SHERRI CLAIRE SZCZEPANSKI (NPI# 1649292772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649292772 |
Entity Type | Individual |
Full Name | SHERRI CLAIRE SZCZEPANSKI |
Credential | APNP |
Practice Address |
1727 Shawano Ave. Prevea Health Green Bay WI 54307-3008 |
Mailing Address |
1715 Dousman Street Prevea Health Green Bay WI 54303 |
Practice Telephone | 9202721010 |
Practice Fax Number | 9202721011 |
Mailing Telephone | 9204964700 |
Mailing Fax Number | 9202721011 |
Enumeration Date | 2006-07-25 |
Last Update Date | 2017-07-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 116807 | WI | Nursing Service Providers |
N | 363A00000X | Physician Assistant | 2805 | WI | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2805 | WI | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 36000600 | 05 |
Street Address |
1727 SHAWANO AVE. PREVEA HEALTH |
City | GREEN BAY |
State | WI |
Zip Code | 54307-3008 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326525049 | Brittany Walczyk | Registered Nurse | 2710 Executive Drive, Green Bay, WI 54307 | 2018-07-25 |
1295128239 | Amanda Bachman | Nurse Practitioner | 1821 S Webster Avenue, Green Bay, WI 54307 | 2015-03-16 |
1528259397 | Venkata Ravi Kiran Kadipi Reddy | Family Medicine | 2793 Lineville Road, Green Bay, WI 54307 | 2007-08-07 |
1255526455 | Tasha Joy Malvitz | Speech-Language Pathologist | 1673 Dousman Street, Green Bay, WI 54307-2770 | 2007-09-11 |
1063423200 | Jonathan William Strom | Pharmacist | 744 South Webster Ave, Green Bay, WI 54307-3400 | 2006-08-11 |
1598743239 | Theresa Marie Shuck | Counselor | 835 South Vanburen Street, St. Vincent Hospital- Women's Services, Green Bay, WI 54307-3508 | 2006-01-04 |
1992122485 | Stephanie Julius | Nurse Practitioner | 835 S Van Buren St, Green Bay, WI 54307-3508 | 2014-03-24 |
1922271907 | Kelechi Ngozi Chiori-omotoso | Hospitalist | 835 S Van Buren St, Green Bay, WI 54307-3508 | 2008-04-10 |
1659467595 | Brenda J Chaet | Occupational Therapist | 835 South Vanburen Street, Green Bay, WI 54307-3508 | 2006-10-05 |
1184602633 | Sumedha Ghate | Genetic Counselor, MS | 835 S Van Buren St, St. Vincent Hospital - Genetics Clinic, Green Bay, WI 54307-3508 | 2006-01-05 |
Find all providers in zip 54307 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194353763 | Tiffany Dahlke | Nurse Practitioner | 2427 Bluestone Pl, Green Bay, WI 54311-6433 | 2020-03-30 |
1285121707 | Deanna Danelle Olk | Nurse Practitioner | 917 Lincoln St, Green Bay, WI 54303-3625 | 2018-04-19 |
1306221619 | Karen M Kroll | Nurse Practitioner | 1630 Commanche Ave Ste 102, Green Bay, WI 54313-5753 | 2015-07-28 |
1770968760 | Esmaeil Ben Kamali | Nurse Practitioner | 725 S Webster Ave Ste 201, Green Bay, WI 54301-3500 | 2015-07-20 |
1427338730 | Natasha M Koehler | Nurse Practitioner | 2749 E Carrera Ct, Green Bay, WI 54311-7278 | 2011-08-18 |
1780982397 | Seth Patrick Moore | Nurse Practitioner | 879 Mather St, Green Bay, WI 54303-3651 | 2011-03-06 |
1316263569 | Chris Edwin Anibal | Nurse Practitioner | 744 South Webster Avenue, Green Bay, WI 54305-3500 | 2010-04-13 |
1184956864 | Douglas A Bartelt | Nurse Practitioner | 464 Cardinal Lane, Green Bay, WI 54313-9569 | 2010-02-05 |
1750504916 | Heather Mary Weber | Nurse Practitioner | 622 Bodart St, Green Bay, WI 54301 | 2007-04-10 |
1346314937 | Denise Mary Brilliant | Nurse Practitioner | 2340 E Mason St, Green Bay, WI 54302-3746 | 2006-11-17 |
Find all providers in GREEN BAY |
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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.