HOLLY KAY RODENBERG (NPI# 1407091192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407091192 |
| Entity Type | Individual |
| Full Name | HOLLY KAY RODENBERG |
| Credential | R.N., B.S.N |
| Practice Address |
N6520 Lumber Jack Guy Rd Black River Falls WI 54615 |
| Mailing Address |
N6520 Lumber Jack Guy Rd. Black River Falls WI 54615 |
| Practice Telephone | 7152849851 |
| Mailing Telephone | (715) 284-9851 |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2017-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
101663-030 | WI | Nursing Service Providers |
| Street Address |
N6520 LUMBER JACK GUY RD |
| City | BLACK RIVER FALLS |
| State | WI |
| Zip Code | 54615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124455183 | Heather Jerzak | Dietitian, Registered | N6520 Lumber Jack Guy Rd, Black River Falls, WI 54615 | 2013-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104339118 | Lori Jean Mohring | Counselor | 420 Wi-54, Black River Falls, WI 54615 | 2017-11-13 |
| 1184095788 | Robert Anthony Zupancich | Pharmacist | 611 Hwy 54 East, Black River Falls, WI 54615 | 2015-10-08 |
| 1932545902 | Hera Jane Lonetree-rindahl | Counselor | W9850 Airport Rd, Black River Falls, WI 54615 | 2013-05-17 |
| 1902141344 | Mary Jane Jones | Pharmacist | 610 West Adams St., Black River Falls, WI 54615 | 2012-12-11 |
| 1285905844 | Vera Ellen Heubel | Registered Nurse | N6520 Lumber Jack Guy Road, Black River Falls, WI 54615 | 2012-01-13 |
| 1295048361 | Megan Ryan | Dentist | N6571 Lumberjack Guy Road, Black River Falls, WI 54615 | 2010-07-19 |
| 1912147828 | Evangeline M Suquet | Counselor | W9850 Airport Road, Black River Falls, WI 54615 | 2009-03-05 |
| 1841467636 | Pamela Listle | Speech-Language Pathologist | 711 West Adams St., Black River Falls, WI 54615 | 2008-05-12 |
| 1285778969 | Black River Family Dentistry Ltd | Dentist | N6625 County Hwy A, Black River Falls, WI 54615 | 2007-02-16 |
| 1578627139 | Robert Emery | Optometrist | Ho-chunk Health Care Center, N6520 Guy Road, Black River Falls, WI 54615 | 2006-12-20 |
| Find all providers in zip 54615 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285903765 | Jess M Thill | Registered Nurse | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 | 2011-12-29 |
| 1316216120 | Lisa Lizette Harrison | Registered Nurse | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 | 2011-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205465408 | Cindy Brosig | Registered Nurse | 1570 Traut Rd, Marshall, WI 53559-9600 | 2020-04-08 |
| 1124595731 | Lana Berry | Registered Nurse | 3314 Miller St, Eau Claire, WI 54701-7646 | 2018-11-01 |
| 1093252512 | Megan Lindemann | Registered Nurse | 4150 S Herman St, Milwaukee, WI 53207-5118 | 2017-01-22 |
| 1295137305 | Jini L Ruplinger | Registered Nurse | 7203 Woodsmoke Rd, Wausau, WI 54401-9236 | 2014-09-19 |
| 1265778021 | Debbie Jean Heitzer | Registered Nurse | W349n5900 Sunflower Ct, Oconomowoc, WI 53066-6724 | 2012-12-26 |
| 1134480379 | Michelle A Pevonka-thompson | Registered Nurse | 128 Northbreeze Dr, Appleton, WI 54911-1225 | 2012-06-05 |
| 1619244779 | Pamela Ann Evers | Registered Nurse | 1335 Market St, La Crosse, WI 54601-4846 | 2011-11-17 |
| 1639469760 | Andrea K Manzer | Registered Nurse | 303 Elm Street, Communtiy Health, Odanah, WI 54861 | 2011-04-11 |
| 1215247432 | Kirsten Elizabeth Dolan Drewlow | Registered Nurse | 1407 Saint Andrew Street, Suite 100, Lacrosse, WI 54603-2378 | 2010-10-21 |
| 1437468915 | Vicki Lynn Freemore Dorn | Registered Nurse | 617 Farmer Ave, Tomah, WI 54660-2236 | 2010-09-30 |
| Find all providers with the same taxonomy | ||||
| City | BLACK RIVER FALLS |
| Zip Code | 54615 |
Please comment or provide details below to improve the information on HOLLY KAY RODENBERG.
| 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.