MRS. HEIDI MARIE PESTOR (NPI# 1699903013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699903013 |
| Entity Type | Individual |
| Full Name | MRS. HEIDI MARIE PESTOR |
| Credential | LPN |
| Practice Address |
N8573 State Hwy 104 Evansville WI 53536-9607 |
| Practice Telephone | 6086589559 |
| Mailing Telephone | 6086589559 |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2009-06-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 33216-031 | WI | Nursing Service Providers |
| Street Address |
N8573 STATE HWY 104 |
| City | EVANSVILLE |
| State | WI |
| Zip Code | 53536-9607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851817787 | Tammy Ann Reed | Physical Therapy Assistant | 470 Garfield Avenue, Evansville, WI 53536 | 2017-08-22 |
| 1396291522 | Quadmed LLC | Clinic/Center | 101 County Highway M, Evansville, WI 53536 | 2016-08-28 |
| 1821221649 | Jeff Richards | Chiropractor | 825 Brown School Road, Evansville, WI 53536 | 2009-08-27 |
| 1336278522 | Emily Peterson | Physical Therapist | 811 Brown School Road, Evansville, WI 53536 | 2007-03-05 |
| 1609863794 | Evansville Manor, Inc. | Skilled Nursing Facility | 470 Garfield Ave, Evansville, WI 53536-1014 | 2005-10-04 |
| 1356852958 | Evm Operations LLC | Skilled Nursing Facility | 470 Garfield Ave, Evansville, WI 53536-1014 | 2017-10-23 |
| 1487172193 | Samantha Rae Arnold | Occupational Therapist | 470 Garfield Ave, Evansville, WI 53536-1014 | 2017-09-01 |
| 1730605247 | Karmen Lee Maag | Occupational Therapy Assistant | 470 Garfield Ave, Evansville, WI 53536-1014 | 2017-08-16 |
| 1700218724 | Kim Ellen Kline | Physical Therapy Assistant | 470 Garfield Ave, Evansville, WI 53536-1014 | 2013-08-01 |
| 1497029995 | Kathryn Ann Dauwalter | Occupational Therapist | 470 Garfield Ave, Evansville, WI 53536-1014 | 2012-02-29 |
| Find all providers in zip 53536 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740798040 | Landra Monique Brown | Licensed Vocational Nurse | 7608 W Waterford Ave, Milwaukee, WI 53220-2235 | 2018-01-21 |
| 1780191916 | Lucie Toczyl | Licensed Vocational Nurse | 3742 E Whittaker Ave, Cudahy, WI 53110-1150 | 2018-01-09 |
| 1447704101 | Keisha Moore | Licensed Vocational Nurse | 8048 N Celina St, Milwaukee, WI 53224-2904 | 2016-08-11 |
| 1962871319 | Michelle Sondreal | Licensed Vocational Nurse | 5512 Broadhead St, Mc Farland, WI 53558-9603 | 2015-09-16 |
| 1396128559 | Desiree Rafel | Licensed Vocational Nurse | 3233 W Colony Dr, Greenfield, WI 53221-2110 | 2015-07-07 |
| 1326484056 | Tina Wallace | Licensed Vocational Nurse | 4603 40th Ave, Kenosha, WI 53144-3543 | 2013-05-21 |
| 1841545373 | Hady Ndiaye | Licensed Vocational Nurse | 3138 N 89th Street, Milwaukee, WI 53222-5503 | 2012-07-20 |
| 1932466307 | April Weis | Licensed Vocational Nurse | 124 N 9th Ave, Wausau, WI 54401-4323 | 2012-04-23 |
| 1578846010 | Patricia Ann Sheets | Licensed Vocational Nurse | 316 N. Terrace St., Janbesville, WI 53548 | 2011-09-21 |
| 1417280074 | Herlinda M Rios | Licensed Vocational Nurse | 6100 W. State Street, #624, Wauwatosa, WI 53213-2993 | 2009-09-15 |
| Find all providers with the same taxonomy | ||||
| City | EVANSVILLE |
| Zip Code | 53536 |
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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.