MRS. KATHRYN VICTORIA FALETTI (NPI# 1477678563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477678563 |
| Entity Type | Individual |
| Full Name | MRS. KATHRYN VICTORIA FALETTI |
| Credential | PA |
| Practice Address |
9555 76th St Ste 1200 Pleasant Prairie WI 53158-1984 |
| Mailing Address |
660 S Euclid Ave C B 8051 Saint Louis MO 63110-1010 |
| Practice Telephone | 2626717300 |
| Practice Fax Number | 2626717315 |
| Mailing Telephone | 3143629098 |
| Mailing Fax Number | 3143629851 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2019-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 4588-23 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 2007007212 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1477678563 | 05 | |
| IL | ENROLLED | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Barnes Jewish Hospital Plz, Saint Louis, MO 631101003 | 3143629098 | 3143629851 |
| Street Address |
9555 76TH ST STE 1200 |
| City | PLEASANT PRAIRIE |
| State | WI |
| Zip Code | 53158-1984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720034267 | Asheley Robyn Goergen | Physician Assistant | 9555 76th St Ste 1200, Pleasant Prairie, WI 53158-1984 | 2006-05-26 |
| 1598969644 | David A. Knight | Internal Medicine | 9555 76th St Ste 1200, Pleasant Prairie, WI 53158-1984 | 2007-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497393516 | Aurora Surgery Centers, LLC | Clinic/Center | 12500 Aurora Drive, Pleasant Prairie, WI 53158 | 2019-12-19 |
| 1770144297 | Jill Plaisted | Counselor | 8503 75th Street, Suite A, Pleasant Prairie, WI 53158 | 2019-06-25 |
| 1427593847 | Douglas Marion Mcdaniel | Physical Therapy Assistant | 5932 85th St, Pleasant Prairie, WI 53158 | 2016-12-20 |
| 1477095602 | Molly Weber | Speech-Language Pathologist | 8717 82nd St, Apartment 109, Pleasant Prairie, WI 53158 | 2016-11-04 |
| 1568919165 | Nicole Taylor | Specialist/Technologist | 9321 8th Avenue, Pleasant Prairie, WI 53158 | 2016-09-01 |
| 1578980165 | Forefront Dermatology, S.c. | Dermatology | 9020 76th St, Suite E, Pleasant Prairie, WI 53158 | 2014-03-21 |
| 1750603130 | Shelley L Johnson | Nurse Practitioner | 9697 Saint Catherines Dr # 300, Pleasant Prairie, WI 53158 | 2010-02-25 |
| 1194054981 | Jennifer S Stevens | Behavioral Analyst | 10450 72nd Ave, Pleasant Prairie, WI 53158 | 2009-12-08 |
| 1932273398 | Pamela Anderson | Registered Nurse | 11202 79 Street, Pleasant Prairie, WI 53158 | 2006-11-20 |
| 1033205562 | Holly Seidman | Pharmacist | 1309 110th Street, Pleasant Prairie, WI 53158 | 2006-10-04 |
| Find all providers in zip 53158 | ||||
| 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 |
|---|---|---|---|---|
| 1699242032 | Casie A Friedrich | Physician Assistant | 8500 N 75th St, Suite 102, Pleasant Prairie, WI 53142-8213 | 2018-10-24 |
| 1720034267 | Asheley Robyn Goergen | Physician Assistant | 9555 76th St Ste 1200, Pleasant Prairie, WI 53158-1984 | 2006-05-26 |
| 1831726488 | Alexis J Mckeever | Physician Assistant | 12500 Aurora Dr, Pleasant Prairie, WI 53158-1227 | 2020-03-24 |
| 1144864505 | Meghan Valleau | Physician Assistant | 8500 75th St, 101, Pleasant Prairie, WI 53158 | 2019-10-29 |
| 1083195580 | Kathryn A Mahoney | Physician Assistant | 9555 76th St # 1200, Pleasant Prairie, WI 53158-1984 | 2018-08-23 |
| 1447746805 | Jordon W. Thomsen | Physician Assistant | 9555 76th St, Pleasant Prairie, WI 53158-1984 | 2018-07-09 |
| 1780177048 | Rachel E Garnett | Physician Assistant | 9555 76th St, Pleasant Prairie, WI 53158-1984 | 2018-06-12 |
| 1811409162 | Elizabeth J. Shimeall | Physician Assistant | 9697 Saint Catherines Dr Ste 200, Pleasant Prairie, WI 53158-2118 | 2017-10-26 |
| 1750803474 | Matthew D Peterson | Physician Assistant | 9555 76th St, Pleasant Prairie, WI 53158-1984 | 2017-07-14 |
| 1821478876 | Elizabeth M Chollet | Physician Assistant | 9555 76th St, Pleasant Prairie, WI 53158-1984 | 2015-06-04 |
| Find all providers in PLEASANT PRAIRIE | ||||
| City | PLEASANT PRAIRIE |
| Zip Code | 53158 |
Please comment or provide details below to improve the information on MRS. KATHRYN VICTORIA FALETTI.
| 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.