HEIDI J JENNRICH (NPI# 1548223746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548223746 |
| Entity Type | Individual |
| Full Name | HEIDI J JENNRICH |
| Credential | APNP |
| Practice Address |
500 Mcmillen Street Fort Atkinson WI 53538-1223 |
| Practice Telephone | 9505635571 |
| Practice Fax Number | 9205637705 |
| Mailing Telephone | 9505635571 |
| Mailing Fax Number | 9205637705 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2015-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 2334-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41258200 | 05 | |
| WI | DEA | MD1157014 | 01 |
| Street Address |
500 MCMILLEN STREET |
| City | FORT ATKINSON |
| State | WI |
| Zip Code | 53538-1223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912971243 | William J Cannon | Internal Medicine | 500 Mcmillen Street, Fort Atkinson, WI 53538-1233 | 2006-02-14 |
| 1356317184 | Stanley Fudala | Psychiatry & Neurology | 500 Mcmillen Street, Fort Atkinson, WI 53538-1263 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902370695 | Home Care Assistance Services, LLC | In Home Supportive Care | 1001 Madison Avenue, Suite C, Fort Atkinson, WI 53538 | 2019-01-15 |
| 1609367291 | David Lewis | Physical Therapy Assistant | 431 Raintree Dr, Fort Atkinson, WI 53538 | 2018-05-20 |
| 1972093706 | City of Fort Atkinson | Ambulance | 124 Milwaukee Ave W, Fort Atkinson, WI 53538 | 2018-05-17 |
| 1306383468 | Chelsey Turk | Specialist/Technologist | 1231 Orchard Lane, Fort Atkinson, WI 53538 | 2017-01-27 |
| 1639625452 | Insight Counseling Services | Community/Behavioral Health | 615 Frederick Ave., Fort Atkinson, WI 53538 | 2016-08-31 |
| 1912355314 | Melissa Anne Gleason Trimbell | Dentist | 520 Handeyside Ln Ste 4, Fort Atkinson, WI 53538 | 2016-05-26 |
| 1295141943 | Brittany K Romans | Registered Nurse | 1230 Commonwealth Dr, 1, Fort Atkinson, WI 53538 | 2014-07-02 |
| 1023367117 | June Ann Sullivan | Occupational Therapy Assistant | 815 West Cramer Street, Fort Atkinson, WI 53538 | 2012-09-05 |
| 1306080551 | Mary Kathleen Bornick | Licensed Practical Nurse | W. 6143 N. Thornapple Court, Fort Atkinson, WI 53538 | 2009-04-30 |
| 1528244613 | Community Dental Clinic | Clinic/Center | 520 Handeyside, Suite 4, Fort Atkinson, WI 53538 | 2008-01-18 |
| Find all providers in zip 53538 | ||||
| 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 |
|---|---|---|---|---|
| 1104202399 | Jessica L Becher | Nurse Practitioner | 338 Foster St, Fort Atkinson, WI 53538-2330 | 2015-08-11 |
| 1437119849 | Kimberly D Day | Nurse Practitioner | 740 Reena Ave Ste A, Fort Atkinson, WI 53538-3145 | 2006-03-28 |
| 1396266359 | April H Garcia | Nurse Practitioner | 740 Reena Ave Ste A, Fort Atkinson, WI 53538-3145 | 2017-06-29 |
| 1750675781 | Jolie A Nottelson | Nurse Practitioner | 601 Handeyside Ln, Fort Atkinson, WI 53538-1273 | 2011-06-07 |
| 1205049582 | Susan K Ipsen | Nurse Practitioner | 1520 Madison Ave, Fort Atkinson, WI 53538-3100 | 2007-05-07 |
| 1205059235 | Dawn M Ruecker | Nurse Practitioner | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639024 | Lyndsay Chapman | Nurse Practitioner | 836 W Badger Ln, West Bend, WI 53095-4502 | 2020-11-06 |
| 1346849510 | Haley Gabrielle Robers | Nurse Practitioner | 1043 Dresser Ave, Waukesha, WI 53188-4980 | 2020-10-20 |
| 1306443460 | Zhengqi Fan | Nurse Practitioner | 7850 Harwood Ave Unit 3, Wauwatosa, WI 53213-2561 | 2020-10-01 |
| 1700493566 | Karen Heckel | Nurse Practitioner | N17w24100 Riverwood Dr Ste 150, Waukesha, WI 53188-1177 | 2020-09-25 |
| 1801401252 | Jodi Lynn Tesch | Nurse Practitioner | N984 Glennview Dr, Greenville, WI 54942-8531 | 2020-09-12 |
| 1023623832 | Serena Ashour | Nurse Practitioner | 1215 Wirtz Ave, Green Bay, WI 54304-2547 | 2020-09-09 |
| 1639782915 | Ana Stoica | Nurse Practitioner | 4600 W Loomis Rd Ste 101, Greenfield, WI 53220-4858 | 2020-08-26 |
| 1235740556 | Lucille Elizabeth Nathwani | Nurse Practitioner | Uw Medical Foundation 600 Highland Ave, Madison, WI 53792-0001 | 2020-08-11 |
| 1952910010 | Dana Diane Broyles | Nurse Practitioner | 6500 W Ohio Ave, Milwaukee, WI 53219-4246 | 2020-07-24 |
| 1174149918 | Nicole Leigh Heding | Nurse Practitioner | 10421 W Birch Ave, Milwaukee, WI 53225-3211 | 2020-06-17 |
| Find all providers with the same taxonomy | ||||
| City | FORT ATKINSON |
| Zip Code | 53538 |
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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.