LATISHA IRENE METEALF (NPI# 1619527090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619527090 |
| Entity Type | Individual |
| Full Name | LATISHA IRENE METEALF |
| Practice Address |
604 W Hillcrest Rd Apt 111 Saukville WI 53080 |
| Mailing Address |
4111 N Montreal Street Milwalkee WI 53216 |
| Practice Telephone | 4142554447 |
| Mailing Telephone | 4147504023 |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2019-09-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Street Address |
604 W HILLCREST RD APT 111 |
| City | SAUKVILLE |
| State | WI |
| Zip Code | 53080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437757069 | Kerri Lynn Garant | Pharmacist | Walmart Pharmacy 10-1650, 825 E. Green Bay Avenue, Saukville, WI 53080 | 2020-10-15 |
| 1578841854 | Calvin Donald Thomas | Physical Therapist | 516 East Green Bay Ave, Saukville, WI 53080 | 2011-08-03 |
| 1578681748 | Julie Schueller | Physical Therapist | 516 E. Green Bay Ave, Saukville, WI 53080 | 2007-03-27 |
| 1922145101 | Ty C. Wade | Chiropractor | 620 E. Green Bay Ave., Suite 104, Saukville, WI 53080 | 2007-01-30 |
| 1427116375 | Stuart W Natale | Optometrist | 289 E Green Bay Ave, Saukville, WI 53080 | 2006-12-04 |
| 1245520055 | Wal-mart Stores East Lp | Technician/Technologist | 825 E Green Bay Ave, Saukville, WI 53080 | 2011-04-13 |
| 1659590370 | Diane Mary Ott | Physical Therapist | 516 E Green Bay Ave, Saukville, WI 53080 | 2007-04-24 |
| 1902134224 | Knutson | Durable Medical Equipment & Medical Supplies | N5272 Highway I, Saukville, WI 53080-1040 | 2009-11-24 |
| 1962733790 | Nancy Evon Knutson | Licensed Practical Nurse | N5272 Highway I, Saukville, WI 53080-1040 | 2010-01-19 |
| 1275649790 | Ronald Paul Stifter | Dentist | 2659 Hawthorne Dr, Saukville, WI 53080-1109 | 2006-08-21 |
| Find all providers in zip 53080 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770194524 | Christpher George Rowe | Technician | 825 Clermont S Apt 7, Antigo, WI 54409 | 2020-08-14 |
| 1750906137 | Lilshana Woods | Technician | 3946 N 52nd St, Milwaukee, WI 53216 | 2020-06-11 |
| 1720601198 | Rose Nelson | Technician | 3007 2nd Ave, Oxford, WI 53952 | 2020-05-20 |
| 1013543255 | Sonhui Edwards | Technician | 9730 W Coldspring Rd, Greenfield, WI 53228 | 2020-03-19 |
| 1679109045 | Nichol Davey | Technician | S2969 Sebion Rd, Westby, WI 54667 | 2020-03-18 |
| 1093340473 | Denise Stinson | Technician | 1311 Badger St, Apt 505, La Crosse, WI 54601 | 2020-03-06 |
| 1467085621 | Dachia Abt | Technician | 52967 Sebion Rd, Westby, WI 54667 | 2020-02-17 |
| 1942833272 | Mary Tunison | Technician | 52969 Sebion Rd, 52969 Sebion Rd, Westby, WI 54667 | 2020-02-14 |
| 1730712068 | Kristine L Mowery | Technician | 52969 Sebion Rd., 52969 Sebion Rd, Westby, WI 54667 | 2020-02-14 |
| 1063042539 | Marjorie Stuart | Technician | 2410 Hirschman Lane, Hartland, WI 53029 | 2020-01-23 |
| 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.