NICOLE E. JUEDES


Address: 2105 E. Enterprise Ave., Suite 111, Appleton, WI 54913-7862
Phone: 9207316611

NICOLE E. JUEDES (NPI# 1629218417) 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) 1629218417
Entity Type Individual
Full Name NICOLE E. JUEDES
Credential CST
Practice Address 2105 E. Enterprise Ave.
Suite 111
Appleton
WI 54913-7862
Practice Telephone 9207316611
Practice Fax Number 9207316732
Mailing Telephone 9207316611
Mailing Fax Number 9207316732
Enumeration Date 2009-03-06
Last Update Date 2014-11-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246ZS0410X Specialist/Technologist, Other
Specialization: Surgical Technologist
Technologists, Technicians & Other Technical Service Providers
N 246ZS0410X Specialist/Technologist, Other
Specialization: Surgical Technologist
111971 WI Technologists, Technicians & Other Technical Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NATIONAL BOARD OF SURGICAL TECHNOLOGY AND SURGICAL ASSISTING 111971 01
NATIONAL BOARD OF SURGICAL TECHNOLOGY AND SURGICAL ASSISTING 140411 01

Office Location

Street Address 2105 E. ENTERPRISE AVE.
SUITE 111
City APPLETON
State WI
Zip Code 54913-7862

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043254162 Fvosa Surgical Partners, LLC Clinic/Center 2105 E. Enterprise Ave., Suite 101, Appleton, WI 54913 2006-06-16
1467702241 Kara L Brochtrup Nurse Practitioner 2105 E. Enterprise Ave., Suite 111, Appleton, WI 54913-7862 2012-09-19
1053578682 Todd A Derksen Podiatrist 2105 E. Enterprise Ave., Suite 111, Appleton, WI 54913-7862 2008-05-21
1811179344 Eric R. Bowen Nurse Practitioner 2105 E. Enterprise Ave., Suite 111, Appleton, WI 54913-7862 2007-11-27
1720023724 Great Lakes Orthotics & Prosthetics Inc. Prosthetic/Orthotic Supplier 2105 E. Enterprise Ave., Suite 114, Appleton, WI 54913 2006-06-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457994584 Pamela J Andersen Music Therapist 245 N. Metro Drive, Appleton, WI 54913 2019-10-22
1396387510 Nancy Sibley Technician N4423 County Road Ee, Appleton, WI 54913 2019-10-09
1659872240 Meijer Stores Limited Partnership Durable Medical Equipment & Medical Supplies 3801 N. Richmond Street, Grand Chute, WI 54913 2018-02-28
1780116244 Alison Pelger Physician Assistant 3916 North Intertech Court, Appleton, WI 54913 2017-04-03
1316311905 Lucy Bouressa Specialist/Technologist 2105 E. Enterprise Ave, 113, Appleton, WI 54913 2015-11-19
1992189989 Brittany Reinke Physical Therapist Walking and Wheeling, LLC, W4652 Glenn Street, Appleton, WI 54913 2015-07-20
1902280092 Costco Wholesale Corporation Pharmacy 5401 W Integrity Way, Grand Chute, WI 54913 2015-07-17
1942646849 Richard Anthony Mauthe Pharmacist 5401 W. Integrity Way, Neenah, WI 54913 2013-05-17
1750622163 Tonya Janelle Wilderman Pharmacist 1400 N Mccarthy Rd, Apt 2, Grand Chute, WI 54913 2013-03-10
1295938777 Jenna Marie Kadlec Physical Therapist 3916 N. Intertech Court, Appleton, WI 54913 2007-06-11
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Taxonomy Information

Taxonomy Code 246ZS0410X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Specialist/Technologist, Other
Specialization Surgical Technologist

Taxonomy Definition

Surgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the safe and effective conduct of invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. Surgical technologists possess expertise in the theory and application of sterile and aseptic technique and combine the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a physician's performance of invasive therapeutic and diagnostic procedures.
Notes: Source: Association of Surgical Technologists, "Job Description: Surgical Technologist," 2014. [7/1/2014: code modified, title modified, definition added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447731161 Shannon Lori Marohl Specialist/Technologist, Other 1818 N Meade St # 240, Appleton, WI 54911-3454 2018-08-22
1780178137 Dana Schmidt Specialist/Technologist, Other 1818 N Meade St Ste 240w, Appleton, WI 54911-3454 2018-06-19
1093370363 Janene M Ray Specialist/Technologist, Other 1818 N Meade St Ste 240w, Appleton, WI 54911-3454 2019-05-02
1548744329 Tammy Lynn Ebben Specialist/Technologist, Other 1818 N Meade St, Appleton, WI 54911-3454 2018-09-18
1023591302 Keri Lynn Volinkaty Specialist/Technologist, Other 5320 W Michaels Dr, Appleton, WI 54913-8446 2018-09-12
1659899896 Amy Rebecca Young Specialist/Technologist, Other 701 S Nicolet Rd, Appleton, WI 54914-8273 2017-09-08
1023564044 Jessica Ann Buchberger Specialist/Technologist, Other 1818 N Meade St, Suite 240 West, Appleton, WI 54911-3454 2016-08-30
1215483268 Melissa Ann Fonferek Specialist/Technologist, Other 1818 N Meade St, Suite 240 West, Appleton, WI 54911-3454 2016-08-30
1255603304 Shannan L Vandehey Specialist/Technologist, Other 1818 N Meade St, Suite 240 West, Appleton, WI 54911-3454 2012-02-06
1184955486 Elizabeth S. Townsend Specialist/Technologist, Other 1818 N Meade St, Suite 240-west, Appleton, WI 54911-3454 2010-01-26
Find all providers in APPLETON

Competitor

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City APPLETON
Zip Code 54913

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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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