IVY LOPEZ (NPI# 1700358132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700358132 |
| Entity Type | Individual |
| Full Name | IVY LOPEZ |
| Practice Address |
905 E Geneva St Delavan WI 53115-1922 |
| Mailing Address |
W3831 Dahlia Dr Lake Geneva WI 53147-2827 |
| Practice Telephone | 2627286319 |
| Enumeration Date | 2018-12-24 |
| Last Update Date | 2018-12-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
125083-30 | WI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497372502 | Ivy L Lopez | Licensed Vocational Nurse | 10717 Broken Arrow Trl, Fort Worth, TX 76108-4751 | 2020-07-06 |
| Street Address |
905 E GENEVA ST |
| City | DELAVAN |
| State | WI |
| Zip Code | 53115-1922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578635918 | Extendicare Homes, Inc. | Skilled Nursing Facility | 905 E Geneva St, Delavan, WI 53115-1922 | 2006-11-14 |
| 1144835844 | Natalie Grace Trudell | Speech-Language Pathologist | 905 E Geneva St, Delavan, WI 53115-1922 | 2020-09-10 |
| 1679054639 | Shelby Marilyn Marie Kallio-crotteau | Physical Therapy Assistant | 905 E Geneva St, Delavan, WI 53115-1922 | 2018-08-27 |
| 1538687330 | Nsh Delavan LLC | Skilled Nursing Facility | 905 E Geneva St, Delavan, WI 53115-1922 | 2017-09-01 |
| 1962943696 | Melissa Hanna | Physical Therapy Assistant | 905 E Geneva St, Delavan, WI 53115-1922 | 2017-03-14 |
| 1659760452 | Fmg East Geneva Street Wisconsin LLC | Skilled Nursing Facility | 905 E Geneva St, Delavan, WI 53115-1922 | 2015-01-16 |
| 1649689738 | Ramon Alvarez IIi | Occupational Therapist | 905 E Geneva St, Delavan, WI 53115-1922 | 2014-08-04 |
| 1710317466 | Katherine Sween | Skilled Nursing Facility | 905 E Geneva St, Delavan, WI 53115-1922 | 2013-11-16 |
| 1639455835 | Rachel Marie Nordentoft | Occupational Therapy Assistant | 905 E Geneva St, Delavan, WI 53115-1922 | 2011-11-01 |
| 1952691446 | April Doebert-fischer | Occupational Therapist | 905 E Geneva St, Delavan, WI 53115-1922 | 2011-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871049486 | Careatc - Andes Candies | Clinic/Center | 1400 E. Eisconsin, Delavan, WI 53115 | 2016-09-01 |
| 1407255797 | Jill Catherine Adams | Contractor | N44556 Dam Rd, Delavan, WI 53115 | 2014-08-22 |
| 1487930350 | Sheryl Jacobson | Pharmacist | 445 S Wright Street, Delavan, WI 53115 | 2011-10-24 |
| 1407152556 | Cannula Ear Cozy LLC | Durable Medical Equipment & Medical Supplies | N2444 Doris St., Delavan, WI 53115 | 2011-02-08 |
| 1710172630 | Timothy J Rasmussen LLC | Chiropractor | 1407 Racine St, Suite D, Delavan, WI 53115 | 2007-09-13 |
| 1407065873 | Debora Lee Nevermann | Physical Therapist | 824 B East Geneva Street, Delavan, WI 53115 | 2007-05-22 |
| 1740493006 | Karen St John | Physical Therapy Assistant | 905 East Geneva Street, Delavan, WI 53115 | 2007-05-07 |
| 1043430390 | Kristin M Grenier | Physical Therapy Assistant | 824 B East Geneva St, Delavan, WI 53115 | 2007-04-27 |
| 1891852034 | Maria Teresa Galgano Chadha | Dentist | 608 E Walworth Ave, Delavan, WI 53115 | 2007-01-03 |
| 1942396718 | Clifford Robert Poplar | Internal Medicine | 915 Geneva Street, Delavan, WI 53115 | 2006-10-05 |
| Find all providers in zip 53115 | ||||
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538480447 | Elizabeth Anne Lucas | Registered Nurse | N2444 Doris St, Delavan, WI 53115-3379 | 2010-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847300 | Diane Lynn Ryan-pete | Registered Nurse | E8965 State Road 60, Sauk City, WI 53583-9649 | 2020-09-23 |
| 1356956932 | Timothy J Reichert | Registered Nurse | 227 Kleine St, Deerfield, WI 53531-9596 | 2020-09-10 |
| 1235749003 | Jason David King | Registered Nurse | 3121 3rd St S, Wisconsin Rapids, WI 54494-1008 | 2020-08-05 |
| 1083242440 | Lisa C Sperle | Registered Nurse | 228 A Main Street, Cambridge, WI 53523 | 2020-03-31 |
| 1245896471 | Ann Elizabeth Riddle | Registered Nurse | 1332 Kellner St, Manitowoc, WI 54220-1515 | 2019-05-14 |
| 1770054934 | Pamela Faye Van Mol | Registered Nurse | 6 Abilene Ct, Madison, WI 53719-2455 | 2018-12-16 |
| 1043786742 | Daniecce Marie Ward | Registered Nurse | 3376 N 36th St, Milwaukee, WI 53216-3718 | 2018-10-19 |
| 1548746076 | Amy Ann Schiedermayer | Registered Nurse | 215 Sunny Meadows Dr, Kaukauna, WI 54130-4301 | 2018-07-18 |
| 1962991620 | Timothy J Schmitt | Registered Nurse | 2509 County Highway I Ste 500, Chippewa Falls, WI 54729-2786 | 2018-05-08 |
| 1740716224 | Lisa Hartjes | Registered Nurse | 332 Cherry Ln, Little Chute, WI 54140-1107 | 2017-05-03 |
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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.