RHONDA S NIEMI JUDGE


Address: 1370 N Shawano St, Ste A, New London, WI 54961-7944
Phone: 9205311100

RHONDA S NIEMI JUDGE (NPI# 1588651244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588651244
Entity Type Individual
Full Name RHONDA S NIEMI JUDGE
Credential NPC
Practice Address 1370 N Shawano St
Ste A
New London
WI 54961-7944
Mailing Address 200 E Washington St
P.o. Box 8301
Appleton
WI 54911-5490
Practice Telephone 9205311100
Practice Fax Number 9205318301
Mailing Telephone 9205311100
Mailing Fax Number 9205318301
Enumeration Date 2005-09-28
Last Update Date 2009-10-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
2797-033 WI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 39-1805927 05

Office Location

Street Address 1370 N SHAWANO ST
STE A
City NEW LONDON
State WI
Zip Code 54961-7944

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619310620 Deborah Jalling Specialist/Technologist 1370 N Shawano St, New London, WI 54961-7944 2013-04-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407406408 Cheryl Schneider Technician L 56 Northgate Estates, New London, WI 54961 2019-09-12
1861634719 Rebecca L Kramer Counselor 315 Burton St, New London, WI 54961 2009-03-24
1598913501 Marsha Ann Nytes Licensed Practical Nurse E8222 Weyawega Rd, New London, WI 54961 2008-09-03
1659585172 Amanda L. Beck Physical Therapy Assistant 400 E. 4th Street, Manawa, WI 54961 2007-05-10
1366599433 Griebenow Eyecare, S.c. Optometrist 105 Northridge Drive, New London, WI 54961 2007-01-04
1740822055 Lauren Mae Flunker Social Worker E7475 Rawhide Rd, New London, WI 54961 2019-10-09
1063641249 Forefront Dermatology, S.c. Dermatology 1620 N Shawano St, Suite C, New London, WI 54961 2009-07-08
1093982530 Ascension Medical Group-fox Valley Wisconsin, Inc Clinic/Center 1420 Algoma St, New London, WI 54961 2008-05-14
1821263849 Mark Alan Tegtmeier Counselor E7475 Rawhide Rd, New London, WI 54961 2008-04-30
1194910489 Laurie Mollenhauer Physical Therapist 1405 Mill St, New London, WI 54961 2007-09-10
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1174009641 Catherine Hinojosa Nurse Practitioner 1 Shaws Cove, New London, CT 06320 2018-07-17
1346694353 Peter Woods Nurse Practitioner 270 Montauk Ave, New London, CT 06320-4712 2016-04-15
1326351032 Kimberly A Kurey Nurse Practitioner 400 Bayonet St Ste 206, New London, CT 06320-2633 2010-07-22
1366634776 Life Long Care of New London Pllc Nurse Practitioner 276 Newport Rd Ste 107, New London, NH 03257-5468 2007-08-10
1992748784 Betsy Gaffney Nurse Practitioner 255 Hempstead St, New London, CT 06320-6204 2006-06-13
1295706554 Shirley A Mendes Nurse Practitioner 270 Mohegan Avenue, Warnshuis Building, New London, CT 06320-4125 2006-01-26
1588643019 Kathleen M Kidder Nurse Practitioner 276 Newport Rd, The Gallery, Suite 107, New London, NH 03257-5468 2006-01-12
1124581681 Fnp Medical Services LLC Nurse Practitioner 400 Bayonet St Ste 206, New London, CT 06320-2633 2019-04-11
1457835357 Natasha Singer Nurse Practitioner 37 Beech Dr, New London, CT 06320-3003 2018-09-18
1376047522 Terry Waddell Nurse Practitioner 412 E Main St, New London, IA 52645-1220 2018-03-22
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Competitor

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City NEW LONDON
Zip Code 54961

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Dataset Information

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.

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