REBECCA E HENDRICKSON (NPI# 1427305408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427305408 |
| Entity Type | Individual |
| Full Name | REBECCA E HENDRICKSON |
| Credential | NP |
| Practice Address |
721 American Ave Ste 205 Prohealth Care Diabetes Center Waukesha WI 53188-5071 |
| Practice Telephone | 2629284695 |
| Mailing Telephone | 2629284695 |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2020-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 161545 | WI | Nursing Service Providers |
| N | 363L00000X | Nurse Practitioner | 4966 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4966 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245830645 | Rebecca Angela Therese Hendrickson | Speech-Language Pathologist | 1801 American Blvd E, Bloomington, MN 55425-1232 | 2020-10-27 |
| 1306217344 | Rebecca Hendrickson | Occupational Therapist | 340 Maple St, Suite #410, Marlborough, MA 01752-3200 | 2015-10-16 |
| 1346585106 | Rebecca R Hendrickson | Speech-Language Pathologist | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2012-12-05 |
| 1861711475 | Rebecca Cappel Hendrickson | Psychiatry & Neurology | 1660 S Columbian Way, Mailstop S-116-mirec, Seattle, WA 98108-1532 | 2010-05-21 |
| 1427193861 | Rebecca Ann Hendrickson | Specialist/Technologist | 43 Smith Rd, Newport, RI 02841-1006 | 2007-02-21 |
| Street Address |
721 AMERICAN AVE STE 205 PROHEALTH CARE DIABETES CENTER |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53188-5071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801850524 | Heather J Sorum | Nurse Practitioner | 721 American Ave Ste 205, Prohealth Care Diabetes Center, Waukesha, WI 53188-5071 | 2006-04-12 |
| 1639474448 | Kathleen F. Valerius | Nurse Practitioner | 721 American Ave Ste 205, Prohealh Care Diabetes Center, Waukesha, WI 53188-5071 | 2011-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
| 1013475706 | Rachel Mueller | Occupational Therapist | 29667 Summit Ave, S11, Waukesha, WI 53188 | 2019-03-12 |
| 1861962649 | Emily Elizabeth Seefeld | Occupational Therapy Assistant | 29667 Summit Ave S11, Waukesha, WI 53188 | 2018-12-05 |
| 1003393307 | Ashley Susan Callahan | Dental Hygienist | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | 2018-07-19 |
| 1245741321 | Melissa Weir | Case Manager/Care Coordinator | 514 Riverview Avenue, Waukesha, WI 53188 | 2017-10-17 |
| 1093233629 | Patricia Marie Sombrio | Dental Hygienist | 711 Moreland Blvd 204, Waukesha, WI 53188 | 2017-09-04 |
| 1134660244 | Bdg of Wisconsin, Inc. | Behavioral Analyst | N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 | 2017-03-09 |
| 1255888731 | Lynne Sarah Alva | Dental Hygienist | 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 | 2016-09-01 |
| 1881069730 | Michelle Koch | Occupational Therapist | 29667 Summit Ave. S11, Waukesha, WI 53188 | 2015-12-03 |
| 1952711012 | Rhonda Schroeder | Dental Hygienist | W286 N991 Shepherds Way, Waukesha, WI 53188 | 2014-04-29 |
| Find all providers in zip 53188 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942291042 | Lynn Rose Maloney | Nurse Practitioner | 2717 N Grandview Blvd, Suite 202, Waukesha, WI 53188-1672 | 2005-10-31 |
| 1376540864 | Michelle Rae Schlomer | Nurse Practitioner | 1185 Corporate Center Dr, Suite 175 Prohealth Care Medical Associates Inc, Waukesha, WI 53188-5031 | 2005-06-30 |
| 1730787300 | Savanna Hofstetter | Nurse Practitioner | 725 American Ave, Waukesha, WI 53188-5099 | 2020-10-15 |
| 1093207094 | Amanda E Weber | Nurse Practitioner | 1751 E Main St, Waukesha, WI 53186-3940 | 2018-06-05 |
| 1902208283 | Amy Hoffman | Nurse Practitioner | 2607 N Grandview Blvd, Suite 150, Waukesha, WI 53188-1686 | 2014-09-18 |
| 1548669724 | Patricia C Starr | Nurse Practitioner | 725 American Ave, Suite 508 Professional Office Building, Waukesha, WI 53188-5031 | 2014-08-14 |
| 1659783264 | Allison Fahey | Nurse Practitioner | 721 American Ave, Suite 205, Waukesha, WI 53188-5071 | 2014-05-30 |
| 1467880641 | Mollie Jenkins | Nurse Practitioner | 721 American Ave Ste 501, Waukesha, WI 53188-5071 | 2013-10-24 |
| 1982971479 | Julie M Jackson | Nurse Practitioner | 725 American Ave, Interventional Pain, Waukesha, WI 53188-5031 | 2011-11-28 |
| 1588973275 | Lisa A Baker | Nurse Practitioner | 725 American Ave, Waukesha, WI 53188-5031 | 2010-09-29 |
| 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.