MS. KELLY MARIE QUANDT (NPI# 1538462650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538462650 |
Entity Type | Individual |
Full Name | MS. KELLY MARIE QUANDT |
Credential | NURSE PRACTITIONER |
Practice Address |
351 S Washburn St Aurora Quick Care Oshkosh WI 54904-7932 |
Mailing Address |
12500 W Bluemound Rd Suite 210 Elm Grove WI 53122-2600 |
Practice Telephone | 9202320718 |
Mailing Telephone | 2627872114 |
Enumeration Date | 2010-12-11 |
Last Update Date | 2010-12-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4290-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
351 S WASHBURN ST AURORA QUICK CARE |
City | OSHKOSH |
State | WI |
Zip Code | 54904-7932 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093732141 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 351 S Washburn St, Oshkosh, WI 54904-7932 | 2006-07-16 |
1770182784 | Jacqueline Parmentier | Pharmacist | 351 S Washburn St, Oshkosh, WI 54904-7932 | 2020-10-21 |
1780283978 | Dariusz Dachowski | Pharmacist | 351 S Washburn St, Oshkosh, WI 54904-7932 | 2020-10-20 |
1033717426 | Thomas Seidel | Pharmacist | 351 S Washburn St, Oshkosh, WI 54904-7932 | 2020-10-16 |
1467050286 | Guang Jing Chen | Pharmacist | 351 S Washburn St, Oshkosh, WI 54904-7932 | 2020-10-14 |
1003414905 | Vaibhav Kadakia | Pharmacist | 351 S Washburn St, Oshkosh, WI 54904-7932 | 2020-10-13 |
1700484672 | Jeffrey Frederick Worm | Pharmacist | 351 S Washburn St, Oshkosh, WI 54904-7932 | 2020-10-13 |
1508379371 | Zeal Shah | Optometrist | 351 S Washburn St, Oshkosh, WI 54904-7932 | 2017-11-14 |
1770021693 | Cathy Gibson | Pharmacist | 351 S Washburn St, Oshkosh, WI 54904-7932 | 2017-02-11 |
1578984548 | Houa Xiong | Nurse Practitioner | 351 S Washburn St, Oshkosh, WI 54904-7932 | 2013-12-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326567140 | Mary Kay Benotsch | Registered Nurse | 505 South Washburn Street, Oshkosh, WI 54904 | 2017-09-13 |
1295278356 | Braden Williams | Nurse Anesthetist, Certified Registered | 955 Pheasant Creek Dr, Oshkosh, WI 54904 | 2016-11-22 |
1740651330 | Ams of Wisconsin - Oshkosh | Clinic/Center | 595 South Washburn St, Oshkosh, WI 54904 | 2015-10-08 |
1174990253 | Kaochi Desjheannette Vang | Occupational Therapist | Aurora Medical Center of Oshkosh - Rehab, 855 N. Westhaven Drive, Oshkosh, WI 54904 | 2015-08-25 |
1326453200 | Chey V Collura | Surgery | 2700 W 9th Ave Ste 310, Oshkosh, WI 54904 | 2014-06-30 |
1275847543 | Eden Rehabilitation Suites and Green House Homes, Inc. | Skilled Nursing Facility | 3151 Eden Court, Oshkosh, WI 54904 | 2010-07-29 |
1700043502 | Eric Koehler | Physical Therapist | 3475 Omro Rd Ste 300, Oshkosh, WI 54904 | 2008-05-20 |
1831396167 | Angela Marie Wade | Behavioral Analyst | 2986 Fitchburg Ct., Oshkosh, WI 54904 | 2007-06-29 |
1174642383 | Michael Gerard Bell | Dentist | 1795 West Pointe Dr, Oshkosh, WI 54904 | 2007-03-28 |
1235253030 | Jessica Anne Bielmeier | Registered Nurse | 2700 West 9th Ave #125, Oshkosh, WI 54904 | 2007-03-19 |
Find all providers in zip 54904 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629683065 | Yia Lor | Nurse Practitioner | 3750 Summerset Way Apt 1, Oshkosh, WI 54901-0501 | 2020-09-11 |
1033670088 | Jennifer Krueger | Nurse Practitioner | 1304 Tammy Rd, Oshkosh, WI 54904-9310 | 2019-03-30 |
1457822058 | John Concepcion | Nurse Practitioner | 4485 Ravine Way, Oshkosh, WI 54904-7150 | 2018-12-08 |
1750479820 | Mary K Friess | Nurse Practitioner | 500 Algoma Blvd, Uw Oshkosh - College of Nursing, Oshkosh, WI 54901 | 2006-10-11 |
1346335734 | Jill M Collier | Nurse Practitioner | 2310 Westowne Ave, Oshkosh, WI 54904-7778 | 2006-10-03 |
1154947851 | Kristian Noelle Bastress | Nurse Practitioner | 1855 S Koeller St, Oshkosh, WI 54902-6186 | 2020-06-19 |
1629547633 | Tosha Wright | Nurse Practitioner | 2700 W 9th Ave, Oshkosh, WI 54904-7247 | 2018-11-19 |
1881197028 | Angela Marie Beach | Nurse Practitioner | 1855 S Koeller St, Oshkosh, WI 54902-6186 | 2018-03-14 |
1518340090 | Ruth Staszak | Nurse Practitioner | 1855 S Koeller St, Oshkosh, WI 54902-6186 | 2015-07-02 |
1528460839 | Kristi Ziolkowski | Nurse Practitioner | 777 Algoma Blvd, Radford Hall, Student Health Center, Oshkosh, WI 54901-3534 | 2014-09-17 |
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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.