BRANDY L STORK (NPI# 1619349883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619349883 |
Entity Type | Individual |
Full Name | BRANDY L STORK |
Credential | H.I.S. |
Practice Address |
5027 Green Bay Rd Suite 104 Kenosha WI 53144-1771 |
Mailing Address |
5200 Washington Ave Suite 102 Racine WI 53406-4238 |
Practice Telephone | 2626575350 |
Practice Fax Number | 2627640598 |
Mailing Telephone | 2626375668 |
Mailing Fax Number | 2626375009 |
Enumeration Date | 2015-10-27 |
Last Update Date | 2015-10-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 237700000X | Hearing Instrument Specialist | 1473 | WI | Speech, Language and Hearing Service Providers |
Street Address |
5027 GREEN BAY RD SUITE 104 |
City | KENOSHA |
State | WI |
Zip Code | 53144-1771 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376549980 | Douglas E Reichert | Prosthetist | 5027 Green Bay Rd, Ste 124, Kenosha, WI 53144-1771 | 2005-06-28 |
1689091316 | William T Whalen Iv | Prosthetic/Orthotic Supplier | 5027 Green Bay Rd, Suite 124, Kenosha, WI 53144-1771 | 2014-03-19 |
1669682282 | Berglund Chiropractic Clinic Sc | Clinic/Center | 5027 Green Bay Rd, Ste 118, Kenosha, WI 53144-1771 | 2007-05-23 |
1316075377 | Susan L. Fleuchaus | Chiropractor | 5027 Green Bay Rd, Suite 110, Kenosha, WI 53144-1771 | 2007-03-01 |
1932217015 | Eileen Mary Berglund | Chiropractor | 5027 Green Bay Rd, Kenosha, WI 53144-1771 | 2006-08-28 |
1235247693 | Michael David Berglund | Chiropractor | 5027 Green Bay Rd, Ste 118, Kenosha, WI 53144-1771 | 2006-08-27 |
1508862129 | Reichert & Kelsey Prosthetics Orthotics LLC | Prosthetic/Orthotic Supplier | 5027 Green Bay Rd, Ste 124, Kenosha, WI 53144-1771 | 2005-06-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902410202 | Dpt Holdings LLC | Occupational Therapist | 3825 39th Ave #110, Kenosha, WI 53144 | 2020-09-03 |
1225641392 | Eunice Boatin | Social Worker | Kenosha Human Development Services, 3536 52nd Street, Kenosha, WI 53144 | 2020-08-28 |
1881250256 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 3621 Market Lane, Kenosha, WI 53144 | 2019-05-11 |
1124540067 | Kaitlyn King | Speech-Language Pathologist | 5219 88th Ave., Kenosha, WI 53144 | 2017-07-12 |
1174992721 | Claire Ann Adams | Acupuncturist | 5416 52nd Street, Kenosha, WI 53144 | 2015-09-24 |
1285017087 | Jessica Lynn Gillengerten | Acupuncturist | 4235 Green Bay Rd., Suite #10, Kenosha, WI 53144 | 2015-06-30 |
1750704656 | Amanda Kay Kreuzer | Occupational Therapy Assistant | 3109 30th Ave, Kenosha, WI 53144 | 2014-01-28 |
1841626785 | B7 Pharmacy Inc | Pharmacy | 3825 39th Ave Ste 100, Kenosha, WI 53144 | 2013-09-24 |
1124326764 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3710 57th Ave, Kenosha, WI 53144 | 2011-03-07 |
1982931291 | Roman Bilak | General Practice | 4126 - 7th Street, Kemosha, WI 53144 | 2009-11-06 |
Find all providers in zip 53144 |
Taxonomy Code | 237700000X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Hearing Instrument Specialist |
Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700436995 | Scott V Rantanen | Hearing Instrument Specialist | 7214 Green Bay Rd Ste 106, Kenosha, WI 53142-3516 | 2019-09-19 |
1992174783 | Jean Hughes | Hearing Instrument Specialist | 5901 75th St, Kenosha, WI 53142-3636 | 2015-09-22 |
1700161429 | Jeffrey Jay Johnston | Hearing Instrument Specialist | 6804 Green Bay Road, 113, Kenosha, WI 53142 | 2011-10-13 |
1801083191 | Jeffrey Scott Gilane | Hearing Instrument Specialist | 5729 75th St, Kenosha, WI 53142-3603 | 2007-10-01 |
1912552985 | Rebecca Winget | Hearing Instrument Specialist | 5729 75th St, Kenosha, WI 53142-3603 | 2019-08-07 |
1982932026 | Jeff Fernholz | Hearing Instrument Specialist | 2527 75th St, Kenosha, WI 53143-1407 | 2009-12-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679174965 | Kayla Hensley | Hearing Instrument Specialist | 169 E Wisconsin Ave Unit H, Oconomowoc, WI 53066-3062 | 2020-11-04 |
1831797687 | Brian Gordon Wisniewski | Hearing Instrument Specialist | 13000 W. Bluemound Road, Elm Grove, WI 53122 | 2020-10-14 |
1588262323 | Tammi T Wisniewski | Hearing Instrument Specialist | 4847 W. Forest Home Avenue, Greenfield, WI 53219 | 2020-10-14 |
1437778438 | Nicole M Halverson | Hearing Instrument Specialist | 550 N Military Ave Ste 4a, Green Bay, WI 54303-4569 | 2020-04-10 |
1467089672 | John Paul Santucci | Hearing Instrument Specialist | 7945 W Layton Ave, Greenfield, WI 53220-3710 | 2020-03-26 |
1467088559 | Reed Harris | Hearing Instrument Specialist | 131 Carmichael Rd Ste 204, Hudson, WI 54016-8271 | 2020-03-20 |
1831732320 | Amy Meyer | Hearing Instrument Specialist | 4535 Mormon Coulee Rd Ste 2, La Crosse, WI 54601-8289 | 2019-10-28 |
1659914505 | Maria E Seefeld | Hearing Instrument Specialist | 302 N Saint Joseph Ave, Marshfield, WI 54449-1800 | 2019-10-23 |
1922640986 | Mitchell J Zdroik | Hearing Instrument Specialist | 7475 Mineral Point Rd Ste 15, Madison, WI 53717-1712 | 2019-10-11 |
1891354155 | Eliza J Schulfer | Hearing Instrument Specialist | 719 W Main St Ste A, Wautoma, WI 54982-8503 | 2019-06-11 |
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.