MS. CARISSA GEURDEN (NPI# 1487969226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487969226 |
| Entity Type | Individual |
| Full Name | MS. CARISSA GEURDEN |
| Credential | M.S. |
| Practice Address |
1320 Wisconsin Ave Racine WI 53403-1978 |
| Mailing Address |
4118 Washington Rd Apt 112 Kenosha WI 53144-4208 |
| Practice Telephone | 2626872699 |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2010-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| 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 |
1320 WISCONSIN AVE |
| City | RACINE |
| State | WI |
| Zip Code | 53403-1978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972501070 | Paul William Springborn | Pharmacist | 1320 Wisconsin Ave, Racine, WI 53403-1978 | 2005-07-12 |
| 1790257525 | Tonya Iliah Witherspoon | Counselor | 1320 Wisconsin Ave, Racine, WI 53403-1978 | 2018-12-18 |
| 1750872438 | Maria Elena Godines | Nurse Practitioner | 1320 Wisconsin Ave, Racine, WI 53403 | 2018-05-29 |
| 1336660398 | Britani Rae May | Physical Therapy Assistant | 1320 Wisconsin Ave, Racine, WI 53403-1978 | 2017-06-29 |
| 1285169276 | Lakeisha Woods | Social Worker | 1320 Wisconsin Ave, Racine, WI 53403 | 2017-04-27 |
| 1841738028 | Mary Harris | Occupational Therapy Assistant | 1320 Wisconsin Ave, Racine, WI 53403-1978 | 2017-02-07 |
| 1164887774 | Jennifer Gullo | Social Worker | 1320 Wisconsin Ave, Racine, WI 53403-1978 | 2015-12-24 |
| 1386020410 | Elizabeth Louise Retherford | Nurse Practitioner | 1320 Wisconsin Ave, Racine, WI 53403-1978 | 2015-07-30 |
| 1518351303 | Elisabeth Steadman | Social Worker | 1320 Wisconsin Ave, Racine, WI 53403-1978 | 2015-03-19 |
| 1104223510 | Nicholas Bruno | Social Worker | 1320 Wisconsin Ave, Racine, WI 53403 | 2014-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124676259 | Quality Care LLC | Clinic/Center | 2051 Mead St, Racine, WI 53403 | 2019-09-02 |
| 1073999355 | Wisconsin Lutheran Child & Family Service, Inc. | Social Worker | 6150 Taylor Avenue, Racine, WI 53403 | 2015-08-10 |
| 1457780496 | Pheynell Branch | Counselor | 1650 Wasington Ave, Racine, WI 53403 | 2013-11-08 |
| 1811278054 | Michelle Gloria Parisot | Psychologist | 1320 Wisconsin Ave., Racine, WI 53403 | 2011-09-01 |
| 1720372022 | Katie Hagen | Social Worker | 1717 Taylor Avenue, Racine, WI 53403 | 2011-06-03 |
| 1043431570 | Rita S Harris | Physical Therapy Assistant | Lakeshore Manor 1320 Wisconsin Avenue, Racine, WI 53403 | 2007-05-01 |
| 1336281336 | Linda J Hockensmith | Occupational Therapist | 4214 Sheridan Road, Racine, WI 53403 | 2007-02-13 |
| 1851447387 | Richard John Kemper | Dentist | 1509 Washington Ave, Racine, WI 53403 | 2007-01-26 |
| 1689760332 | Lester Leslie Higgenbottom | Counselor | 1820 Arlington Ave, Racine, WI 53403 | 2006-10-04 |
| 1114942315 | Access Medical Center, LLC | Clinic/Center | 4216 Old Green Bay Rd, Racine, WI 53403 | 2006-07-12 |
| Find all providers in zip 53403 | ||||
| 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 |
|---|---|---|---|---|
| 1700494689 | Rebecca J Burchi | Student in an Organized Health Care Education/Training Program | 3004 Olive St, Racine, WI 53403-2826 | 2020-07-16 |
| 1154983922 | Keona Denise Marie Thompson | Student in an Organized Health Care Education/Training Program | 1121 Tall Oak Ct, Racine, WI 53406-3035 | 2019-07-02 |
| 1093131260 | Britteny Hudzinski-hart | Student in an Organized Health Care Education/Training Program | 6905 Cliffside Dr, Racine, WI 53402-1321 | 2014-03-12 |
| 1548468507 | Rupashi Goswami | Student in an Organized Health Care Education/Training Program | 2046 Frankie Pl Apt 208, Racine, WI 53406-6113 | 2007-07-10 |
| 1306917851 | Julia Ghada Nasser | Student in an Organized Health Care Education/Training Program | 2030 Frankie Pl Apt 203, Racine, WI 53406-6117 | 2006-11-13 |
| 1154492551 | Emelide Mont-louis | Student in an Organized Health Care Education/Training Program | 4240 N Main St Apt 312, Racine, WI 53402-2885 | 2006-11-10 |
| 1972810927 | Aaron Gubi | Student in an Organized Health Care Education/Training Program | 1244 Wisconsin Ave, Racine, WI 53403-1987 | 2010-09-10 |
| 1487969291 | Wendy Carroll Kelly | Student in an Organized Health Care Education/Training Program | 1320 Wisconsin Ave, Racine, WI 53403-1978 | 2010-08-17 |
| 1053584219 | Meaghan Kaitlin Doherty | Student in an Organized Health Care Education/Training Program | 1320 Wisconsin Ave, Racine, WI 53403-1978 | 2008-04-09 |
| 1306035720 | Vincent R Susini | Student in an Organized Health Care Education/Training Program | 3801 Spring St, Racine, WI 53405-1667 | 2007-10-22 |
| Find all providers in RACINE | ||||
Please comment or provide details below to improve the information on MS. CARISSA GEURDEN.
| 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.