(ALYCEA) NOEL PUPP (NPI# 1508264839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508264839 |
| Entity Type | Individual |
| Full Name | (ALYCEA) NOEL PUPP |
| Credential | APNP |
| Practice Address |
3301 Cranberry Blvd Weston WI 54476-5216 |
| Practice Telephone | 7153933990 |
| Mailing Telephone | 7153933990 |
| Enumeration Date | 2014-12-19 |
| Last Update Date | 2016-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
6153 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | RN LICENSE | 160594 | 01 |
| Street Address |
3301 CRANBERRY BLVD |
| City | WESTON |
| State | WI |
| Zip Code | 54476-5216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710982723 | Robin K. Henley | Family Medicine | 3301 Cranberry Blvd, Weston, WI 54476-5216 | 2005-06-16 |
| 1801315668 | Chibuzor Ihe | Pediatrics | 3301 Cranberry Blvd, Weston, WI 54476-5216 | 2017-09-13 |
| 1245781889 | Herbert A Nolan | Nurse Practitioner | 3301 Cranberry Blvd, Weston, WI 54476-5216 | 2016-10-19 |
| 1780067165 | Maribeth Beck | Nurse Practitioner | 3301 Cranberry Blvd, Weston, WI 54476-5216 | 2015-07-03 |
| 1790108793 | Andrew Brown | Nurse Anesthetist, Certified Registered | 3301 Cranberry Blvd, Weston, WI 54476-5216 | 2014-01-27 |
| 1407284417 | Carina Lea Hafner | Occupational Therapist | 3301 Cranberry Blvd, Weston, WI 54476-5216 | 2013-10-30 |
| 1033559588 | Maykong Leepalao | Surgery | 3301 Cranberry Blvd, Weston, WI 54476-5216 | 2013-06-28 |
| 1972843464 | Deborah Miller | Nurse Practitioner | 3301 Cranberry Blvd, Weston, WI 54476-5216 | 2013-02-21 |
| 1588900161 | Natasha Vanchinathan | Internal Medicine | 3301 Cranberry Blvd, Weston, WI 54476-5216 | 2012-12-30 |
| 1588949101 | Trisha Ann Everson | Physician Assistant | 3301 Cranberry Blvd, Weston, WI 54476-5216 | 2011-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407406309 | Kelly Hodge | Technician | 118 Marguerite St, Schofield, WI 54476 | 2019-09-13 |
| 1427557529 | Brandon David Parmer | Licensed Practical Nurse | 134 Kurth St, Schofield, WI 54476 | 2018-02-05 |
| 1558880583 | Kellie Cares Medical, LLC | Non-emergency Medical Transport (VAN) | 4311 Schofield Ave, #97, Weston, WI 54476 | 2017-09-11 |
| 1679018022 | Alexis Legenza | Behavioral Analyst | 4601 Camp Phillips Rd, Weston, WI 54476 | 2016-12-21 |
| 1699176487 | Reenu Mathew | Pharmacist | 5305 U.S. Hwy Business 51, Weston, WI 54476 | 2014-09-11 |
| 1063812246 | Brian Weiland | Psychologist | 2405 Schofield Ave Ste 220, Weston, WI 54476 | 2014-08-25 |
| 1194087759 | Susan C Coady | Physical Therapist | 4605 Valres Springs Court, Weston, WI 54476 | 2012-06-11 |
| 1053437467 | Emmie Jo Kasat | Speech-Language Pathologist | 4605 Valdres Springs Court, Weston, WI 54476 | 2007-03-21 |
| 1326181322 | Lisa Marie Skutak | Dentist | 700 Eagle Nest Boulevard, Suite E, Rothschild, WI 54476 | 2007-02-15 |
| 1205976776 | Quirt Family Dentistry Sc | Dentist | 3417 Schofield Avenue, Schofield, WI 54476 | 2007-02-07 |
| Find all providers in zip 54476 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245652 | Manuel Salvador Portillo | Nurse Practitioner | 4383 Foxtail Ln, Weston, FL 33331-3842 | 2020-11-04 |
| 1336756709 | Daniella Lupis | Nurse Practitioner | 792 Verona Lake Dr, Weston, FL 33326-3537 | 2020-09-29 |
| 1487288288 | Marcella Patino | Nurse Practitioner | 2300 North Commerce Parkway, Suite 313, Weston, FL 33326 | 2020-03-02 |
| 1083245237 | Andrea Dotti | Nurse Practitioner | 1278 Canary Island Dr, Weston, FL 33327-2346 | 2020-01-27 |
| 1306489661 | Reynaldo Leyva Infante | Nurse Practitioner | 437 Lakeview Dr Apt 102, Weston, FL 33326-2449 | 2019-10-18 |
| 1033771167 | Anne Elizabeth Crockett | Nurse Practitioner | 1850 Lakeshore Dr, Weston, FL 33326-2349 | 2019-06-28 |
| 1457828030 | Tamara Ines Estevez | Nurse Practitioner | 201 Racquet Club Rd # 5523, Weston, FL 33326-3100 | 2018-10-31 |
| 1619471547 | Farida Makubelly Law | Nurse Practitioner | 3100 Cleveland Clinic, Weston, FL 33331 | 2018-03-23 |
| 1427556604 | Florence Dauphin Philippe | Nurse Practitioner | 2649 Edgewater Dr, Weston, FL 33332-3400 | 2018-01-23 |
| 1124573217 | Ramon Perez | Nurse Practitioner | 1947 Harbor View Cir, Weston, FL 33327-1342 | 2016-08-18 |
| Find all providers in WESTON | ||||
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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.