DEBORAH A. MAYO (NPI# 1386681500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386681500 |
| Entity Type | Individual |
| Full Name | DEBORAH A. MAYO |
| Credential | A.P.N.P. |
| Practice Address |
11414 W Park Pl Ste 202 Milwaukee WI 53224-3500 |
| Mailing Address |
3734 - 7th Av #12 Kenosha WI 53140 |
| Practice Telephone | 4142927060 |
| Practice Fax Number | 4149732090 |
| Mailing Telephone | 2626549370 |
| Mailing Fax Number | 2626549379 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2016-11-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
1856 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
1856-033 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
1856 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43981100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710424825 | Deborah Mayo | Counselor | 9500 Haven Ave, Rancho Cucamonga, CA 91730-5807 | 2017-01-26 |
| Street Address |
11414 W PARK PL STE 202 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53224-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225638794 | Amity Health Services | Home Health | 11414 W Park Pl, Milwaukee, WI 53224-3500 | 2020-10-26 |
| 1043834831 | Angela Cureton | Community Health Worker | 11414 W Park Pl, Milwaukee, WI 53224-3500 | 2020-06-08 |
| 1144840695 | Thrivehealth LLC | Family Medicine | 11414 W Park Pl, Milwaukee, WI 53224-3500 | 2020-04-24 |
| 1457900870 | Danyae Desha Lanier | Behavioral Analyst | 11414 W Park Pl, Milwaukee, WI 53224-3500 | 2019-09-09 |
| 1679016299 | Dion Michelle Racks | Counselor | 11414 W Park Pl, Milwaukee, WI 53224-3500 | 2016-11-30 |
| 1578013116 | U.S. Healthworks Medical Group of Wisconsin, Sc | Clinic/Center | 11414 W Park Pl, Suite 100, Milwaukee, WI 53224-3500 | 2016-10-06 |
| 1790193365 | Emily Matthews | Social Worker | 11414 W Park Pl, Suite 202, Milwaukee, WI 53224-3500 | 2014-07-28 |
| 1780929075 | Elite Garden Homes, Inc. | Home Health | 11414 W Park Pl, Suite 202, Milwaukee, WI 53224-3500 | 2012-11-28 |
| 1053552455 | Timothy Lawler | General Practice | 11414 W Park Pl, Suite 100, Milwaukee, WI 53224-3500 | 2009-03-13 |
| 1912105743 | Sensia Healthcare, Inc. | Clinic/Center | 11414 W Park Pl, Ste. 100, Milwaukee, WI 53224-3500 | 2007-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124665336 | Ltc Pharmacy Services, LLC | Pharmacy | 11739 W Bradley Rd, Milwaukee, WI 53224 | 2019-12-06 |
| 1811494628 | Udoyen Health LLC | Psychiatry & Neurology | 1414 W Park Pl, Suite 202, Milwaukee, WI 53224 | 2018-04-09 |
| 1003198292 | Attentacare Residential Living LLC | In Home Supportive Care | 8225b North 107th Street, Milwaukee, WI 53224 | 2011-09-13 |
| 1366744278 | Sunday Kerobo | Registered Nurse | 9809 W Fountain Ave, Milwaukee, WI 53224 | 2010-11-29 |
| 1558677237 | Valorie J Roberts | Registered Nurse | 10282 W Fountain Ave Apt #1301, Milwaukee, WI 53224 | 2010-08-19 |
| 1699092999 | United Extended Home Healthcare Services | Home Health | 6455 N. Fresno Streeet, Milwaukee, WI 53224 | 2010-04-26 |
| 1063742096 | Contina Monique Williams | Licensed Practical Nurse | 3949 N 70th St, Milwaukee, WI 53224 | 2010-01-14 |
| 1316171234 | Laura Ann Stern | Registered Nurse | 7005 N102nd St, Milwaukee, WI 53224 | 2009-05-06 |
| 1124276977 | Mary Deloris Wilder | Registered Nurse | 9851 W. Dean Rd, Milwaukee, WI 53224 | 2008-09-05 |
| 1346413515 | Alex B Goldman | Counselor | 11414 W Park Place Suite 202, Milwaukee, WI 53224 | 2008-04-09 |
| Find all providers in zip 53224 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689292856 | Julianne Margaret John | Nurse Practitioner | 3237 S 16th St Ste 310, Milwaukee, WI 53215-4526 | 2020-07-13 |
| 1558924811 | Sarah Kathryn Garven | Nurse Practitioner | 5000 West National Ave Rm 3119, Milwaukee, WI 53295-1000 | 2019-04-22 |
| 1588292700 | Christopher Adam Schuman | Nurse Practitioner | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-04-01 |
| 1003442849 | Jurgita Gronkowski | Nurse Practitioner | 5000 W National Ave, Milwaukee, WI 53295-2247 | 2020-03-12 |
| 1336775170 | Barbara Rebekah Demares | Nurse Practitioner | 949 N 9th St, Milwaukee, WI 53233-1422 | 2020-03-12 |
| 1639723711 | Amanda Marie Olivas | Nurse Practitioner | 210 W Capitol Dr, Milwaukee, WI 53212-1123 | 2019-07-28 |
| 1396219036 | Amy Heidenreich | Nurse Practitioner | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2019-01-16 |
| 1801376140 | Lisa Eileen Calabrese | Nurse Practitioner | 4570 S 27th St, Milwaukee, WI 53221-2145 | 2018-08-16 |
| 1295247237 | Judy A Conti | Nurse Practitioner | 210 W Capitol Dr, Milwaukee, WI 53212-1123 | 2017-10-31 |
| 1770008492 | Judith Ann Evenson | Nurse Practitioner | 1155 N Mayfair Rd, Milwaukee, WI 53226-3462 | 2017-08-03 |
| Find all providers in MILWAUKEE | ||||
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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.