MARY ROSALIE SEBASTIAN (NPI# 1710090246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710090246 |
| Entity Type | Individual |
| Full Name | MARY ROSALIE SEBASTIAN |
| Credential | MS, APRN, BC |
| Practice Address |
2577 N Downer Ave Suite 215 Milwaukee WI 53211-4253 |
| Practice Telephone | 4149649200 |
| Mailing Telephone | 4149649200 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
73401-030 | WI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124054457 | Mary Louise Sebastian | Surgery | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2006-06-26 |
| Street Address |
2577 N DOWNER AVE SUITE 215 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53211-4253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225022817 | Michael Steven Dewan | Dentist | 2577 N Downer Ave, Suite 202, Milwaukee, WI 53211-4253 | 2005-09-09 |
| 1386801694 | Michael De Wan Dds Sc | Dentist | 2577 N Downer Ave, Ste 202, Milwaukee, WI 53211-4242 | 2008-05-22 |
| 1265514566 | Robert H Druker | Psychiatry & Neurology | 2577 N Downer Ave, Suite 215, Milwaukee, WI 53211-4253 | 2006-10-19 |
| 1730281999 | Louann Mueller | Social Worker | 2577 N Downer Ave, Suite 215, Milwaukee, WI 53211-4253 | 2006-09-01 |
| 1538272018 | Dana Ray Bernstein | Social Worker | 2577 N Downer Ave, Suite 215, Milwaukee, WI 53211-4253 | 2006-08-17 |
| 1265451280 | Lighthouse Clinic, Inc. | Counselor | 2577 N Downer Ave, Suite 215, Milwaukee, WI 53211-4253 | 2006-07-19 |
| 1821068263 | Mary Alice Houghton | Specialist | 2577 N Downer Ave, Milwaukee, WI 53211-4253 | 2006-01-26 |
| 1124098108 | William J Houghton | Specialist | 2577 N Downer Ave, #208, Milwaukee, WI 53211-4253 | 2006-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821602335 | Gabriella Caitrin Emanuele | Occupational Therapist | Harborchase of Shorewood, 1111 E Capitol Drive, Shorewood, WI 53211 | 2020-09-02 |
| 1710527783 | Sage Specialty Pharmacy Inc. | Pharmacy | 4001 N. Oakland Ave, Shorewood, WI 53211 | 2020-01-08 |
| 1861043952 | Rosina Bloomingdale Norton | Nurse Practitioner | 1921 E Harford Ave, Milwaukee, WI 53211 | 2019-09-20 |
| 1528556255 | Renee Reckelberg | Specialist/Technologist | 3409 North Downer Avenue, Pavilion, Suite 350, Milwaukee, WI 53211 | 2018-04-27 |
| 1700325602 | Wisconsin Vision, Inc. | Optometrist | 4163 N Oakland Ave, Shorewood, WI 53211 | 2017-02-13 |
| 1750827556 | Daniel Butz M.d., S.c. | Plastic Surgery | 2350 N Lake Dr Ste 304, Milwaukee, WI 53211 | 2017-01-17 |
| 1528517232 | Therese Simonis | Speech-Language Pathologist | 2390 N Lake Drive, Milwaukee, WI 53211 | 2016-09-23 |
| 1982075701 | Katie Michel | Specialist/Technologist | 3409 N. Downer Ave, Milwaukee, WI 53211 | 2015-10-20 |
| 1255776365 | Sarah Elizabeth Brill | Social Worker | 4433 N Oakland Ave Ste D, Shorewood, WI 53211 | 2013-05-02 |
| 1679814537 | Nicole Anne Parulski | Physical Therapist | 2301 North Lake Dr, Milwaukee, WI 53211 | 2013-03-01 |
| Find all providers in zip 53211 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326396342 | Kristen H. Bachman | Registered Nurse | 5946 N Bay Ridge Ave, Milwaukee, WI 53217-4603 | 2012-08-23 |
| 1952413122 | Carol A Estherchild | Registered Nurse | 9455 W. Watertown Plank Road, Milwaukee County Behavioral Health Division, Milwaukee, WI 53226-3559 | 2006-08-31 |
| 1083688295 | Staci S O'dell | Registered Nurse | Healthcare for The Homeless of Milwaukee, Inc, 210 West Capitol Drive, Milwaukee, WI 53212 | 2006-02-14 |
| 1417396631 | Kimberly Nesseth | Registered Nurse | 11101 W Lincoln Ave, Milwaukee, WI 53227-1133 | 2013-06-20 |
| 1760656383 | Richard Mckagan | Registered Nurse | 9455 W Watertown Plank Rd, Milwaukee, WI 53226-3559 | 2008-04-15 |
| 1356510598 | Laree Ann Savlan | Registered Nurse | 1834 W Wisconsin Ave, Suite 100, Milwaukee, WI 53233-2125 | 2008-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952766974 | Joan M Ruch | Registered Nurse | 702 Front Street, Spooner, WI 54801 | 2015-12-17 |
| 1033574108 | Kathleen Ann Thom | Registered Nurse | 702 N. Front Street, Spooner, WI 54871 | 2015-12-16 |
| 1861807877 | Loretta Shem | Registered Nurse | 499 Manning Way, Lake Geneva, WI 53147-2084 | 2014-06-27 |
| 1710073218 | Kathy D Cox | Registered Nurse | Twin Ports Clinic Va, 3520 Tower Ave., Superior, WI 54880 | 2006-10-04 |
| 1073548327 | Mary Katherine Cefalu | Registered Nurse | 17 S. River, Suite 254, Janesville, WI 53548 | 2006-07-12 |
| 1457950263 | Theresa Scheuermann | Registered Nurse | 802 E Gorham St, Madison, WI 53703-1524 | 2020-10-22 |
| 1194339424 | Ace Mentality | Registered Nurse | 2810 Crossroads Dr Ste 4000, Madison, WI 53718-8014 | 2020-09-03 |
| 1053922088 | Laura A Craig | Registered Nurse | 220 Washington Ave, Oshkosh, WI 54901-5030 | 2020-08-13 |
| 1649888389 | Melissa A Jackson | Registered Nurse | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2020-07-20 |
| 1861015737 | Lori Schuerman | Registered Nurse | 196 3rd St, Fond Du Lac, WI 54935-4418 | 2020-05-26 |
| Find all providers with the same taxonomy | ||||
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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.