LACEY RENEE ANDERSON


Address: 835 S Van Buren St, Green Bay, WI 54301-3526
Phone: 4174999141

LACEY RENEE ANDERSON (NPI# 1669093175) 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) 1669093175
Entity Type Individual
Full Name LACEY RENEE ANDERSON
Other Name LACEY RENEE GROFF
Credential RN
Practice Address 835 S Van Buren St
Green Bay
WI 54301-3526
Mailing Address 4228 Downton Cir
Green Bay
WI 54313-9110
Practice Telephone 4174999141
Mailing Telephone 4174999141
Enumeration Date 2020-05-06
Last Update Date 2020-05-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
1726 Shawano Ave, Green Bay, WI 543033216 4174999141

Other Providers LACEY ANDERSON

NPI Name Taxonomy Address Enumeration
1275019671 Lacey Paulett Anderson Speech-Language Pathologist 1101 Whispering Spring Ct, Burleson, TX 76028 2018-07-18
1790290450 Lacey Snow Anderson Speech-Language Pathologist 1901 W 15th St, Edmond, OK 73013-2689 2017-12-04
1801306733 Lacey Anderson Psychologist 4040 N Division St, Morris, IL 60450-9357 2017-10-05
1861872558 Lacey Jo Anderson Counselor 25224 W. Eames St., Channahon, IL 60410-3102 2015-06-08
1346639267 Lacey Anderson Nurse Practitioner 700 Medical Center Dr Ste 210, Newton, KS 67114-9017 2015-01-15
1568985943 Lacey Anderson Dietitian, Registered 112 N 7th St, Chambersburg, PA 17201-1720 2017-07-18
1609290154 Lacey Anderson Behavioral Analyst 4058 W Shady Plum Way, South Jordan, UT 84095-3908 2014-02-04
1306273461 Lacey Anderson Counselor 2624 9th Ave S, Fargo, ND 58103-2350 2013-10-03
1912153727 Lacey Dawn Anderson Counselor 530 San Pedro Ave, San Antonio, TX 78212-5006 2008-08-12

Office Location

Street Address 835 S VAN BUREN ST
City GREEN BAY
State WI
Zip Code 54301-3526

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093707689 Louis A Suarez Thoracic Surgery (Cardiothoracic Vascular Surgery) 835 S Van Buren St, Green Bay, WI 54301-3526 2005-08-18
1114526530 Keisha Vickman Nurse Practitioner 835 S Van Buren St, Green Bay, WI 54301-3526 2020-10-19
1902416480 Tyler William Shimek Nurse Anesthetist, Certified Registered 835 S Van Buren St, Green Bay, WI 54301-3526 2020-08-09
1770100489 Fuad Emile Zankoul Thoracic Surgery (Cardiothoracic Vascular Surgery) 835 S Van Buren St, Green Bay, WI 54301-3526 2020-06-29
1942822473 Brittany Elizabeth Pitsch Nurse Anesthetist, Certified Registered 835 S Van Buren St, Green Bay, WI 54301-3526 2020-05-06
1891320834 Tarra Lynn Moran Hospitalist 835 S Van Buren St, Green Bay, WI 54301-3526 2020-03-10
1780219238 Shea A Sternhagen Nurse Practitioner 835 S Van Buren St, Green Bay, WI 54301-3526 2020-03-05
1508490780 Christopher Michael Robinson Anesthesiology 835 S Van Buren St, Green Bay, WI 54301-3526 2020-02-26
1083250872 Brandyn Robert Behnke Registered Nurse 835 S Van Buren St, Green Bay, WI 54301-3526 2019-11-27
1306480157 Devin Calaway Nurse Anesthetist, Certified Registered 835 S Van Buren St, Green Bay, WI 54301-3526 2019-11-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386102465 Parc Village Dental, LLC Dentist 2805 Libal Street, Suite A, Green Bay, WI 54301 2019-03-07
1598229478 Shaina Marie Conner Registered Nurse 835 S Vanburen St, Green Bay, WI 54301 2019-01-25
1093298960 Brown County Case Management 111 N. Jefferson Street, Green Bay, WI 54301 2018-09-07
1639609928 Frontline Healthcare LLC Specialist/Technologist, Other 2221 S. Webster Ave. Suite 270, Greenbay, WI 54301 2017-06-19
1992242606 Charmaine Rimple Counselor 526 South Monroe Avenue, Green Bay, WI 54301 2017-01-20
1962944819 Rebecca Lucille Reinbold Registered Nurse 917 Catherine Street, Green Bay, WI 54301 2016-11-09
1730635061 Melissa Kristof Specialist/Technologist, Other 1821 Sounth Webster Ave., Green Bay, WI 54301 2016-08-28
1255709747 Vivian Sweetheart Bishop-cook Counselor 2920 South Webster Ave, Green Bay, WI 54301 2015-09-14
1881079960 Chelsi S Weber Registered Nurse 2300 Riverside Dr., Ste 204, Green Bay, WI 54301 2015-07-30
1962816371 Joelle M Hesse Counselor 630 Cherry St., Green Bay, WI 54301 2014-06-13
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205474905 Nonglee Moua Student in an Organized Health Care Education/Training Program 345 Westplain Dr, Green Bay, WI 54303-3367 2019-12-13
1386138568 Casey Gerald Deshambo Student in an Organized Health Care Education/Training Program 2100 Memorial Dr Apt 207, Green Bay, WI 54303-5309 2018-06-20
1164940375 Kaeley Rae Blaney Student in an Organized Health Care Education/Training Program 2088 Memorial Drive #208, Green Bay, WI 54303 2017-09-07
1932632353 Jacqueline Wanezek Student in an Organized Health Care Education/Training Program 2365 Donarski Ct, Green Bay, WI 54302-4329 2017-04-04
1013531656 Michael Tadayuki Miyamoto Student in an Organized Health Care Education/Training Program 2851 University Ave, Green Bay, WI 54311-5855 2020-05-29
1184245326 Kevin Michael Hansen Student in an Organized Health Care Education/Training Program 2851 University Ave, Green Bay, WI 54311-5855 2020-04-28
1689201832 Ifeanyi Jeffrey Mbah Student in an Organized Health Care Education/Training Program 2851 University Ave, Green Bay, WI 54311-5855 2020-03-26
1689236531 Heidi Marie Wennesheimer Student in an Organized Health Care Education/Training Program 1061 W Mason St, Green Bay, WI 54303-1858 2019-07-01
1942862982 Nisa Keane Liberty Student in an Organized Health Care Education/Training Program 2851 University Ave, Green Bay, WI 54311-5855 2019-06-29
1053973123 Kristin Nelson Student in an Organized Health Care Education/Training Program 2851 University Ave, Green Bay, WI 54311-5855 2019-06-28
Find all providers in GREEN BAY

Competitor

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City GREEN BAY
Zip Code 54301

Improve Information

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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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