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).
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 |
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 |
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 |
Street Address |
2105 E. ENTERPRISE AVE. SUITE 111 |
City | APPLETON |
State | WI |
Zip Code | 54913-7862 |
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 |
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 |
Find all providers in zip 54913 |
Taxonomy Code | 246ZS0410X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Specialist/Technologist, Other |
Specialization | Surgical Technologist |
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] |
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 |
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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.