LESLEY A FUERST (NPI# 1548516941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548516941 |
| Entity Type | Individual |
| Full Name | LESLEY A FUERST |
| Credential | NP-C |
| Practice Address |
370 S Main St Clintonville WI 54929-1632 |
| Mailing Address |
Po Box 8003 Appleton WI 54912-8003 |
| Practice Telephone | 7158235161 |
| Practice Fax Number | 7158231386 |
| Mailing Telephone | 9209963200 |
| Mailing Fax Number | 9207385787 |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2013-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4937 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
F0712543 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
370 S MAIN ST |
| City | CLINTONVILLE |
| State | WI |
| Zip Code | 54929-1632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174559132 | Cynthia Egan | Family Medicine | 370 S Main St, Clintonville, WI 54929-1632 | 2006-06-23 |
| 1801447925 | Thedacare Medical Center - Shawano, Inc. | Clinic/Center | 370 S Main St, Clintonville, WI 54929-1632 | 2019-09-20 |
| 1043721970 | Lauren E Dailey | Physician Assistant | 370 S Main St, Clintonville, WI 54929-1632 | 2017-10-18 |
| 1144675745 | Thedacare Medical Center - New London, Inc. | General Acute Care Hospital | 370 S Main St, Clintonville, WI 54929-1632 | 2016-05-02 |
| 1841603438 | Sara L Messner | Physician Assistant | 370 S Main St, Clintonville, WI 54929-1632 | 2014-06-11 |
| 1235563420 | Melanie Lynne Wilke | Physical Therapist | 370 S Main St, Clintonville, WI 54929-1632 | 2013-08-25 |
| 1033379888 | Cindy Griswold | Nurse Practitioner | 370 S Main St, Clintonville, WI 54929-1632 | 2008-06-16 |
| 1285893370 | Chad A Landwehr | Physician Assistant | 370 S Main St, Clintonville, WI 54929-1632 | 2008-06-04 |
| 1538191630 | Rita Braund | Physician Assistant | 370 S Main St, Clintonville, WI 54929-1632 | 2006-07-07 |
| 1851328033 | Leslie Gray | Family Medicine | 370 S Main St, Clintonville, WI 54929-1632 | 2006-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003045402 | Griebenow Eyecare, S.c. | Optometrist | 45 10th St., Clintonville, WI 54929 | 2009-07-07 |
| 1093835266 | William Henry Krueger | Chiropractor | E9180 Golf Club Road, Clintonville, WI 54929 | 2007-03-30 |
| 1255445680 | Leah K. Smejkal | Physical Therapist | 114 E. Greentree Road, Clintonville, WI 54929 | 2006-08-19 |
| 1962422303 | Clintonville Area Ambulance Service | Ambulance | 16 N. Main, Clintonville, WI 54929 | 2006-07-20 |
| 1649225970 | Jill I. Timm | Physical Therapist | 114 E Greentree Road, Clintonville, WI 54929 | 2006-05-24 |
| 1104242999 | Cloverleaf Healthcare, Inc. | Skilled Nursing Facility | 1625 E Main St, Clintonville, WI 54929 | 2014-03-17 |
| 1124286406 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 61 Anne St, Clintonville, WI 54929 | 2008-05-23 |
| 1174734289 | Samuel John Buckett | Chiropractor | E9180 Golf Club Road, Clintonville, WI 54929 | 2007-05-24 |
| 1811057961 | Karen Agnete Johnson | Dentist | 112 S Main Street, Clintonville, WI 54929 | 2006-12-11 |
| 1164509154 | Erickson Home Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 8 S Main St, Clintonville, WI 54929 | 2006-11-01 |
| Find all providers in zip 54929 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203857 | Tiera Manuel | Nurse Practitioner | 3956 N 28th St, Milwaukee, WI 53216-2637 | 2020-10-22 |
| 1801494778 | Tajana Jovicic | Nurse Practitioner | 3157 S 66th St, Milwaukee, WI 53219-4105 | 2020-10-13 |
| 1497352090 | Carlotta Williams | Nurse Practitioner | 1205 Juniper Ln, Oconomowoc, WI 53066-3100 | 2020-10-06 |
| 1932706611 | Rachel Sullivan | Nurse Practitioner | 304 E Northlawn Dr, Cottage Grove, WI 53527-8917 | 2020-10-05 |
| 1649877663 | Kirk O'hanison | Nurse Practitioner | 1020 Oconomowoc Pkwy Unit B, Oconomowoc, WI 53066-4616 | 2020-10-02 |
| 1780291401 | Carlie Dell | Nurse Practitioner | 1636 Industrial Pkwy N, Marinette, WI 54143-3703 | 2020-09-27 |
| 1093320459 | Tyronda T Gray | Nurse Practitioner | 5833 N 117th St, Milwaukee, WI 53225-2207 | 2020-09-12 |
| 1629683065 | Yia Lor | Nurse Practitioner | 3750 Summerset Way Apt 1, Oshkosh, WI 54901-0501 | 2020-09-11 |
| 1245844364 | Asia Ann Gomez | Nurse Practitioner | 2816 E Allison Ave, Cudahy, WI 53110-2541 | 2020-09-04 |
| 1861005837 | Clair Roser Rivera | Nurse Practitioner | 3734 W Ohio Ave, Milwaukee, WI 53215-4047 | 2020-08-28 |
| Find all providers with the same taxonomy | ||||
| City | CLINTONVILLE |
| Zip Code | 54929 |
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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.