MS. MELISSA NORTHWOOD (NPI# 1396180691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396180691 |
| Entity Type | Individual |
| Full Name | MS. MELISSA NORTHWOOD |
| Credential | RN |
| Practice Address |
9532 E 16 Frontage Rd Suite 100 Onalaska WI 54650-6739 |
| Practice Telephone | 6087830506 |
| Mailing Telephone | 6087830506 |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2013-05-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
178558-030 | WI | Nursing Service Providers |
| Street Address |
9532 E 16 FRONTAGE RD SUITE 100 |
| City | ONALASKA |
| State | WI |
| Zip Code | 54650-6739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003150004 | Ams of Wisconsin, LLC | Clinic/Center | 9532 E 16 Frontage Rd, Suite 100, Onalaska, WI 54650-6739 | 2012-11-15 |
| 1316545452 | Kayla Fausti | Counselor | 9532 E 16 Frontage Rd, Onalaska, WI 54650-6739 | 2020-10-12 |
| 1043843048 | Katlyn Becker | Counselor | 9532 E 16 Frontage Rd, Onalaska, WI 54650-6739 | 2020-02-18 |
| 1093347650 | Aubryana Sullivan | Counselor | 9532 E 16 Frontage Rd, Onalaska, WI 54650-6739 | 2020-02-11 |
| 1861032435 | Jay Zabel | Registered Nurse | 9532 E 16 Frontage Rd, Onalaska, WI 54650-6739 | 2020-01-13 |
| 1922643881 | Susan Doehlert | Registered Nurse | 9532 E 16 Frontage Rd, Onalaska, WI 54650-6739 | 2019-11-14 |
| 1831730753 | William Boisvert | Registered Nurse | 9532 E 16 Frontage Rd, Onalaska, WI 54650-6739 | 2019-10-02 |
| 1538725932 | Jennie Simms | Registered Nurse | 9532 E 16 Frontage Rd, Onalaska, WI 54650-6739 | 2019-05-13 |
| 1063987576 | Beth Clements | Registered Nurse | 9532 E 16 Frontage Rd, Onalaska, WI 54650-6739 | 2018-10-11 |
| 1710452420 | Matthew Kinserdahl | Registered Nurse | 9532 E 16 Frontage Rd, Onalaska, WI 54650-6739 | 2018-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568824027 | Kyle Quillin | Student in an Organized Health Care Education/Training Program | 236 Kevin Ct, Onalaska, WI 54650 | 2016-03-24 |
| 1831577881 | Katelyn Nicole Patten | Counselor | 575 Lester Ave, Onalaska, WI 54650 | 2015-05-11 |
| 1619369758 | Amelia Vruble | Registered Nurse | 1047 Terrace Drive, Onalaska, WI 54650 | 2015-02-26 |
| 1699186528 | C. Nathan Vannatta | Physical Therapist | 3111 Gunersen Dr, Onalaska, WI 54650 | 2014-05-13 |
| 1770867640 | Claire Sweet | Pharmacist | 9400 Hwy 16, Target T-0620, Onalaska, WI 54650 | 2011-10-10 |
| 1306140439 | Jared I Darveaux | Internal Medicine | 311 Gundersen Dr, Onalaska, WI 54650 | 2011-01-04 |
| 1326299488 | Demetrios Spyridon Theodoropoulos | Allergy & Immunology | 2727 Midwest Drive, Onalaska, WI 54650 | 2008-10-08 |
| 1114190618 | Nancy Ellen Reithel | Physical Therapist | 610 Westwood Drive, Onalaska, WI 54650 | 2008-04-07 |
| 1902972896 | Maplewood Dental | Dentist | 1202 County Trunk Ph, Suite 300, Onalaska, WI 54650 | 2006-11-24 |
| 1245309327 | Benjamin John Breidenbach | Chiropractor | 1640 George St, Lacrosse, WI 54650 | 2006-11-06 |
| Find all providers in zip 54650 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861032435 | Jay Zabel | Registered Nurse | 9532 E 16 Frontage Rd, Onalaska, WI 54650-6739 | 2020-01-13 |
| 1922643881 | Susan Doehlert | Registered Nurse | 9532 E 16 Frontage Rd, Onalaska, WI 54650-6739 | 2019-11-14 |
| 1831730753 | William Boisvert | Registered Nurse | 9532 E 16 Frontage Rd, Onalaska, WI 54650-6739 | 2019-10-02 |
| 1538725932 | Jennie Simms | Registered Nurse | 9532 E 16 Frontage Rd, Onalaska, WI 54650-6739 | 2019-05-13 |
| 1063987576 | Beth Clements | Registered Nurse | 9532 E 16 Frontage Rd, Onalaska, WI 54650-6739 | 2018-10-11 |
| 1710452420 | Matthew Kinserdahl | Registered Nurse | 9532 E 16 Frontage Rd, Onalaska, WI 54650-6739 | 2018-10-09 |
| 1396228987 | Elaine Stika | Registered Nurse | 9532 E 16 Frontage Rd, Onalaska, WI 54650-6739 | 2018-09-11 |
| 1538651260 | Amy Miller | Registered Nurse | 9532 E 16 Frontage Rd, Onalaska, WI 54650-6739 | 2018-05-30 |
| 1023512878 | Patricia Olson | Registered Nurse | 9532 E 16 Frontage Rd, Onalaska, WI 54650-6739 | 2018-03-19 |
| 1689181356 | Stefanie Clements | Registered Nurse | 9532 E 16 Frontage Rd, Onalaska, WI 54650-6739 | 2018-01-04 |
| Find all providers in ONALASKA | ||||
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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.