TINA BROWN (NPI# 1578810685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578810685 |
| Entity Type | Individual |
| Full Name | TINA BROWN |
| Practice Address |
211 Spring St Fox Lake WI 53933-8034 |
| Mailing Address |
Po Box 380 Fox Lake WI 53933-0380 |
| Practice Telephone | 9207634022 |
| Mailing Telephone | 9207634022 |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2012-08-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 316033-31 | WI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942795315 | Tina Brown | Behavior Technician | Rise for Autism, 510 Mccormick Drive, Ste. U-w, Glen Burnie, MD 21061 | 2018-06-27 |
| 1215448089 | Tina Rena Brown | Respite Care | 431 E Martin Luther King Jr Blvd, Chattahoochee, FL 32324-2216 | 2017-10-19 |
| 1992154785 | Tina Brown | General Acute Care Hospital | 626 Homewood Dr, Bidwell, OH 45614-9138 | 2016-06-13 |
| 1043644461 | Tina Brown | Registered Nurse | 160 Baxley Rd, Hemingway, SC 29554-0424 | 2013-08-22 |
| 1487715678 | Tina Alicea Brown | Counselor | 1003 West Hwy 190, Copperas Cove, TX 76522 | 2006-12-12 |
| 1083794614 | Tina Lee Brown | Psychologist | 9720 Park Plaza Ave., Suite #102, Louisville, KY 40241-2289 | 2006-10-17 |
| 1417514381 | Tina Leshelle Brown | Social Worker | 5209 York Road, Suite 2, Baltimore, MD 21212 | 2019-05-25 |
| 1639640725 | Tina Brown | Behavior Technician | 12432 Bellflower Blvd, Downey, CA 90242-2806 | 2018-12-16 |
| 1629503719 | Tina Rodgers Brown | Counselor | 59 Kate Wagner Rd, Westminster, MD 21157-6957 | 2017-04-26 |
| 1831640325 | Tina Brown | Counselor | 12125 Shale Ridge Ln, 12125 Shale Ridge Road, Auburn, CA 95602-8880 | 2016-10-19 |
| Street Address |
211 SPRING ST |
| City | FOX LAKE |
| State | WI |
| Zip Code | 53933-8034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389615 | Jodi Wray | Technician | 202 Booth St #202, Fox Lake, WI 53933 | 2019-10-30 |
| 1477079242 | Aeron Rachel Adams | Nurse Practitioner | W10237 Lake Emily Rd, Fox Lake, WI 53933 | 2017-08-14 |
| 1396952016 | Christopher Paul Brooks | Dentist | 608 W State St, Fox Lake, WI 53933 | 2007-05-16 |
| 1265513741 | Craig Edward Mahlum | Dentist | W10237 Lake Emily Road, Fox Lake, WI 53933 | 2006-10-18 |
| 1578100772 | Amy Denneau | Nurse Practitioner | W10237 Lake Emily Rd, Fox Lake, WI 53933 | 2019-12-06 |
| 1184671448 | Fox Lake Community Fire Association | Ambulance | 246 E State St, Fox Lake, WI 53933-8027 | 2006-05-30 |
| 1518928662 | Agnesian Healthcare Inc | Durable Medical Equipment & Medical Supplies | 703 W State St, Fox Lake, WI 53933-9550 | 2006-03-29 |
| 1205827631 | Cindy B Hankes | Nurse Practitioner | 703 State St, Fox Lake, WI 53933-9550 | 2005-11-03 |
| 1366971681 | Rebecca Ann Mayer | Nurse Practitioner | 703 W State St, Fox Lake, WI 53933-9550 | 2017-06-09 |
| 1497897565 | Consultants Laboratory of Wi, LLC | Clinical Medical Laboratory | 703 W State St, Fox Lake, WI 53933-9550 | 2007-02-13 |
| Find all providers in zip 53933 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366040180 | Ashlee K Regenauer | Licensed Practical Nurse | 1103 Whitewater Ave, Fort Atkinson, WI 53538-2669 | 2020-10-14 |
| 1538767355 | Samantha Jo Dates | Licensed Practical Nurse | N8273 E Friesland Rd, Randolph, WI 53956-9407 | 2020-10-14 |
| 1861090714 | Kayla Ann Grapentine | Licensed Practical Nurse | 2425 Dewey St Unit 28, Manitowoc, WI 54220-6368 | 2020-10-13 |
| 1457966731 | Denise Brown | Licensed Practical Nurse | 1215 Monroe Ave, Racine, WI 53405-2862 | 2020-09-13 |
| 1720690514 | Kaitlynn Sutor | Licensed Practical Nurse | 6102 Pacific Crest Rd, Mcfarland, WI 53558-8741 | 2020-08-21 |
| 1326650227 | Emily J. Szulczewski | Licensed Practical Nurse | 4724 W Greenfield Rd, Janesville, WI 53548-9111 | 2020-08-20 |
| 1881205359 | Michelle Eichenberg | Licensed Practical Nurse | 1028 East St Apt 8, Fort Atkinson, WI 53538-2643 | 2020-08-10 |
| 1205445509 | Kelsey Tenpas | Licensed Practical Nurse | 8232 State Highway 73, Pittsville, WI 54466-9336 | 2020-07-23 |
| 1013535491 | Debra Ann Martens Mcpherrin | Licensed Practical Nurse | 551 Rivershores Dr, West Bend, WI 53090-2531 | 2020-07-11 |
| 1861019952 | Tasha Harris | Licensed Practical Nurse | 1238 Sunfield St, Sun Prairie, WI 53590-2740 | 2020-07-06 |
| 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.