REBECCA PRUELLA ANDERSON (NPI# 1447365598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447365598 |
| Entity Type | Individual |
| Full Name | REBECCA PRUELLA ANDERSON |
| Credential | NP |
| Practice Address |
785 Summit Ave Ste 101 Prohealth Care Women's Center Oconomowoc WI 53066-3844 |
| Mailing Address |
N17w24100 Riverwood Dr Ste 250 Prohealth Care Medical Associates Waukesha WI 53188-1177 |
| Practice Telephone | 2625690345 |
| Practice Fax Number | 2625690333 |
| Mailing Telephone | 2624735655 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2012-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
2574-033 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | WISCONSIN MEDICAID PROGRAM | 41266700 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780189779 | Rebecca T Anderson | Pharmacist | 101 Windflower Ln Ste 100, Solon, IA 52333-4708 | 2018-03-29 |
| 1285149781 | Rebecca Anderson | Physician Assistant | 413 Owen Dr Ste 201, Fayetteville, NC 28304-3490 | 2017-12-06 |
| 1003335795 | Rebecca Anderson | Audiologist | 1500 Nw 10th Ave Ste 104, Boca Raton, FL 33486-1344 | 2017-09-13 |
| 1477890077 | Rebecca Anderson | Pharmacist | 10006 Mountaingate Ln, Bakersfield, CA 93311-2779 | 2013-01-16 |
| 1871871293 | Rebecca Anderson | Marriage & Family Therapist | 19 Hanson St, Portland, ME 04103-4912 | 2011-08-02 |
| 1518105873 | Rebecca Ann Anderson | Dental Hygienist | 933 Duncan Rd, Belgrade, MT 59714-8187 | 2009-01-25 |
| 1386846038 | Rebecca D Anderson | Counselor | 1215 Main Street, Philomath, OR 97370 | 2007-06-04 |
| 1063628121 | Rebecca Jane Anderson | General Practice | 5610 Crawfordsville Rd Ste 103, Indianapolis, IN 46224-3714 | 2007-05-15 |
| 1568514354 | Rebecca Jo Anderson | Dentist | 170 West Fifth Street, Elkhorn City, KY 41522 | 2007-01-18 |
| 1750441697 | Rebecca Jo Anderson | Speech-Language Pathologist | 4bershire Blvd, Bethel, CT 06801-1001 | 2006-12-11 |
| Street Address |
785 SUMMIT AVE STE 101 PROHEALTH CARE WOMEN'S CENTER |
| City | OCONOMOWOC |
| State | WI |
| Zip Code | 53066-3844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972602852 | Sarit O. Aschkenazi-steinberg | Obstetrics & Gynecology | 785 Summit Ave Ste 101, Prohealth Care Women's Center, Oconomowoc, WI 53066-3844 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376109082 | Sharon Legwinski | Occupational Therapist | 2195 N. Summit Way, Oconomowoc, WI 53066 | 2019-05-17 |
| 1033676390 | Paladina Health, LLC | Family Medicine | Paladina Health Oconomowoc Sentry Equipment Circle, 966 Blue Ribbon Circle N, Oconomowoc, WI 53066 | 2019-02-22 |
| 1689145500 | Oconomowoc Developmental Training Center of Wisconsin LLC | Residential Treatment Facility, Emotionally Disturbed Children | 36100 Genesee Lake School, Oconomowoc, WI 53066 | 2018-12-17 |
| 1649748203 | Ginny Dacquisto | Dietitian, Registered | 1134 Lily Rd, Oconomowoc, WI 53066 | 2018-11-12 |
| 1174000764 | Aimee M Metzger | Social Worker | 405 E Forest St Ste 113, Oconomowoc, WI 53066 | 2018-07-26 |
| 1023482569 | Forefront Dermatology, S.c. | Dermatology | 1320 Pabst Farms Cir, Suite 180, Oconomowoc, WI 53066 | 2015-11-20 |
| 1962890475 | Monica Rodriguez | Counselor | 405 East Forest Street, Suite 119, Oconomowoc, WI 53066 | 2015-01-06 |
| 1518384643 | Kimberley Bevan | Pharmacist | 1284 East Summit Avenue, Suite 100, Oconomowoc, WI 53066 | 2014-03-26 |
| 1699098905 | Heidi Eckroth Nunnemacher | Counselor | 35315 Genesee Lake Road, Oconomowoc, WI 53066 | 2010-03-02 |
| 1669705240 | Oconomowoc Development Training Center Ll | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3222 N. Silver Cedar Rd., Oconomowoc, WI 53066 | 2009-09-14 |
| Find all providers in zip 53066 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497184303 | Joan Elizabeth Shelley | Nurse Practitioner | 1185 Corporate Center Dr, Suite 300, Oconomowoc, WI 53066-4887 | 2013-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952870289 | Sujata Karki | Nurse Practitioner | 402 N Eau Claire Ave Apt 309, Madison, WI 53705-2820 | 2018-11-15 |
| 1861926750 | Lisa Somers | Nurse Practitioner | W126n7338 Flint Dr, Menomonee Falls, WI 53051-4532 | 2017-04-17 |
| 1750828299 | Nanette Marie Kloth | Nurse Practitioner | 18110 W Bluemond Rd, Brookfield, WI 53045 | 2017-01-23 |
| 1902341852 | Rebecca Weld Hall | Nurse Practitioner | 3245 Milwaukee St, Madison, WI 53714-1829 | 2017-01-02 |
| 1629525613 | Katherine Simons Melde | Nurse Practitioner | 2222 S Park St Ste 210, Madison, WI 53713 | 2016-09-07 |
| 1134574643 | Victoria White | Nurse Practitioner | 2500 N Mayfair Rd Ste 260, Wauwatosa, WI 53226-1443 | 2016-05-03 |
| 1326414442 | Diane Marie Kelley | Nurse Practitioner | 300 Femrite Drive, Monona, WI 53716 | 2015-08-12 |
| 1841673829 | M Christine Meulemans | Nurse Practitioner | 3391 Wilderness Trl, Suamico, WI 54313-8746 | 2015-07-08 |
| 1548659725 | Patricia Ann Kender | Nurse Practitioner | 17495 W. Capitol Dr., Brookfield, WI 53045 | 2015-01-12 |
| 1588062947 | Laura Swett | Nurse Practitioner | 733 Woodside Dr, Seymour, WI 54165-1661 | 2014-12-16 |
| Find all providers with the same taxonomy | ||||
| City | OCONOMOWOC |
| Zip Code | 53066 |
Please comment or provide details below to improve the information on REBECCA PRUELLA ANDERSON.
| 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.