FAWN BINGHAM (NPI# 1467960955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467960955 |
Entity Type | Individual |
Full Name | FAWN BINGHAM |
Other Name | FAWN LILLIAN MCGUIRE |
Credential | FNP |
Practice Address |
500 Mcmillen St Fort Atkinson WI 53538-1233 |
Practice Telephone | 9205635571 |
Mailing Telephone | 9205635571 |
Enumeration Date | 2018-01-18 |
Last Update Date | 2018-01-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2017027605 | WI | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
500 MCMILLEN ST |
City | FORT ATKINSON |
State | WI |
Zip Code | 53538-1233 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326043266 | Donald L Williams | Internal Medicine | 500 Mcmillen St, Fort Atkinson, WI 53538-1233 | 2005-06-16 |
1417450115 | Fort Healthcare Inc | Family Medicine | 500 Mcmillen St, Fort Atkinson, WI 53538-1233 | 2018-03-09 |
1205232626 | Lauren P Mayer | Nurse Practitioner | 500 Mcmillen St, Fort Atkinson, WI 53538-1233 | 2014-11-12 |
1649699067 | Catherine L Sweeney | Pediatrics | 500 Mcmillen St, Fort Atkinson, WI 53538-1233 | 2014-04-14 |
1760686729 | Julia R Dewey | Pediatrics | 500 Mcmillen St, Fort Atkinson, WI 53538-1233 | 2007-06-13 |
1629287180 | Fort Healthcare Inc | Pediatrics | 500 Mcmillen St, Fort Atkinson, WI 53538-1233 | 2007-05-22 |
1255545646 | Sleem F'guyer | Internal Medicine | 500 Mcmillen St, Fort Healthcare Internal Medicine & Pediatrics, Fort Atkinson, WI 53538-1233 | 2007-05-09 |
1770558066 | Internal Medicine & Pediatrics, S.c. | Internal Medicine | 500 Mcmillen St, Fort Atkinson, WI 53538-1233 | 2006-02-21 |
1902802416 | Thomas Tackman | Internal Medicine | 500 Mcmillen St, Fort Atkinson, WI 53538-1233 | 2005-06-21 |
1700881869 | Laura Koenig | Internal Medicine | 500 Mcmillen St, Fort Atkinson, WI 53538-1233 | 2005-06-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902370695 | Home Care Assistance Services, LLC | In Home Supportive Care | 1001 Madison Avenue, Suite C, Fort Atkinson, WI 53538 | 2019-01-15 |
1609367291 | David Lewis | Physical Therapy Assistant | 431 Raintree Dr, Fort Atkinson, WI 53538 | 2018-05-20 |
1972093706 | City of Fort Atkinson | Ambulance | 124 Milwaukee Ave W, Fort Atkinson, WI 53538 | 2018-05-17 |
1306383468 | Chelsey Turk | Specialist/Technologist | 1231 Orchard Lane, Fort Atkinson, WI 53538 | 2017-01-27 |
1639625452 | Insight Counseling Services | Community/Behavioral Health | 615 Frederick Ave., Fort Atkinson, WI 53538 | 2016-08-31 |
1912355314 | Melissa Anne Gleason Trimbell | Dentist | 520 Handeyside Ln Ste 4, Fort Atkinson, WI 53538 | 2016-05-26 |
1295141943 | Brittany K Romans | Registered Nurse | 1230 Commonwealth Dr, 1, Fort Atkinson, WI 53538 | 2014-07-02 |
1023367117 | June Ann Sullivan | Occupational Therapy Assistant | 815 West Cramer Street, Fort Atkinson, WI 53538 | 2012-09-05 |
1306080551 | Mary Kathleen Bornick | Licensed Practical Nurse | W. 6143 N. Thornapple Court, Fort Atkinson, WI 53538 | 2009-04-30 |
1528244613 | Community Dental Clinic | Clinic/Center | 520 Handeyside, Suite 4, Fort Atkinson, WI 53538 | 2008-01-18 |
Find all providers in zip 53538 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124633920 | Joellyn Krause | Nurse Practitioner | 1520 Madison Ave, Fort Atkinson, WI 53538-3100 | 2020-09-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982203857 | Tiera Manuel | Nurse Practitioner | 3956 N 28th St, Milwaukee, WI 53216-2637 | 2020-10-22 |
1801494778 | Tajana Jovicic | Nurse Practitioner | 3157 S 66th St, Milwaukee, WI 53219-4105 | 2020-10-13 |
1497352090 | Carlotta Williams | Nurse Practitioner | 1205 Juniper Ln, Oconomowoc, WI 53066-3100 | 2020-10-06 |
1932706611 | Rachel Sullivan | Nurse Practitioner | 304 E Northlawn Dr, Cottage Grove, WI 53527-8917 | 2020-10-05 |
1649877663 | Kirk O'hanison | Nurse Practitioner | 1020 Oconomowoc Pkwy Unit B, Oconomowoc, WI 53066-4616 | 2020-10-02 |
1780291401 | Carlie Dell | Nurse Practitioner | 1636 Industrial Pkwy N, Marinette, WI 54143-3703 | 2020-09-27 |
1093320459 | Tyronda T Gray | Nurse Practitioner | 5833 N 117th St, Milwaukee, WI 53225-2207 | 2020-09-12 |
1629683065 | Yia Lor | Nurse Practitioner | 3750 Summerset Way Apt 1, Oshkosh, WI 54901-0501 | 2020-09-11 |
1245844364 | Asia Ann Gomez | Nurse Practitioner | 2816 E Allison Ave, Cudahy, WI 53110-2541 | 2020-09-04 |
1861005837 | Clair Roser Rivera | Nurse Practitioner | 3734 W Ohio Ave, Milwaukee, WI 53215-4047 | 2020-08-28 |
Find all providers with the same taxonomy |
City | FORT ATKINSON |
Zip Code | 53538 |
Please comment or provide details below to improve the information on FAWN BINGHAM.
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.