JENNY ANN MANAGBANAG (NPI# 1558751198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558751198 |
| Entity Type | Individual |
| Full Name | JENNY ANN MANAGBANAG |
| Other Name | JENNY ANN SALVE |
| Credential | NP |
| Practice Address |
1969 W. Hart Road Beloit Memorial Hospital Beloit WI 53511-2230 |
| Mailing Address |
1905 E. Huebbe Parkway Beloit Health System Beloit WI 53511-1842 |
| Practice Telephone | 6083645011 |
| Practice Fax Number | 6083645593 |
| Mailing Telephone | 6083642200 |
| Mailing Fax Number | 6083637395 |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2015-02-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 6250-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 209-012264 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1969 W. HART ROAD BELOIT MEMORIAL HOSPITAL |
| City | BELOIT |
| State | WI |
| Zip Code | 53511-2230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225001795 | Thomas J. James | Internal Medicine | 1969 W. Hart Road, Beloit Memorial Hospital, Beloit, WI 53511-2230 | 2006-02-07 |
| 1922467224 | Debra J Koch | Physical Therapist | 1969 W. Hart Road, Beloit Memorial Hospital, Beloit, WI 53511-2230 | 2016-02-15 |
| 1881052892 | Allison G. Petska | Speech-Language Pathologist | 1969 W. Hart Road, Beloit Health System Inc, Beloit, WI 53511-2230 | 2016-02-04 |
| 1619318516 | Rachel N Tracy | Occupational Therapist | 1969 W. Hart Road, Beloit Memorial Hospital, Beloit, WI 53511-2298 | 2013-07-09 |
| 1467786046 | Haroon Latif Chughtai | Internal Medicine | 1969 W. Hart Road, Beloit Memorial Hospital, Beloit, WI 53511-2298 | 2009-09-29 |
| 1366522393 | Robert G. Teehan | Internal Medicine | 1969 W. Hart Road, Beloit Memorial Hospital, Beloit, WI 53511-2230 | 2006-10-16 |
| 1841244282 | Beloit Health System Inc | Home Health | 1969 W. Hart Road, Beloit, WI 53511-2230 | 2006-05-20 |
| 1578529475 | Phullara Karmakar | Internal Medicine | 1969 W. Hart Road, Beloit Memorial Hospital, Beloit, WI 53511-2298 | 2006-04-21 |
| 1558327320 | Peter H. Marks | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1969 W. Hart Road, Beloit Health System Inc, Beloit, WI 53511-2298 | 2006-04-21 |
| 1003871716 | Matthew Allen Hoffman | Physical Therapist | 1969 W. Hart Road, Beloit Memorial Hospital, Beloit, WI 53511-2298 | 2006-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730738485 | Linda Lee Cook | Technician | 914 Cranston Rd., Beloit, WI 53511 | 2019-09-05 |
| 1033773734 | Holistic Counseling Services, LLC | Counselor | 1517 Huebbe Parkway, Ste A, Beloit, WI 53511 | 2019-04-28 |
| 1578073870 | Bonita May Cooke | Counselor | 838 Grant St., Beloit, WI 53511 | 2017-10-02 |
| 1679091219 | Stacy Lynn Gallagher | Licensed Practical Nurse | 1060 Bittel St, Beloit, WI 53511 | 2017-09-04 |
| 1629448824 | Brenda Jean Allen | Registered Nurse | 2907 E. Leona Drive, Beloit, WI 53511 | 2015-09-30 |
| 1033595038 | Amber Noel Slaybaugh | Physical Therapist | 838 E. Azalea Ter., Beloit, WI 53511 | 2015-08-03 |
| 1407260326 | Quirt Family Dentistry, Sc | Dentist | 2777 Milwaukee Rd, Beloit, WI 53511 | 2014-06-18 |
| 1821436973 | Raymond K Spade | Counselor | 2240 Prairie Ave., Beloit, WI 53511 | 2013-06-11 |
| 1629321658 | Sarah Ann Nelson | Physical Therapist | 1905 W. Hart Road, Beloit, WI 53511 | 2012-10-15 |
| 1235494212 | Mary Ann Hudson | Nurse Practitioner | 700 College Street, Beloit College, Beloit, WI 53511 | 2012-07-06 |
| Find all providers in zip 53511 | ||||
| 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 |
|---|---|---|---|---|
| 1235494212 | Mary Ann Hudson | Nurse Practitioner | 700 College Street, Beloit College, Beloit, WI 53511 | 2012-07-06 |
| 1457416752 | Maureen Louise Cain | Nurse Practitioner | 74 Beloit Mall, Beloit, WI 53511 | 2006-12-27 |
| 1912541103 | Melissa Ann Covert | Nurse Practitioner | 18586 5th St, Beloit, OH 44609-9799 | 2019-10-31 |
| 1053880690 | Cynthia L Philpott | Nurse Practitioner | Beloit Clinic, 1905 E. Huebbe Parkway, Beloit, WI 53511-1842 | 2018-11-13 |
| 1376045856 | Kari B Ziemba | Nurse Practitioner | Beloit Health System Inc., Beloit Clinic 1905 E. Huebbe Parkway, Beloit, WI 53511 | 2018-03-01 |
| 1376079947 | Ruth Christiansen | Nurse Practitioner | Beloit Memorial Hospital, 1969 W. Hart Road, Beloit, WI 53511-2230 | 2017-05-02 |
| 1689027344 | Kristy Nicole-ortha Dygart | Nurse Practitioner | Beloit Clinic, 1905 E. Huebbe Parkway, Beloit, WI 53511-1842 | 2016-07-18 |
| 1023485059 | Madelene G. Hamann | Nurse Practitioner | 1905 E Huebbe Pkwy, 1905 E. Huebbe Parkway, Beloit, WI 53511-1842 | 2015-08-25 |
| 1093110306 | Laura Anderson | Nurse Practitioner | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2014-10-29 |
| 1265847131 | Tammy J. Flanders | Nurse Practitioner | 1905 E. Huebbe Parkway, Beloit Health System Inc, Beloit, WI 53511-1842 | 2014-06-30 |
| Find all providers in BELOIT | ||||
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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.