BRIAN SHAVER (NPI# 1558912238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558912238 |
| Entity Type | Individual |
| Full Name | BRIAN SHAVER |
| Practice Address |
W4714 Fulton St Fond Du Lac WI 54935-9014 |
| Practice Telephone | 9202042818 |
| Mailing Telephone | 9202042818 |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2019-09-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385H00000X | Respite Care | Respite Care Facility |
| Street Address |
W4714 FULTON ST |
| City | FOND DU LAC |
| State | WI |
| Zip Code | 54935-9014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482249 | Keziah Sherri Love | Counselor | W390 Wi-23, Fond Du Lac, WI 54935 | 2020-09-18 |
| 1891341988 | Cynthia Louise Singleton | Nurse Practitioner | 16 E 13th St., Fond Du Lac, WI 54935 | 2019-08-14 |
| 1083183297 | Elena Alexandra Giese | Nurse Practitioner | 430 E. Division St, Fond Du Lac, WI 54935 | 2018-11-16 |
| 1669963740 | Elizabeth Anne Machi | Student in an Organized Health Care Education/Training Program | 885 Western Ave Ste 300, Fond Du Lac, WI 54935 | 2018-05-23 |
| 1184150021 | Jordan Moehn | Specialist/Technologist | 633 Prairie Pkwy, Fond Du Lac, WI 54935 | 2017-05-11 |
| 1467856336 | Chuentao Ho | Specialist/Technologist | 45 South National Ave., Fond Du Lac, WI 54935 | 2014-10-21 |
| 1437587961 | Paula Seeley | Nurse Practitioner | 63 West Pioneer Rd, Fond Du Lac, WI 54935 | 2013-10-18 |
| 1144516030 | Bonnie Kay Mallon | Registered Nurse | 118 E 9th St, Fond Du Lac, WI 54935 | 2011-06-20 |
| 1770885600 | Holly Shepard | Counselor | 23 W Scott St., Fond Du Lac, WI 54935 | 2010-11-29 |
| 1437479110 | Ruth Marie Bohn | Occupational Therapy Assistant | 244 North Macy Street, Fond Du Lac, WI 54935 | 2010-06-04 |
| Find all providers in zip 54935 | ||||
| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487277141 | Denise Zachman | Respite Care | 6880 Dulske Rd, Amherst, WI 54406-9364 | 2020-05-28 |
| 1952949273 | Lonnie Brigham II | Respite Care | 3512 Midvale Dr Apt 8, Janesville, WI 53546-1199 | 2019-12-17 |
| 1770120560 | Paulette L Alseth | Respite Care | 5927 E County Road B, South Range, WI 54874-8400 | 2019-11-29 |
| 1861054033 | Adrienne Houser | Respite Care | 718 S Madison St, Chilton, WI 53014-1534 | 2019-07-08 |
| 1689236127 | Robert Edward Vogel | Respite Care | 315 Pine St S, Turtle Lake, WI 54889-9016 | 2019-07-05 |
| 1982264115 | Helping Hands Senior Homecare Services, LLC | Respite Care | 5241 Lassig Rd, Rhinelander, WI 54501-9201 | 2019-06-19 |
| 1174096531 | Jamie Schneider | Respite Care | 31 W Evans St, Rice Lake, WI 54868-1707 | 2019-01-09 |
| 1114490026 | Kathy Nichols | Respite Care | 226 Nautical Dr Apt 8, Sturgeon Bay, WI 54235-2081 | 2019-01-03 |
| 1770055618 | Juli A Forester | Respite Care | 2918 Edgewood Dr Apt 1, Menomonie, WI 54751-5723 | 2018-12-17 |
| 1750857389 | Aj Alf Operations, LLC | Respite Care | 2122 Pioneer Dr, Beloit, WI 53511-3058 | 2018-10-22 |
| Find all providers with the same taxonomy | ||||
| City | FOND DU LAC |
| Zip Code | 54935 |
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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.