MARY C. DUTKIEWICZ (NPI# 1508880410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508880410 |
| Entity Type | Individual |
| Full Name | MARY C. DUTKIEWICZ |
| Credential | N.P. |
| Practice Address |
3805a Spring St Ste 310 Racine WI 53405-1600 |
| Practice Telephone | 2626878260 |
| Mailing Telephone | 2626878260 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 1700-033 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3805A SPRING ST STE 310 |
| City | RACINE |
| State | WI |
| Zip Code | 53405-1600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053382721 | Robert H Lehner Jr. | Ophthalmology | 3805a Spring St, Suite 111, Racine, WI 53405-1600 | 2006-01-30 |
| 1629049150 | Optical Dept. of Eye Clinic of Racine, Ltd. | Eyewear Supplier (Equipment, not the service) | 3805a Spring St, Suite 111, Racine, WI 53405-1600 | 2006-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609407923 | Anita Kathy Nykaza | Dietitian, Registered | 3805 A Suite 311, Racine, WI 53405 | 2020-01-27 |
| 1023666062 | Shawn L Drulia | Physician Assistant | 3805 Spring St #320, Racine, WI 53405 | 2019-09-03 |
| 1235627720 | Oxygen One, Inc. | Durable Medical Equipment & Medical Supplies | 3805a Spring Street, Suite 210, Racine, WI 53405 | 2018-04-30 |
| 1356838650 | Melissa Metzger | Psychologist | 2340 Mohr Ave, Racine, WI 53405 | 2018-04-23 |
| 1689029217 | Melissa Ileen Swainston | Nurse Practitioner | 3803 Spring St., Suite Number 410, Racine, WI 53405 | 2016-05-02 |
| 1215305487 | Denetta Lauraelaine Flowers | Licensed Practical Nurse | 4311 Durand Ave., #104, Mt.pleasant, WI 53405 | 2015-09-04 |
| 1841675204 | Colleen Koderca | Registered Nurse | 3317-meachem Rd, Racine, WI 53405 | 2015-07-28 |
| 1790102986 | Georges Wakim | Specialist/Technologist | 3811 Spring St., Suite 102, Racine, WI 53405 | 2014-03-25 |
| 1982021176 | Matthew F Patzke | Specialist/Technologist | 3811 Spring Street Suite 102, Racine, WI 53405 | 2014-03-25 |
| 1073930269 | Jessica Geisler | Specialist/Technologist | 3811 Spring Street Suite #102, Racine, WI 53405 | 2014-03-25 |
| Find all providers in zip 53405 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215564554 | Christina Louise Lovely | Nurse Practitioner | 3813 Haven Ave, Racine, WI 53405-2325 | 2020-03-26 |
| 1609388693 | Renee Morin | Nurse Practitioner | 2333 Northwestern Ave, Racine, WI 53404-2520 | 2017-10-30 |
| 1891212163 | Ilona Agata Pryomski | Nurse Practitioner | 9201 Washington Ave, Racine, WI 53406 | 2017-08-27 |
| 1528088044 | Cheryl A. Magner | Nurse Practitioner | 4700 21st St, Racine, WI 53406-5031 | 2006-07-20 |
| 1578964151 | Lisa Volz | Nurse Practitioner | 3803 Spring Street, Racine, WI 53405-2452 | 2014-09-15 |
| 1639439433 | Daniel D Medlock | Nurse Practitioner | 1320 Wisconsin Ave, Racine, WI 53403-1978 | 2012-05-25 |
| 1407177991 | Rosamma T John | Nurse Practitioner | 3807 Spring St, Racine, WI 53405-1667 | 2010-06-18 |
| 1598906596 | Alyssa Skalitzky | Nurse Practitioner | 1717 Taylor Ave, Racine, WI 53403-2405 | 2009-03-20 |
| 1356534143 | Lori L Henderson | Nurse Practitioner | 3807 Spring St, 3rd Floor-east Wing, Racine, WI 53405-1667 | 2007-08-24 |
| 1265655732 | Jennifer A Niederstadt | Nurse Practitioner | 3803 Spring St, Suite 410, Racine, WI 53405-1660 | 2007-04-11 |
| Find all providers in RACINE | ||||
Please comment or provide details below to improve the information on MARY C. DUTKIEWICZ.
| 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.