MICHELLE METALLO (NPI# 1548705791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548705791 |
| Entity Type | Individual |
| Full Name | MICHELLE METALLO |
| Credential | R N, CDE |
| Practice Address |
1020 35th St Kenosha WI 53140-1932 |
| Practice Telephone | 2629251449 |
| Mailing Telephone | 2629251449 |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2016-12-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
146961-30 | WI | Nursing Service Providers |
| Street Address |
1020 35TH ST |
| City | KENOSHA |
| State | WI |
| Zip Code | 53140-1932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427098722 | Giuseppe Garretto | Internal Medicine | 1020 35th St, Suite 100, Kenosha, WI 53140-1902 | 2006-06-07 |
| 1437712742 | Richard Geske | Physical Therapist | 1020 35th St, Kenosha, WI 53140-1932 | 2019-04-22 |
| 1689165243 | Katie A Oestreich | Audiologist | 1020 35th St, Kenosha, WI 53140-1932 | 2018-05-18 |
| 1740709583 | Marissa J Klinker | Nurse Practitioner | 1020 35th St, Kenosha, WI 53140-1932 | 2017-09-13 |
| 1912440736 | Dana L Neu | Physical Therapist | 1020 35th St, Kenosha, WI 53140-1932 | 2016-11-28 |
| 1821418971 | Jessica Larrabee | Audiologist | 1020 35th St, Kenosha, WI 53140-1932 | 2014-04-16 |
| 1205192648 | Charles Santilukka | Family Medicine | 1020 35th St, Suite 160, Kenosha, WI 53140-1932 | 2012-04-10 |
| 1144522467 | Aurora Medical Group Inc | Durable Medical Equipment & Medical Supplies | 1020 35th St, Ste 100, Kenosha, WI 53140-1932 | 2010-11-18 |
| 1770766511 | Andrew Craig Hanington Erickson | Physician Assistant | 1020 35th St, Kenosha, WI 53140 | 2007-12-16 |
| 1952322885 | Ellen C. Spiering | Family Medicine | 1020 35th St, Suite 100, Kenosha, WI 53140-1902 | 2006-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225663396 | Lydia Zopf | Counselor | 2001 Alford Park Dr., Carthage College, Kenosha, WI 53140 | 2020-03-09 |
| 1952949406 | Rotate Rehabilitation and Performance | Physical Therapist | 5606 6th Avenue Suite Ll9, Kenosha, WI 53140 | 2019-12-16 |
| 1134778590 | Brenda Chiapetta | Registered Nurse | 3233 23rd Ave, Kenosha, WI 53140 | 2019-09-09 |
| 1275003394 | Kimberly Shaffner | Family Medicine | 4536 22nd Avenue, Kenosha, WI 53140 | 2018-12-01 |
| 1659863389 | Bart L Mengo | Contractor | 1715 60th Street, Kenosha, WI 53140 | 2018-05-30 |
| 1093182941 | Guided Wellness Counseling | Community/Behavioral Health | 1112 56th St, Kenosha, WI 53140 | 2015-08-26 |
| 1376970764 | Stacey L Andersen | Acupuncturist | 5603 7th Ave, Kenosha, WI 53140 | 2013-10-01 |
| 1841467438 | Deborah Schwerdtfeger | Occupational Therapy Assistant | 3415 Sheridan Road, Woodstock Rehab Dept, Kenosha, WI 53140 | 2008-05-13 |
| 1942492020 | Rebecca Ann Burdette | Counselor | 920 60th Street, Renosha, WI 53140 | 2007-08-13 |
| 1851598619 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 2707 15th Place, Kenosha, WI 53140 | 2007-06-27 |
| Find all providers in zip 53140 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245710771 | Brenda Joyce Woodhull | Registered Nurse | 10400 75th St, Kenosha, WI 53142-7884 | 2018-08-15 |
| 1891234316 | Becky Koss | Registered Nurse | 10400 75th St, Kenosha, WI 53142-7884 | 2017-02-16 |
| 1144765231 | Jane Emily Hammond | Registered Nurse | 10400 75th St, Suite 316, Kenosha, WI 53142-7884 | 2016-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376016196 | Georgia Ann Horner | Registered Nurse | 3805a Spring St Ste 311, Mount Pleasant, WI 53405-1600 | 2019-01-03 |
| 1962970350 | Elizabeth Mowbray | Registered Nurse | 36500 Aurora Dr Ste 330, Summit, WI 53066-4899 | 2018-11-05 |
| 1972098697 | Courtney Fagan | Registered Nurse | 3805 Spring Street, Bldg A - Suite 311, Racine, WI 53405-1600 | 2018-06-25 |
| 1659882942 | Linda K Davis | Registered Nurse | 2323 N Lake Dr Rm W2039, Milwaukee, WI 53211-4508 | 2017-10-13 |
| 1124539556 | Roxanne Weber | Registered Nurse | 146 E. Geneva Square, Lake Geneva, WI 53147 | 2017-10-12 |
| 1255876462 | Rebecca Delain | Registered Nurse | 616 Aurora Dr, Green Bay, WI 54302-4871 | 2016-12-23 |
| 1558688713 | Patricia Jean Celek | Registered Nurse | 8901 W. Lincoln Avenue, Awamc, West Allis, WI 53227 | 2010-04-28 |
| 1952525529 | Sheryl H Ashby | Registered Nurse | 125 Old Abe Rd, Lac Du Flambeau, WI 54538-9386 | 2007-04-12 |
| 1700928850 | Leann Tilden | Registered Nurse | 1818 N. Meade St., Appleton Medical Center, Appleton, WI 54911 | 2007-02-13 |
| 1467078196 | Lynn J Estacio | Registered Nurse | 9000 W Sura Ln, Greenfield, WI 53228-3477 | 2020-06-18 |
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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.