JENNIFER L KOHNKE (NPI# 1699203554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699203554 |
| Entity Type | Individual |
| Full Name | JENNIFER L KOHNKE |
| Credential | RN |
| Practice Address |
670 County Road A Green Lake WI 54941-8608 |
| Mailing Address |
122 E College Ave Appleton WI 54911-5794 |
| Practice Telephone | 9202940100 |
| Practice Fax Number | 9202940123 |
| Mailing Telephone | 9208305900 |
| Mailing Fax Number | 9207385787 |
| Enumeration Date | 2017-05-23 |
| 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 | 149536 | WI | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | 7739 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
670 COUNTY ROAD A |
| City | GREEN LAKE |
| State | WI |
| Zip Code | 54941-8608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568622280 | Community Medical Center of Green Lake, LLC | Family Medicine | 670 County Road A, Green Lake, WI 54941 | 2008-06-16 |
| 1902373103 | Trina Hernandez | Nurse Practitioner | 670 County Road A, Green Lake, WI 54941 | 2018-10-26 |
| 1285030957 | Sandra Schwoerer | Nurse Practitioner | 670 County Road A, Green Lake, WI 54941-8608 | 2014-11-07 |
| 1548498298 | Jared M. Kohlenberg | Family Medicine | 670 County Road A, Green Lake, WI 54941-8608 | 2009-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144411612 | Green Lake School District | Local Education Agency (LEA) | 612 Mill St, Green Lake, WI 54941 | 2007-08-08 |
| 1073640736 | Mari Ann Krueger | Counselor | 500 Lake Steel Street, Green Lake, WI 54941 | 2007-02-28 |
| 1013072750 | Colleen Pomplun | Chiropractor | 505 Lake Street, Green Lake, WI 54941 | 2006-12-22 |
| 1407849433 | James M Williams | Family Medicine | 670 Cty Rd A, Green Lake, WI 54941 | 2005-08-24 |
| 1821597311 | Sara Rose Rhode | Counselor | 571 County Road A, Green Lake, WI 54941 | 2018-02-09 |
| 1366857146 | Kevin Daniel Castleberry | Dentist | 560 Mill St, Green Lake, WI 54941 | 2014-06-30 |
| 1780867408 | County of Green Lake | Counselor | 571 County Road A, Green Lake, WI 54941 | 2007-12-17 |
| 1316077860 | Emily Roth Johnson | Counselor | 500 Lake Steel Street, Green Lake, WI 54941 | 2007-03-06 |
| 1679600340 | Ann Loretta Frintner | Counselor | 500 Lake Steel Street, Green Lake, WI 54941 | 2007-02-28 |
| 1306986716 | Green Lake Medical Clinic, S.c. | Family Medicine | N6205 Busse Drive, Green Lake, WI 54941 | 2007-02-07 |
| Find all providers in zip 54941 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639024 | Lyndsay Chapman | Nurse Practitioner | 836 W Badger Ln, West Bend, WI 53095-4502 | 2020-11-06 |
| 1346849510 | Haley Gabrielle Robers | Nurse Practitioner | 1043 Dresser Ave, Waukesha, WI 53188-4980 | 2020-10-20 |
| 1306443460 | Zhengqi Fan | Nurse Practitioner | 7850 Harwood Ave Unit 3, Wauwatosa, WI 53213-2561 | 2020-10-01 |
| 1700493566 | Karen Heckel | Nurse Practitioner | N17w24100 Riverwood Dr Ste 150, Waukesha, WI 53188-1177 | 2020-09-25 |
| 1801401252 | Jodi Lynn Tesch | Nurse Practitioner | N984 Glennview Dr, Greenville, WI 54942-8531 | 2020-09-12 |
| 1023623832 | Serena Ashour | Nurse Practitioner | 1215 Wirtz Ave, Green Bay, WI 54304-2547 | 2020-09-09 |
| 1639782915 | Ana Stoica | Nurse Practitioner | 4600 W Loomis Rd Ste 101, Greenfield, WI 53220-4858 | 2020-08-26 |
| 1235740556 | Lucille Elizabeth Nathwani | Nurse Practitioner | Uw Medical Foundation 600 Highland Ave, Madison, WI 53792-0001 | 2020-08-11 |
| 1952910010 | Dana Diane Broyles | Nurse Practitioner | 6500 W Ohio Ave, Milwaukee, WI 53219-4246 | 2020-07-24 |
| 1174149918 | Nicole Leigh Heding | Nurse Practitioner | 10421 W Birch Ave, Milwaukee, WI 53225-3211 | 2020-06-17 |
| Find all providers with the same taxonomy | ||||
| City | GREEN LAKE |
| Zip Code | 54941 |
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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.