Lueck | Physical Therapy Assistant | 198 County Rd Df, Juneau, WI 53039 | 2013-02-15 |
| 1013220375 | Doreen Kay Eicher | Occupational Therapist | 199 Home Rd., Juneau, WI 53039 | 2010-07-15 |
| 1629241153 | Kimberly Ann Kunz | Counselor | 199 County Rd Df, Juneau, WI 53039 | 2008-04-04 |
| 1508947086 | City of Juneau Emergency Medical Services | Ambulance | 128 E Cross St, Juneau, WI 53039 | 2006-10-18 |
| 1063980845 | Amanda M Reda-goglio | Nurse Practitioner | 199 County Road Df, Juneau, WI 53039 | 2018-11-09 |
| 1558897306 | Jennifer Woolridge | Occupational Therapist | 199 County Road Df, Juneau, WI 53039 | 2017-05-11 |
| 1245616945 | Sara Bashaw | Physical Therapy Assistant | 199 Home Rd, Juneau, WI 53039 | 2015-08-04 |
| 1831410521 | Beaver Dam Community Hospitals, Inc. | Family Medicine | 420 W North St, Juneau, WI 53039 | 2010-06-16 |
| 1396936407 | Dodgeland School District | Local Education Agency (LEA) | 401 S Western Ave, Juneau, WI 53039-1160 | 2007-08-05 |
| 1457306375 | Juneau Chiropractic Center | Chiropractor | 170 S Western Ave, Juneau, WI 53039-1161 | 2006-05-23 |
| Find all providers in zip 53039 | ||||
| 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 |
|---|---|---|---|---|
| 1285809459 | Judith J Schlesner | Licensed Practical Nurse | W5554 Sun Rd, Juneau, WI 53039-9680 | 2008-04-28 |
| 1780873331 | Denise Marie Olson | Licensed Practical Nurse | W6711 Highway 33, Juneau, WI 53039-9305 | 2007-10-19 |
| 1356302764 | Mary Ann Schaumberg | Licensed Practical Nurse | N5276 Club Grounds Rd, Juneau, WI 53039-9649 | 2006-03-28 |
| 1528696622 | Rene Macdonald | Licensed Practical Nurse | 3406 Glacier Hwy, Juneau, AK 99801-7251 | 2020-04-01 |
| 1194388926 | Douglas Harold Harris | Licensed Practical Nurse | 3240 Hospital Dr, Juneau, AK 99801-7808 | 2019-04-17 |
| 1619480555 | Victoria Atzei | Licensed Practical Nurse | 3406 Glacier Hwy, Juneau, AK 99801-7251 | 2017-11-14 |
| 1598058984 | Christine Roulet | Licensed Practical Nurse | 3406 Glacier Hwy, Juneau, AK 99801-9501 | 2011-05-18 |
| 1417250176 | Ryan Douglass Sather | Licensed Practical Nurse | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2010-12-17 |
| 1912226390 | Patricia Anne Francis | Licensed Practical Nurse | 3245 Hospital Dr, Ethel Lund Medical Center, Juneau, AK 99801-7809 | 2010-05-24 |
| 1730416389 | Leighanna Mandacino | Licensed Practical Nurse | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2009-11-03 |
| Find all providers in JUNEAU | ||||
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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.