WISCONSIN TELE-MED NETWORK (NPI# 1568821841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568821841 |
| Entity Type | Organization |
| Organization Name | WISCONSIN TELE-MED NETWORK |
| Practice Address |
6923 39th Ave Kenosha WI 53142-7129 |
| Mailing Address |
W146s6974 Catalina Dr Muskego WI 53150-3116 |
| Practice Telephone | 4144163801 |
| Mailing Telephone | 4144163801 |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2016-02-25 |
| Authorized Official Name | JODI A BOVA (OWNER) |
| Authorized Official Telephone | 4144163801 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6923 39TH AVE |
| City | KENOSHA |
| State | WI |
| Zip Code | 53142-7129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588297816 | Caring Hearts Home Health Care | In Home Supportive Care | 6021-57th Ave, Suite C103, Kenosha, WI 53142 | 2020-02-14 |
| 1144785395 | Michael L Wrzesinski | Counselor | 4109 67th Street, Kenosha, WI 53142 | 2019-02-01 |
| 1720538499 | David Smith | Counselor | 10900 67th Street, Kenosha, WI 53142 | 2016-10-06 |
| 1326404641 | Smile Doctors Ltd | Dentist | 7003 39th Ave, Kenosha, WI 53142 | 2016-01-04 |
| 1225409485 | Antonia Marie Decker | Physician Assistant | 10400 75th St. Ste 204, Kenosha, WI 53142 | 2015-10-14 |
| 1780060582 | Joshua Haas | Pharmacist | 7701 Green Bay Road, Kenosha, IL 53142 | 2015-08-04 |
| 1811379225 | Dana Mary Stout | Registered Nurse | 7401 104th Avenue, Suite 110, Comprehensive Orthopaedics, S.c., Kenosha, WI 53142 | 2015-06-22 |
| 1669815569 | Joshua Knute Elson | Radiology | 6811 118th Ave, Kenosha, WI 53142 | 2013-04-10 |
| 1356610166 | Michael J Gallo | Pharmacist | 7535 North Greenbay Rd, Kenosha, WI 53142 | 2011-12-22 |
| 1720357999 | Orest Carnevale | Registered Nurse | 7316 155th Ct, Kenosha, WI 53142 | 2011-12-18 |
| Find all providers in zip 53142 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952957987 | Hun Hee Han | Nurse Practitioner | 6125 Green Bay Rd Ste 200, Kenosha, WI 53142-2945 | 2019-08-15 |
| 1689127086 | Jennifer Donna Ouweneel | Nurse Practitioner | 3520 30th Ave, Wheaton Franciscan Healthcare Clinic, Kenosha, WI 53144-1619 | 2016-08-02 |
| 1669713319 | Rebecca Shawn Swenson | Nurse Practitioner | 4777 88th Ave, Kenosha, WI 53144-7439 | 2013-03-05 |
| 1932394764 | Annmarie D Wendorf | Nurse Practitioner | 6308 8th Ave # 3040, Kenosha, WI 53143-5031 | 2007-09-14 |
| 1083236715 | Krista Ann Tappa | Nurse Practitioner | 8600 Sheridan Rd, Kenosha, WI 53143-6506 | 2020-05-15 |
| 1063031045 | Guadalupe Orlando Romero | Nurse Practitioner | 4777 88th Ave, Kenosha, WI 53144-7439 | 2020-04-10 |
| 1518595230 | Anne Nudi | Nurse Practitioner | 1400 75th St, Kenosha, WI 53143-1544 | 2020-03-29 |
| 1205476603 | Drew Velasco | Nurse Practitioner | 6121 Green Bay Rd, Kenosha, WI 53142-2926 | 2020-01-14 |
| 1518509413 | Jennifer E Armstrong | Nurse Practitioner | 7401 104th Ave Ste 110, Kenosha, WI 53142-7845 | 2019-10-11 |
| 1336798685 | Krystal Marie Rafenstein | Nurse Practitioner | 4536 22nd Ave, Kenosha, WI 53140-5917 | 2019-09-10 |
| Find all providers in KENOSHA | ||||
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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.