KATHLEEN R GENDRON


Address: 5320 Michaels Dr, Appleton, WI 54913-8446
Phone: 9208828200

KATHLEEN R GENDRON (NPI# 1558353276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558353276
Entity Type Individual
Full Name KATHLEEN R GENDRON
Credential NP
Practice Address 5320 Michaels Dr
Appleton
WI 54913-8446
Practice Telephone 9208828200
Practice Fax Number 9208828210
Mailing Telephone 9208828200
Mailing Fax Number 9208828210
Enumeration Date 2005-08-18
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 220003 WI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 4387900 05

Office Location

Street Address 5320 MICHAELS DR
City APPLETON
State WI
Zip Code 54913-8446

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447242573 Thomas M Wascher Surgery 5320 Michaels Dr, Appleton, WI 54913-8446 2005-08-16
1346489648 Sherry L Meyer Specialist/Technologist, Other 5320 Michaels Dr, Appleton, WI 54913-8446 2009-02-10
1053321620 Neurospine Center of Wisconsin, S.c. Orthopaedic Surgery 5320 Michaels Dr, Appleton, WI 54913-8446 2006-08-08
1588656623 John T Sellers Physical Medicine & Rehabilitation 5320 Michaels Dr, Appleton, WI 54913-8446 2005-08-16
1093707119 Randall J Schultz Physical Medicine & Rehabilitation 5320 Michaels Dr, Appleton, WI 54913-8446 2005-08-16
1336131465 Ronald S Miller Physical Therapist 5320 Michaels Dr, Appleton, WI 54913-8446 2005-08-16
1487646691 Peter F Ullrich Jr. Surgery 5320 Michaels Dr, Appleton, WI 54913-8446 2005-08-16
1922090141 John P Revord Physical Medicine & Rehabilitation 5320 Michaels Dr, Appleton, WI 54913-8446 2005-08-16
1194717314 Cindy J Hillesheim Physical Therapist 5320 Michaels Dr, Appleton, WI 54913-8446 2005-08-16
1821080045 Brennan P Hussey Physical Therapist 5320 Michaels Dr, Appleton, WI 54913-8446 2005-08-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457994584 Pamela J Andersen Music Therapist 245 N. Metro Drive, Appleton, WI 54913 2019-10-22
1396387510 Nancy Sibley Technician N4423 County Road Ee, Appleton, WI 54913 2019-10-09
1659872240 Meijer Stores Limited Partnership Durable Medical Equipment & Medical Supplies 3801 N. Richmond Street, Grand Chute, WI 54913 2018-02-28
1780116244 Alison Pelger Physician Assistant 3916 North Intertech Court, Appleton, WI 54913 2017-04-03
1316311905 Lucy Bouressa Specialist/Technologist 2105 E. Enterprise Ave, 113, Appleton, WI 54913 2015-11-19
1992189989 Brittany Reinke Physical Therapist Walking and Wheeling, LLC, W4652 Glenn Street, Appleton, WI 54913 2015-07-20
1902280092 Costco Wholesale Corporation Pharmacy 5401 W Integrity Way, Grand Chute, WI 54913 2015-07-17
1942646849 Richard Anthony Mauthe Pharmacist 5401 W. Integrity Way, Neenah, WI 54913 2013-05-17
1750622163 Tonya Janelle Wilderman Pharmacist 1400 N Mccarthy Rd, Apt 2, Grand Chute, WI 54913 2013-03-10
1295938777 Jenna Marie Kadlec Physical Therapist 3916 N. Intertech Court, Appleton, WI 54913 2007-06-11
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477070308 Tamara Marie A Marshall Nurse Practitioner 5605 W Waterford Ln, Appleton, WI 54913-8438 2017-08-22
1871748418 Tammy E Weyenberg Nurse Practitioner 3962 N Richmond St, Appleton, WI 54913-7153 2008-11-24
1396802823 Ellen Pitsch Nurse Practitioner 2809 N. Park Drive Lane, Appleton, WI 54911 2007-01-03
1629024823 Deborah S Colon Nurse Practitioner 30 S Behl St, Appleton, MN 56208-1616 2006-05-26
1871541342 Kimberly Williams Nurse Practitioner 1616 N Casaloma Dr Ste 100, Appleton, WI 54913-8245 2006-05-05
1659363778 Pam E Verkuilen Nurse Practitioner 5320 W Michaels Drive, Appleton, WI 54913 2005-08-16
1053918524 Nicole Anne Vannoie Nurse Practitioner 2500 E Capitol Dr, Appleton, WI 54911-8735 2020-10-07
1306454053 Samantha L Thiede Nurse Practitioner 1818 N Meade St, Appleton, WI 54911-3454 2020-07-20
1215556824 Cheryl E Christensen Nurse Practitioner 2500 E Capitol Dr, Appleton, WI 54911-8735 2020-04-14
1902467731 Danielle L Leick Nurse Practitioner 1818 N Meade St, Appleton, WI 54911-3454 2019-06-24
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Competitor

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City APPLETON
Zip Code 54913

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Dataset Information

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.

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