AMY E WARDEN (NPI# 1679052104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679052104 |
| Entity Type | Individual |
| Full Name | AMY E WARDEN |
| Credential | NP |
| Practice Address |
1160 Kepler Dr Green Bay WI 54311-8321 |
| Practice Telephone | 9202885630 |
| Mailing Telephone | 9202885630 |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2019-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 8778 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
8778 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100082580 | 05 | |
| WI | 100082621 | 05 |
| Street Address |
1160 KEPLER DR |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54311-8321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649273129 | Luke Thomas Warpinski | Family Medicine | 1160 Kepler Dr, Green Bay, WI 54311-8321 | 2005-05-27 |
| 1639783202 | Angela Dhuey | Massage Therapist | 1160 Kepler Dr, Green Bay, WI 54311-8321 | 2020-09-01 |
| 1912511585 | Marilee Petasek | Massage Therapist | 1160 Kepler Dr, Green Bay, WI 54311-8321 | 2020-09-01 |
| 1720611981 | Baycare Aurora, LLC | Durable Medical Equipment & Medical Supplies | 1160 Kepler Dr, Green Bay, WI 54311-8321 | 2020-02-17 |
| 1619448727 | Melissa Mary Thompson | Physical Therapist | 1160 Kepler Dr, Green Bay, WI 54311-8321 | 2018-12-16 |
| 1942776919 | Nathan Seitz | Physical Therapist | 1160 Kepler Dr, Green Bay, WI 54311-8321 | 2018-10-17 |
| 1477052553 | Kristin Kiekhaefer | Specialist/Technologist | 1160 Kepler Dr, Green Bay, WI 54311-8321 | 2018-02-05 |
| 1235647876 | Jordan Robinson | Specialist/Technologist | 1160 Kepler Dr, Green Bay, WI 54311-8321 | 2018-01-17 |
| 1811433816 | Paige E Pernaski | Registered Nurse | 1160 Kepler Dr, Green Bay, WI 54311-8321 | 2017-01-13 |
| 1659722122 | Derek Manz | Occupational Therapist | 1160 Kepler Dr, Green Bay, WI 54311-8321 | 2016-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333847 | Karen Ginnow | Pharmacist | Walmart #1908, 2292 Main St, Green Bay, WI 54311 | 2020-10-15 |
| 1639786551 | Maggie Hall | Dental Hygienist | 2633 Development Dr. Ste 40, Green Bay, WI 54311 | 2020-09-24 |
| 1295370807 | Jennifer Marie Arendt | Technician | 2970 Mossy Oak Cir #39, Green Bay, WI 54311 | 2019-11-07 |
| 1518508803 | Cheryl Ann Johnson | Specialist | 830 Edgewood Dr., Green Bay, WI 54311 | 2019-10-08 |
| 1124670898 | Robert H Wagner Family Dentist S.c. | Dentist | 2830 Curry Court, Suite 1, Green Bay, WI 54311 | 2019-07-12 |
| 1821659624 | The Salvation Army | Counselor | The Salvation Army Ray & Joan Kroc Center, 1315 Lime Kiln Road, Green Bay, WI 54311 | 2019-06-24 |
| 1578052866 | Matthew Robert Wagner | Dentist | 2830 Curry Ln #1, Green Bay, WI 54311 | 2018-05-02 |
| 1861916769 | Atlas Spinal Care | Chiropractor | 2069 Central Ct, Suite 11, Green Bay, WI 54311 | 2017-08-01 |
| 1851844161 | Green Bay Family Dental LLC | Dentist | 2609 Development Dr., Green Bay, WI 54311 | 2016-08-03 |
| 1710382809 | Betsy Hoida | Pharmacist | 2485 Greenbrier Rd., Green Bay, WI 54311 | 2014-10-31 |
| Find all providers in zip 54311 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932256781 | Elizabeth F. Mitchell | Nurse Practitioner | 444 Delwiche Rd, Green Bay, WI 54302-4804 | 2007-01-04 |
| 1528500626 | Yasleny Rodriguez-castillo | Nurse Practitioner | 301 E Saint Joseph St, Green Bay, WI 54301 | 2016-11-07 |
| 1992156210 | Kari Lynn Mahlik | Nurse Practitioner | 301 E Saint Joseph St, Green Bay, WI 54301-2241 | 2016-06-28 |
| 1053718890 | Spectrum Behavioral Health LLC | Nurse Practitioner | 1496 Bellevue St, Suite 101, Green Bay, WI 54311-4205 | 2014-11-21 |
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| 1003422726 | Wisconsin Healthcare Family Practices and Behavioral Services LLC | Nurse Practitioner | 10721 W Capitol Dr Ste G103, Wauwatosa, WI 53222-1210 | 2020-09-17 |
| 1689292856 | Julianne Margaret John | Nurse Practitioner | 3237 S 16th St Ste 310, Milwaukee, WI 53215-4526 | 2020-07-13 |
| 1356968002 | Marisa Hiley | Nurse Practitioner | W129 N7055 Northfield Drive, Menomonee Falls, WI 53051 | 2020-06-29 |
| 1932726700 | Lauren Marie Skemp | Nurse Practitioner | 1960 Hyview Rd, Cuba City, WI 53807-9718 | 2020-06-28 |
| 1235779240 | Conscious Practice, LLC | Nurse Practitioner | 119 19th St N, La Crosse, WI 54601-3724 | 2020-01-08 |
| 1073152161 | Stephanie L Ruskell | Nurse Practitioner | 3805 Spring St Ste 240, Mount Pleasant, WI 53405-1667 | 2020-01-06 |
| 1558924811 | Sarah Kathryn Garven | Nurse Practitioner | 5000 West National Ave Rm 3119, Milwaukee, WI 53295-1000 | 2019-04-22 |
| 1104394535 | Therese Ann Alm | Nurse Practitioner | 383 Williamstowne Ste 101, Delafield, WI 53018-2332 | 2018-11-03 |
| 1477079242 | Aeron Rachel Adams | Nurse Practitioner | W10237 Lake Emily Rd, Fox Lake, WI 53933 | 2017-08-14 |
| 1396140398 | Monica Gorski | Nurse Practitioner | 505 King St Ste 218, La Crosse, WI 54601-4289 | 2014-11-03 |
| Find all providers with the same taxonomy | ||||
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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.