ALEXIYAH ROSE MARKS (NPI# 1699204719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699204719 |
| Entity Type | Individual |
| Full Name | ALEXIYAH ROSE MARKS |
| Other Name | ALEXIYAH ROSE KOHLER-BUSSAN |
| Credential | CMA, CBS |
| Practice Address |
2641 Development Dr Green Bay WI 54311-4240 |
| Mailing Address |
2761 Park Rd Greenleaf WI 54126-9666 |
| Practice Telephone | 9203386868 |
| Practice Fax Number | 9203386869 |
| Mailing Telephone | 6083301755 |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2017-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | Other Service Providers |
| Street Address |
2641 DEVELOPMENT DR |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54311-4240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013965615 | Edward G Vogel | Obstetrics & Gynecology | 2641 Development Dr, Green Bay, WI 54311-4240 | 2006-05-05 |
| 1851930119 | Tamara C Johnson | Massage Therapist | 2641 Development Dr, Green Bay, WI 54311-4240 | 2020-01-03 |
| 1881170231 | Melissa G Mccadden | Registered Nurse | 2641 Development Dr, Green Bay, WI 54311 | 2018-07-18 |
| 1902391410 | Jennah A.l. Haque | Registered Nurse | 2641 Development Dr, Green Bay, WI 54311-4240 | 2018-06-27 |
| 1134645542 | Bellin Memorial Hospital | Obstetrics & Gynecology | 2641 Development Dr, Green Bay, WI 54311-4240 | 2017-08-17 |
| 1528498367 | New Gasmasters LLC | Nurse Anesthetist, Certified Registered | 2641 Development Dr, Green Bay, WI 54311-4240 | 2013-11-14 |
| 1003244336 | Margaret O'toole | Chiropractor | 2641 Development Dr, Green Bay, WI 54311-4240 | 2013-10-23 |
| 1619220647 | Anne Marie Laird | Nurse Practitioner | 2641 Development Dr, Green Bay, WI 54311 | 2012-10-15 |
| 1033362066 | Annemarie Uphus | Nurse Practitioner | 2641 Development Dr, Green Bay, WI 54311-4240 | 2008-11-04 |
| 1457518532 | Jory A Ough | Obstetrics & Gynecology | 2641 Development Dr, Green Bay, WI 54311-4240 | 2008-05-17 |
| 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 | 174N00000X |
| Grouping | Other Service Providers |
| Classification | Lactation Consultant, Non-RN |
| An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821642174 | Jennifer Hafele | Lactation Consultant, Non-RN | 3402 David Dr, Eau Claire, WI 54701-3030 | 2019-07-25 |
| 1447811138 | Amanda C Kosanda | Lactation Consultant, Non-RN | W9519 Blue Jay Way, Cambridge, WI 53523-9750 | 2019-06-24 |
| 1043732688 | Christi Bednarek | Lactation Consultant, Non-RN | 3301 Kensington Ct, Elmwood Park, WI 53405-4533 | 2017-07-14 |
| 1649710732 | Jessica Rae Tangen | Lactation Consultant, Non-RN | 449 Overlook Pass, Hudson, WI 54016-7547 | 2017-03-08 |
| 1740698935 | Mary Christine Clark | Lactation Consultant, Non-RN | 2774 230th St, Cushing, WI 54006-3421 | 2014-07-31 |
| 1376957126 | Molly Lynn Breuer | Lactation Consultant, Non-RN | 9175 Pride Rd, Glen Haven, WI 53810-9718 | 2014-06-19 |
| 1326463225 | Natalie Gasser | Lactation Consultant, Non-RN | 765 N 116th St, Wauwatosa, WI 53226-3612 | 2014-02-28 |
| 1295073658 | Julia Ahmadinia Amos | Lactation Consultant, Non-RN | 5503 W Martin Dr Apt 6, Milwaukee, WI 53208-2530 | 2013-01-19 |
| 1104193846 | Beth Marie Eddy | Lactation Consultant, Non-RN | 5740 S 114th St, Hales Corners, WI 53130-1810 | 2011-11-23 |
| 1790065944 | Michelle Cummings | Lactation Consultant, Non-RN | 3445 W Alvina Ave, Greenfield, WI 53221-4707 | 2011-08-19 |
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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.