CRYSTAL GUTTMAN (NPI# 1629446331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629446331 |
| Entity Type | Individual |
| Full Name | CRYSTAL GUTTMAN |
| Credential | APNP |
| Practice Address |
3925 N Gateway Dr Appleton WI 54913-7863 |
| Mailing Address |
3232 N Ballard Rd Ste 200 Appleton WI 54911-8804 |
| Practice Telephone | 9207491171 |
| Mailing Telephone | 9207499668 |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2016-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
6637-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1629446331 | 05 |
| Street Address |
3925 N GATEWAY DR |
| City | APPLETON |
| State | WI |
| Zip Code | 54913-7863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780677906 | Douglas P Calvin | Internal Medicine | 3925 N Gateway Dr, Appleton, WI 54913-7863 | 2005-08-23 |
| 1750820759 | Adam Edward Luboff | Pharmacist | 3925 N Gateway Dr, Suite 100, Appleton, WI 54913-7863 | 2017-02-23 |
| 1003352733 | Fox Valley Hematology & Oncology S C | Pharmacy | 3925 N Gateway Dr, Suite 100, Appleton, WI 54913-7863 | 2017-01-19 |
| 1801267240 | Dana Lynn Doke | Health Educator | 3925 N Gateway Dr, Appleton, WI 54913-7863 | 2015-10-12 |
| 1750628970 | Sara Meiers | Clinical Nurse Specialist | 3925 N Gateway Dr, Appleton, WI 54913-7863 | 2013-01-08 |
| 1386877538 | Jennifer Giebel | Nurse Practitioner | 3925 N Gateway Dr, Appleton, WI 54913-7863 | 2009-09-03 |
| 1194925479 | Daisy A Boehm | Nurse Practitioner | 3925 N Gateway Dr, Appleton, WI 54913-7863 | 2007-07-24 |
| 1063535524 | Fox Valley Hematology & Oncology, S.c. | Internal Medicine | 3925 N Gateway Dr, Appleton, WI 54913-7863 | 2007-04-09 |
| 1154447480 | Carrie Kristen Baum | Dietitian, Registered | 3925 N Gateway Dr, Appleton, WI 54913-7863 | 2007-03-21 |
| 1316072226 | Nancy L Gudex | Nurse Practitioner | 3925 N Gateway Dr, Appleton, WI 54913-7863 | 2007-02-22 |
| Find all providers in the same location | ||||
| 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 | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518519982 | Jacqueline Karlin | Nurse Practitioner | 2535 Northern Rd Ste D, Appleton, WI 54914-8753 | 2019-07-15 |
| 1700351301 | Jessica Friday | Nurse Practitioner | 3815 Stoney Creek Ct, Appleton, WI 54913-7953 | 2018-10-10 |
| 1871076273 | Alecia Raschke | Nurse Practitioner | 3232 N Ballard Rd Ste 100, Appleton, WI 54911-8804 | 2018-09-11 |
| 1386155216 | Mh Health Care Services, PC | Nurse Practitioner | 2175 S Memorial Dr, Appleton, WI 54915-1435 | 2017-10-18 |
| 1699184580 | Michelle Becker | Nurse Practitioner | 4435 West Lawrence St., Appleton, WI 54914 | 2014-08-05 |
| 1649693326 | Katlyn Sue Hansen | Nurse Practitioner | 2700 E Enterprise Ave Ste B, Appleton, WI 54913-7656 | 2014-01-30 |
| 1104104892 | Carissa Jo Meyer | Nurse Practitioner | 277 N Altenhofen Dr, Appleton, WI 54913-8401 | 2011-07-28 |
| 1184882334 | Jana Lynn Esden | Nurse Practitioner | 913 S West Ave, Appleton, WI 54915-2394 | 2008-05-23 |
| 1659390037 | Linda Jean Middleton | Nurse Practitioner | 10tri Park Way, Appleton, WI 54914 | 2006-07-18 |
| 1902413081 | Miranda Wendricks | Nurse Practitioner | 2500 E Capitol Dr, Appleton, WI 54911-8735 | 2020-09-23 |
| 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.