MRS. SHAWN M FELLER (NPI# 1568854156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568854156 |
| Entity Type | Individual |
| Full Name | MRS. SHAWN M FELLER |
| Credential | R.N. |
| Practice Address |
1537 Park Pl Suite 200 Green Bay WI 54304-1974 |
| Mailing Address |
1858 Old Valley Rd De Pere WI 54115-3370 |
| Practice Telephone | 9204988650 |
| Practice Fax Number | 9204980945 |
| Mailing Telephone | 9208194906 |
| Mailing Fax Number | 9204980945 |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2015-02-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
85339 | WI | Nursing Service Providers |
| Street Address |
1537 PARK PL SUITE 200 |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54304-1974 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952409732 | Ann T Derge | Nurse Practitioner | 1537 Park Pl, Ste 200, Green Bay, WI 54304-1974 | 2006-09-20 |
| 1790063741 | Kim Doell | Specialist/Technologist, Other | 1537 Park Pl, Suite 200, Green Bay, WI 54304-1974 | 2011-07-25 |
| 1487973384 | Christinia M Casper | Specialist/Technologist, Other | 1537 Park Pl, Suite 200, Green Bay, WI 54304-1974 | 2010-05-18 |
| 1790935492 | Heather A Bors | Specialist/Technologist, Other | 1537 Park Pl, Suite 200, Green Bay, WI 54304-1974 | 2008-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689196255 | Kristen Ashley Haltom | Registered Nurse | 2979 Allied St Suite C, Green Bay, WI 54304 | 2017-07-14 |
| 1649671421 | Heather Marie Novak | Counselor | 2979 Allied St Unit C, Green Bay, WI 54304 | 2014-09-11 |
| 1356777684 | Nathan Weir | Specialist/Technologist | 1265 Lombardi Avenue, Green Bay, WI 54304 | 2013-09-18 |
| 1922349927 | John W Hartman | Internal Medicine | 916 Willard Dr, Suite 200, Green Bay, WI 54304 | 2013-03-15 |
| 1447551379 | Citralina M Haruo | Community Health Worker | 1110 11th Avenue, Green Bay, WI 54304 | 2010-11-09 |
| 1497061352 | Daniel James Gustin | Pharmacist | 1109 Lombardi Ave, Green Bay, WI 54304 | 2010-08-28 |
| 1316259898 | Karen A Detrick | Occupational Therapy Assistant | 1040 Pilgram Way, Woodside Senior Communities, Green Bay, WI 54304 | 2010-07-13 |
| 1861667362 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 2605 S. Oneida St. Suite 107, Green Bay, WI 54304 | 2008-04-25 |
| 1891967303 | Kimberley M Welk | Marriage & Family Therapist | 926 Willard Dr Ste 136, Green Bay, WI 54304 | 2008-03-25 |
| 1750563698 | Richard Lawrence Beyer | Hearing Instrument Specialist | 2154 S Ridge Rd, Green Bay, WI 54304 | 2007-12-03 |
| Find all providers in zip 54304 | ||||
| Taxonomy Code | 163WP2201X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Ambulatory Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699115279 | Robin Ann Belsky | Registered Nurse | 53585 Nokomis Rd # 682, Ashland, WI 54806-4272 | 2013-06-27 |
| 1245678820 | Candace D Roundtree | Registered Nurse | 2501 N 57th St, Milwaukee, WI 53210-2207 | 2013-06-05 |
| 1104052992 | Cynthia Mae Olson | Registered Nurse | 174 S Riverwalk, River Falls, WI 54022-3309 | 2009-06-07 |
| 1780646117 | Anita M. Ambrosius | Registered Nurse | 120 Washington St, Kaukauna, WI 54130 | 2006-04-03 |
| 1285139188 | Angela Marie Ellenberger | Registered Nurse | 36500 Aurora Dr, Summit, WI 53066-4899 | 2018-03-24 |
| 1669922084 | Schonta Ward | Registered Nurse | 514 Riverview Ave, Waukesha, WI 53188-3631 | 2016-10-10 |
| 1003278896 | Mary Hunt | Registered Nurse | 333 E Campus Mall, #5121, Madison, WI 53715-1365 | 2016-03-22 |
| 1124407259 | Mitchell R Burke | Registered Nurse | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2015-05-21 |
| 1730514175 | Nicole Katcha | Registered Nurse | 20611 Watertown Rd, Suite J, Waukesha, WI 53186-1871 | 2013-09-04 |
| 1619317294 | Lindsey M Randolph | Registered Nurse | 53585 Nokomis Rd, Ashland, WI 54806-4272 | 2013-06-27 |
| Find all providers with the same taxonomy | ||||
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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.