SUSAN ELAINE MEDD (NPI# 1548786841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548786841 |
| Entity Type | Individual |
| Full Name | SUSAN ELAINE MEDD |
| Credential | MSN, RN, CPNP |
| Practice Address |
725 American Ave Waukesha WI 53188-5031 |
| Practice Telephone | 2629284649 |
| Mailing Telephone | 2629284649 |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2017-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
677-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
725 AMERICAN AVE |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53188-5031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649278292 | Margaret A Schueller | Physical Therapist | 725 American Ave, Waukesha, WI 53188-5031 | 2005-07-08 |
| 1669071809 | Alexandra Jelacic | Nurse Practitioner | 725 American Ave, Waukesha, WI 53188-5031 | 2020-10-20 |
| 1730787300 | Savanna Hofstetter | Nurse Practitioner | 725 American Ave, Waukesha, WI 53188-5099 | 2020-10-15 |
| 1215542303 | Rhianna Rene Roskopf | Specialist/Technologist | 725 American Ave, Waukesha, WI 53188-5031 | 2020-09-15 |
| 1598373060 | Jami Markos | Registered Nurse | 725 American Ave, Waukesha, WI 53188-5031 | 2020-07-21 |
| 1114535374 | Erin Renai Hernikl | Counselor | 725 American Ave, Waukesha, WI 53188-5031 | 2020-07-14 |
| 1962021469 | Jennifer Staver | Physical Therapist | 725 American Ave, Waukesha, WI 53188-5031 | 2020-04-14 |
| 1336777531 | Jennifer Marie Kolesar-springhetti | Physical Therapist | 725 American Ave, Waukesha, WI 53188-5031 | 2020-04-01 |
| 1003442179 | Sheila Hospidales | Nurse Practitioner | 725 American Ave, Waukesha, WI 53188-5031 | 2020-03-20 |
| 1548895709 | Dominic Chiantello | Physical Therapist | 725 American Ave, Waukesha, WI 53188-5031 | 2020-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
| 1013475706 | Rachel Mueller | Occupational Therapist | 29667 Summit Ave, S11, Waukesha, WI 53188 | 2019-03-12 |
| 1861962649 | Emily Elizabeth Seefeld | Occupational Therapy Assistant | 29667 Summit Ave S11, Waukesha, WI 53188 | 2018-12-05 |
| 1003393307 | Ashley Susan Callahan | Dental Hygienist | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | 2018-07-19 |
| 1245741321 | Melissa Weir | Case Manager/Care Coordinator | 514 Riverview Avenue, Waukesha, WI 53188 | 2017-10-17 |
| 1093233629 | Patricia Marie Sombrio | Dental Hygienist | 711 Moreland Blvd 204, Waukesha, WI 53188 | 2017-09-04 |
| 1134660244 | Bdg of Wisconsin, Inc. | Behavioral Analyst | N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 | 2017-03-09 |
| 1255888731 | Lynne Sarah Alva | Dental Hygienist | 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 | 2016-09-01 |
| 1881069730 | Michelle Koch | Occupational Therapist | 29667 Summit Ave. S11, Waukesha, WI 53188 | 2015-12-03 |
| 1952711012 | Rhonda Schroeder | Dental Hygienist | W286 N991 Shepherds Way, Waukesha, WI 53188 | 2014-04-29 |
| Find all providers in zip 53188 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159964 | Caitlin West | Nurse Practitioner | 10823 N Ravine Ct, Mequon, WI 53092-5876 | 2020-06-18 |
| 1639704166 | Angelica Shanahan | Nurse Practitioner | 8733 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2020-03-04 |
| 1609408210 | Jenna Rae Eisold | Nurse Practitioner | 65 W Wood Ridge Dr, River Falls, WI 54022-8291 | 2020-02-11 |
| 1639685274 | Laura Palmer | Nurse Practitioner | 4855 S Moorland Rd # Rod, New Berlin, WI 53151-7494 | 2017-12-19 |
| 1306356589 | Alexandra Wilson | Nurse Practitioner | 3033 W Layton Ave # 102, Greenfield, WI 53221-2628 | 2017-10-02 |
| 1689192775 | Brigid Mary Costello | Nurse Practitioner | 9000 W Wisconsin Ave Ste 620, Milwaukee, WI 53226-4874 | 2017-09-08 |
| 1851643696 | Jamie Harder | Nurse Practitioner | 2574 Sun Valley Dr Ste 207, Delafield, WI 53018-2334 | 2012-10-03 |
| 1760731988 | Nancy J Thompson-quandt | Nurse Practitioner | 7831 Warren Ave, Wauwatosa, WI 53213-2115 | 2012-09-04 |
| 1932471018 | Marie Helen Dietrich | Nurse Practitioner | 201 S Gammon Rd, Madison, WI 53717-1404 | 2012-02-03 |
| 1598993925 | Rebecca R. Rusch | Nurse Practitioner | 13950 W. W. Capitol Drive, Suite 200, Brookfield, WI 53005-2441 | 2009-06-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SUSAN ELAINE MEDD.
| 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.