KAITLIN SANDSTROM (NPI# 1447634761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447634761 |
| Entity Type | Individual |
| Full Name | KAITLIN SANDSTROM |
| Credential | PA |
| Practice Address |
9969 S 27th St Franklin WI 53132-9533 |
| Practice Telephone | 4143254710 |
| Practice Fax Number | 4143254711 |
| Mailing Telephone | 4143254710 |
| Mailing Fax Number | 4143254711 |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2015-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 3611 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9969 S 27TH ST |
| City | FRANKLIN |
| State | WI |
| Zip Code | 53132-9533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346353885 | Nalin S Soni | Internal Medicine | 9969 S 27th St, Franklin, WI 53132-9533 | 2006-08-17 |
| 1306493556 | Caroline Miriam Fox | Dietitian, Registered | 9969 S 27th St, Franklin, WI 53132-9533 | 2019-08-22 |
| 1881170991 | James M Humpal | Physician Assistant | 9969 S 27th St, Franklin, WI 53132-9533 | 2018-07-12 |
| 1821532797 | Christopher Konle | Physical Therapist | 9969 S 27th St, Franklin, WI 53132-9533 | 2016-12-13 |
| 1053776971 | Michael O Koscielak | Physical Therapist | 9969 S 27th St, Franklin, WI 53132-9533 | 2015-12-18 |
| 1962867879 | Talitha Ann Zinsli | Physical Therapist | 9969 S 27th St, Franklin, WI 53132-9533 | 2015-12-18 |
| 1134594567 | Jill M Hackney | Physical Therapist | 9969 S 27th St, Franklin, WI 53132-9533 | 2015-12-10 |
| 1629443338 | Laura Burbach | Physical Therapist | 9969 S 27th St, Franklin, WI 53132-9533 | 2015-12-07 |
| 1205220233 | Kristin Elizabeth Dement | Family Medicine | 9969 S 27th St, Franklin, WI 53132 | 2015-03-27 |
| 1457754137 | Elizabeth Sharpee | Nurse Practitioner | 9969 S 27th St, Franklin, WI 53132-9533 | 2014-10-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568014405 | Michelle L. Lamers, D.d.s, L.L.C. | Dentist | 7111 S 76 Street, Franklin, WI 53132 | 2019-07-11 |
| 1649833765 | Lori A Mansur | Registered Nurse | 6580 S. 46th St., Franklin, WI 53132 | 2019-04-15 |
| 1619496296 | Emily Ninnemann | Occupational Therapist | 8940 S. 51st St, Franklin, WI 53132 | 2017-09-14 |
| 1639532526 | Rinal Patel | Emergency Medicine | 9200 W Loomis Rd Ste 212, Franklin, WI 53132 | 2016-03-30 |
| 1174980098 | Lisa Obrien | Registered Nurse | 3111 W Rawson Ave Ste 210, Franklin, WI 53132 | 2016-01-22 |
| 1528446713 | Jonathan Shih | Podiatrist | 9200 W Loomis Rd Ste 116, Franklin, WI 53132 | 2015-05-08 |
| 1275940769 | Tristan Krause | Nurse Practitioner | 4225 W. Oakwood Park Court, Franklin, WI 53132 | 2014-07-16 |
| 1922344613 | Vital Imaging, LLC | Clinic/Center | 10500 W. Loomis Rd., Ste 130, Franklin, WI 53132 | 2012-12-27 |
| 1013285311 | Jill Barth | Pharmacist | 7130 South 76th Street, Franklin, WI 53132 | 2011-12-01 |
| 1235417783 | Hilary Megan Mayne | Dentist | 6855 South 27th St, Franklin, WI 53132 | 2011-08-02 |
| Find all providers in zip 53132 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507807 | Rachel Nye | Physician Assistant | 124 Home Depot Dr Ste D, Franklin, PA 16323-8030 | 2020-10-29 |
| 1265048268 | Olivia Meers | Physician Assistant | 1080 Cedarview Ln, Franklin, TN 37067-4068 | 2020-09-16 |
| 1467064220 | Jonathan Efrem Selwitz | Physician Assistant | 19 Anchorage Rd, Franklin, MA 02038-1551 | 2020-08-21 |
| 1578184669 | Megan Marie Krachkowski | Physician Assistant | 6885 Us 322 Ste 3, Franklin, PA 16323-8000 | 2020-04-30 |
| 1679106124 | Kayla Weber | Physician Assistant | 6557 S Whitnall Edge Rd, Franklin, WI 53132-1286 | 2020-02-12 |
| 1063042075 | Emma Davidman | Physician Assistant | 155 Covey Dr Ste 200, Franklin, TN 37067-6008 | 2020-01-17 |
| 1306484522 | Peyton Edward Mitchell | Physician Assistant | 3310 Aspen Grove Dr Ste 102, Franklin, TN 37067-2841 | 2019-12-18 |
| 1235617614 | Kaitlyn Nicole Crites | Physician Assistant | 82 Pine Street, Franklin, WV 26807 | 2018-07-30 |
| 1659876324 | Joanna Lucy Nyland | Physician Assistant | 131 Reliance Dr, Franklin, TN 37067-1734 | 2018-03-26 |
| 1447607312 | Matthew Young | Physician Assistant | 155 Covey Dr Ste 100, Franklin, TN 37067-6007 | 2016-05-19 |
| Find all providers in FRANKLIN | ||||
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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.