WALLIS OLIVIA EDWARDS (NPI# 1427676113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427676113 |
| Entity Type | Individual |
| Full Name | WALLIS OLIVIA EDWARDS |
| Credential | MD |
| Practice Address |
2400 W Villard Ave Milwaukee WI 53209-4901 |
| Practice Telephone | 4145278348 |
| Mailing Telephone | 4145278348 |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2020-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2400 W VILLARD AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53209-4901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205824786 | Joseph W Gravel Jr. | Family Medicine | 2400 W Villard Ave, Milwaukee, WI 53209-4901 | 2005-10-10 |
| 1053920504 | Jerry Varghese Thuthikattu John | Family Medicine | 2400 W Villard Ave, Milwaukee, WI 53209-4901 | 2020-07-29 |
| 1053929620 | Alyssa Nicole Fairservice | Student in an Organized Health Care Education/Training Program | 2400 W Villard Ave, Milwaukee, WI 53209-4901 | 2020-07-20 |
| 1093334146 | Charles Franklin Mitchell IIi | Student in an Organized Health Care Education/Training Program | 2400 W Villard Ave, Milwaukee, WI 53209-4901 | 2020-04-09 |
| 1245869452 | Thomas William Kerndt | Student in an Organized Health Care Education/Training Program | 2400 W Villard Ave, Milwaukee, WI 53209-4901 | 2020-04-08 |
| 1508494121 | Yelena Planic | Student in an Organized Health Care Education/Training Program | 2400 W Villard Ave, Milwaukee, WI 53209-4901 | 2020-03-30 |
| 1184276792 | Thomas Allen Puffett | Family Medicine | 2400 W Villard Ave, Milwaukee, WI 53209-4901 | 2019-07-13 |
| 1093377335 | Maggie Elizabeth Walsh | Student in an Organized Health Care Education/Training Program | 2400 W Villard Ave, Milwaukee, WI 53209-4901 | 2019-07-08 |
| 1093377434 | Jayasakthi Palaniappan | Student in an Organized Health Care Education/Training Program | 2400 W Villard Ave, Milwaukee, WI 53209-4901 | 2019-07-06 |
| 1639730799 | Christopher Sue | Student in an Organized Health Care Education/Training Program | 2400 W Villard Ave, Milwaukee, WI 53209-4901 | 2019-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780238253 | Niajcia Brookshire | Counselor | 3900 W Brown Deer Rd Suite 200, Brown Deer, WI 53209 | 2019-08-01 |
| 1740751015 | Mary Fuller | Home Health Aide | 3043 N 29th St., Milwaukee, WI 53209 | 2018-12-16 |
| 1154869410 | Jacksonscott2 | Skilled Nursing Facility | 4573 N. 22nd Street, Milwaukee, WI 53209 | 2017-02-07 |
| 1669910469 | Dimera House | In Home Supportive Care | 4002 W Fairount Ave, Milwaukee, WI 53209 | 2017-02-01 |
| 1891248340 | Amy L May | Nurse Practitioner | 3303 W Good Hope Rd, Milwaukee, WI 53209 | 2016-08-02 |
| 1871980193 | Alan R Rosenthal | Pharmacist | 6930 N Beech Tree Dr, Milwaukee, WI 53209 | 2015-04-24 |
| 1104212380 | Reema Shah | Student in an Organized Health Care Education/Training Program | 2400 W. Villard Ave, Milwaukee, WI 53209 | 2015-04-14 |
| 1336534403 | Robert Michael Kitsis | Family Medicine | 9252 N Green Bay Rd Fl 2, Brown Deer, WI 53209 | 2015-04-05 |
| 1962891994 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Public Health or Welfare | 8330 North Teutonia Ave Suite 103, Brown Deer, WI 53209 | 2015-01-14 |
| 1548659634 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Early Intervention Provider Agency | 8330 North Teutonia Avenue Suite 103, Brown Deer, WI 53209 | 2015-01-13 |
| Find all providers in zip 53209 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588275226 | Benjamin N Wasserman | Student in an Organized Health Care Education/Training Program | 3487 N Lake Dr, Milwaukee, WI 53211-2919 | 2020-08-16 |
| 1831707991 | Teresa Marie Ilardi | Student in an Organized Health Care Education/Training Program | 500 W Bradley Rd Apt 127a, Milwaukee, WI 53217-2618 | 2020-07-15 |
| 1053938167 | Joe Dalton | Student in an Organized Health Care Education/Training Program | 1431 N 53rd St, Milwaukee, WI 53208-2227 | 2020-07-06 |
| 1326663790 | Amber Frances Wegner | Student in an Organized Health Care Education/Training Program | 3050 S 62nd St, Milwaukee, WI 53219-3039 | 2020-06-11 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1194349688 | Nikole Anne Bruno | Student in an Organized Health Care Education/Training Program | 2160 S Kinnickinnic Ave Apt 327, Milwaukee, WI 53207-1345 | 2020-06-01 |
| 1598389124 | Amanda Philbin | Student in an Organized Health Care Education/Training Program | 6834 W Cold Spring Rd, Milwaukee, WI 53220-2909 | 2020-05-29 |
| 1992328603 | Amanda Kathryn Browning | Student in an Organized Health Care Education/Training Program | 1123 E Van Beck Ave, Milwaukee, WI 53207-4525 | 2020-05-28 |
| 1548899875 | Brittany Schall | Student in an Organized Health Care Education/Training Program | 945 N 12th St # 3105, Milwaukee, WI 53233-1305 | 2020-04-07 |
| 1841829918 | Joshua Michael Brooks | Student in an Organized Health Care Education/Training Program | Aurora St. Lukes Medical Center 2901 W Oklahoma Ave, Milwaukee, WI 53215 | 2020-04-02 |
| 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.