JENNIFER RAE BRAYTON (NPI# 1518094408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518094408 |
| Entity Type | Individual |
| Full Name | JENNIFER RAE BRAYTON |
| Other Name | JENNIFER RAE ABRAMCZAK |
| Credential | PA, ATC, LAT |
| Practice Address |
1200 Oakleaf Way Ste A Altoona WI 54720-2245 |
| Mailing Address |
1200 Oakleaf Way Altoona WI 54720-2245 |
| Practice Telephone | 7158321400 |
| Practice Fax Number | 7158324187 |
| Mailing Telephone | 7158321400 |
| Mailing Fax Number | 7158324187 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
070602373 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 363A00000X | Physician Assistant | 5086-23 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427509272 | Jennifer Brayton | Occupational Therapist | 527 Nason St, Santa Rosa, CA 95404-3305 | 2016-10-17 |
| 1548794589 | Jennifer Zoufaly Brayton | Behavioral Analyst | 8 Old Suncook Rd, Concord, NH 03301 | 2017-04-17 |
| Street Address |
1200 OAKLEAF WAY STE A |
| City | ALTOONA |
| State | WI |
| Zip Code | 54720-2245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427020627 | Mark A Mccarthy | Orthopaedic Surgery | 1200 Oakleaf Way Ste A, Altoona, WI 54720-2245 | 2006-02-02 |
| 1780942045 | Ryan J Donegan | Podiatrist | 1200 Oakleaf Way Ste A, Altoona, WI 54720-2245 | 2012-04-24 |
| 1043578461 | Nathan Hoadley Harris | Orthopaedic Surgery | 1200 Oakleaf Way Ste A, Altoona, WI 54720 | 2012-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982155248 | The Bethany-st. Joseph Corporation D/b/a Prairie Pointe Rehab Suites | Skilled Nursing Facility | 286 N. Willson Dr, Altoona, WI 54720 | 2016-10-20 |
| 1821541046 | Stephanie Meyer | Optometrist | 3063 Meadowlark Ln, #10, Altoona, WI 54720 | 2016-07-25 |
| 1952756991 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 206 North Willson Drive, Altoona, WI 54720 | 2016-04-27 |
| 1669826095 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 286 North Willson Dr., Altoona, WI 54720 | 2016-04-22 |
| 1366881781 | Ingrid Ellen Schroeder | Occupational Therapy Assistant | 1203 Bartlett Avenue, Altoona, WI 54720 | 2013-06-19 |
| 1790972099 | Assisted Living Concepts Inc | Assisted Living Facility | 342 Twin Oak Drive, Altoona, WI 54720 | 2007-10-01 |
| 1427262302 | Amanda Lynn Busse | Occupational Therapy Assistant | 2512 New Pine Drive, Altoona, WI 54720 | 2007-05-09 |
| 1316954928 | Oral and Maxillofacial Surgery Asso of Eau Claire Sc | Oral & Maxillofacial Surgery | 788 Oakleaf Way, Altoona, WI 54720 | 2006-08-03 |
| 1740230838 | Jodi Hansen Ritsch | Family Medicine | 1476 Blazing Star Blvd, Suite 4, Altoona, WI 54720 | 2006-05-11 |
| 1225095508 | Kirsten L Taylor | Counselor | 2519 North Hillcrest Parkway, Suite 103, Altoona, WI 54720 | 2006-04-28 |
| Find all providers in zip 54720 | ||||
| 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 |
|---|---|---|---|---|
| 1679033989 | Gabrielle Marie Smith | Physician Assistant | 2521 14th Ave, Altoona, PA 16601-2112 | 2019-03-22 |
| 1962840348 | Steven D Wess | Physician Assistant | 501 Howard Ave Ste B204, Altoona, PA 16601-4811 | 2013-06-07 |
| 1982931507 | Rachael E. Lamkin | Physician Assistant | 1414 9th Avenue, Altoona, PA 16602 | 2009-11-04 |
| 1629262779 | Renee Ann Columbus | Physician Assistant | 810 Valley View Boulevard, Blair Gastroenterology Associates, Altoona, PA 16602-6342 | 2007-08-31 |
| 1164506622 | Kylon A Schmitt | Physician Assistant | 3770 8th St Sw Ste B, Altoona, IA 50009 | 2006-10-24 |
| 1467426148 | Loni M Baird | Physician Assistant | 810 Valley View Blvd, Altoona, PA 16602-6342 | 2006-02-17 |
| 1790755676 | Brett J Beech | Physician Assistant | 3000 Fairway Dr, Altoona, PA 16602-4472 | 2006-01-24 |
| 1699755785 | Heather L Jeffords | Physician Assistant | 1442 Bailie Ln Sw, Altoona, IA 50009-4505 | 2006-01-17 |
| 1295332609 | Abigail Printz | Physician Assistant | 620 Howard Ave, Altoona, PA 16601-4804 | 2020-10-08 |
| 1194335091 | Ashley Shaheen | Physician Assistant | 620 Howard Ave, Altoona, PA 16601-4804 | 2020-08-05 |
| Find all providers in ALTOONA | ||||
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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.