MRS. MELISSA R STUCZYNSKI (NPI# 1700419231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700419231 |
| Entity Type | Individual |
| Full Name | MRS. MELISSA R STUCZYNSKI |
| Credential | LPN |
| Practice Address |
3301 N Ballard Rd Ste B Appleton WI 54911-9002 |
| Mailing Address |
N7240 Oak Ridge Rd Iola WI 54945-9021 |
| Practice Telephone | 9207334443 |
| Mailing Telephone | 7155720084 |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 319706 | WI | Nursing Service Providers |
| Street Address |
3301 N BALLARD RD STE B |
| City | APPLETON |
| State | WI |
| Zip Code | 54911-9002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881808533 | Jacob Edward Struhelka | Counselor | 3301 N Ballard Rd Ste B, Appleton, WI 54911-9002 | 2007-05-10 |
| 1811596315 | Sue Srnka | Counselor | 3301 N Ballard Rd Ste B, Appleton, WI 54911-9002 | 2020-10-26 |
| 1841812294 | David Bushey | Counselor | 3301 N Ballard Rd Ste B, Appleton, WI 54911-9002 | 2020-05-08 |
| 1710509161 | Elizabeth Talcott | Counselor | 3301 N Ballard Rd Ste B, Appleton, WI 54911-9002 | 2020-05-08 |
| 1831725621 | Mary L Reynolds | Registered Nurse | 3301 N Ballard Rd Ste B, Appleton, WI 54911-9002 | 2020-03-12 |
| 1255965349 | Barbara Denise Johnson | Registered Nurse | 3301 N Ballard Rd Ste B, Appleton, WI 54911-9002 | 2020-02-27 |
| 1003449596 | Vicki Lynn Aho | Registered Nurse | 3301 N Ballard Rd Ste B, Appleton, WI 54911-9002 | 2020-02-13 |
| 1255810115 | Jennifer Lynn Tennessen | Counselor | 3301 N Ballard Rd Ste B, Appleton, WI 54911-9002 | 2018-08-11 |
| 1609368984 | Laurie Kurth | Counselor | 3301 N Ballard Rd Ste B, Appleton, WI 54911-9002 | 2018-06-03 |
| 1245747021 | Hannah Christine Konetzke | Counselor | 3301 N Ballard Rd Ste B, Appleton, WI 54911-9002 | 2018-01-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545633 | Brotherly Love, LLC | Day Training, Developmentally Disabled Services | 1513 E Frances St, Appleton, WI 54911 | 2019-12-12 |
| 1952952129 | Eagle Point Senior Living Inc | Assisted Living Facility | 995 East John Street, Appleton, WI 54911 | 2019-09-27 |
| 1619524766 | University Rx LLC | Pharmacy | 133 E College Ave, Appleton, WI 54911 | 2019-08-23 |
| 1174080063 | Shayla Russell | Counselor | Outagamie County Health and Human Services, 320 S. Walnut St., Appleton, WI 54911 | 2019-02-27 |
| 1871086645 | Megan Kilsdonk | Health Educator | 1604 N Meade St, Appleton, WI 54911 | 2018-06-07 |
| 1871085480 | Tanya Lynn Vickery | Social Worker | 410 S. Elm St., Appleton, WI 54911 | 2018-05-31 |
| 1013407501 | Teri G Metropulos | Counselor | 229 S. Morrison, Appleton, WI 54911 | 2018-05-10 |
| 1093211211 | Bonnie Anne Korytkowski | Student in an Organized Health Care Education/Training Program | 229 S. Morrison Street, Appleton, WI 54911 | 2018-04-05 |
| 1639673940 | Brett Follett | Psychologist | 401 S. Elm St., Appleton, WI 54911 | 2018-03-21 |
| 1700202892 | Brian Withrow | Counselor | 607 West 7th St., Appleton, WI 54911 | 2014-03-13 |
| Find all providers in zip 54911 | ||||
| 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 |
|---|---|---|---|---|
| 1811966609 | Gabriele Margarete Nelson | Licensed Vocational Nurse | 1968 Palisades Dr, Appleton, WI 54915-1023 | 2006-03-15 |
| 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 |
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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.