BRETT GENENBACHER (NPI# 1467074401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467074401 |
| Entity Type | Individual |
| Full Name | BRETT GENENBACHER |
| Practice Address |
1362 N 1403rd Ln Fowler IL 62338-2118 |
| Practice Telephone | 2177796698 |
| Mailing Telephone | 2177796698 |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-05-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| 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 |
1362 N 1403RD LN |
| City | FOWLER |
| State | IL |
| Zip Code | 62338-2118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598004210 | Sarah Mueller | Social Worker | 1469 South St, Fowler, IL 62338-2362 | 2013-02-01 |
| 1689849242 | Kelly J Thompson | Driver | 1473 South St, Fowler, IL 62338-2362 | 2008-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447899745 | Kelsey Arver Thelen | Nurse Practitioner | 877 Cedar Trl, Fowler, MI 48835-9140 | 2020-01-03 |
| 1053957639 | Katilyn Davis | 9915 W Colony Rd, Fowler, MI 48835-9717 | 2019-11-19 | |
| 1144871591 | Michael Sherman Jr. | Technician | 322 N 10th St, Fowler, CA 93625-2218 | 2019-09-26 |
| 1659936417 | Restore Home Health Agency LLC | Home Health | 310 W 7th Ave, Fowler, KS 67844-4418 | 2019-05-07 |
| 1881178382 | Sheets Family Dentistry, Inc. | Clinic/Center | 98 S 100 E, Suite B, Fowler, IN 47944 | 2018-09-20 |
| 1437683737 | Gordon Ray | Contractor | 34385 Hwy 167, Fowler, CO 81039-0087 | 2017-04-13 |
| 1225569288 | Jasvin Pannu | Case Manager/Care Coordinator | 1202 Ryan Ave, Fowler, CA 93625-9492 | 2017-03-22 |
| 1164962585 | Gabriella Seida | Behavior Technician | 9080 W Maple Rapids Rd, Fowler, MI 48835-9605 | 2017-03-03 |
| 1508272196 | Kyle Sheets | Dentist | 98 South 100 East, Suite B, Fowler, IN 47944-0456 | 2014-07-03 |
| 1871912865 | Alina Jolene Davis | Registered Nurse | 317 W Florence Ave, Fowler, CO 81039-1043 | 2014-04-07 |
| Find all providers in FOWLER | ||||
| 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 |
|---|---|---|---|---|
| 1134720436 | April Renee Gallik | Student in an Organized Health Care Education/Training Program | 8807 S 79th Ave Apt 18, Hickory Hills, IL 60457-1597 | 2020-11-03 |
| 1932709706 | Samantha Klosak | Student in an Organized Health Care Education/Training Program | 8144 Old Mill Rd, Frankfort, IL 60423-8675 | 2020-10-29 |
| 1508466624 | Carly Belle Mitchell | Student in an Organized Health Care Education/Training Program | 870 Appletree Ct, Northbrook, IL 60062-3402 | 2020-10-28 |
| 1144829813 | Payton Collins | Student in an Organized Health Care Education/Training Program | 5103 S Brookstone Dr, Rochelle, IL 61068-9131 | 2020-10-22 |
| 1821697830 | Mayuri Prashant Shende | Student in an Organized Health Care Education/Training Program | 2160 S. First Ave., Bldg. 105, Suite 2840a, Marywood, IL 60135 | 2020-10-21 |
| 1922607001 | Katherine Chen | Student in an Organized Health Care Education/Training Program | 2305 Mohawk Ln, Glenview, IL 60026-1035 | 2020-10-20 |
| 1922606995 | Cassia Yuechun Weigel | Student in an Organized Health Care Education/Training Program | 601 N Main St Apt 5s, Normal, IL 61761-1576 | 2020-10-13 |
| 1679171888 | Manuel J Ramirez | Student in an Organized Health Care Education/Training Program | 714 W Woodland Rd, Lake Bluff, IL 60044-1652 | 2020-10-12 |
| 1205443975 | Nickolas Armstrong | Student in an Organized Health Care Education/Training Program | 2828 N Pine Grove Ave Apt 618, Chicago, IL 60657-6137 | 2020-09-28 |
| 1871109496 | Morgan Elizabeth Westjohn | Student in an Organized Health Care Education/Training Program | 111 Mound St, Sainte Marie, IL 62459 | 2020-09-18 |
| Find all providers with the same taxonomy | ||||
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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.