PENINNAH M KAKO (NPI# 1720172745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720172745 |
| Entity Type | Individual |
| Full Name | PENINNAH M KAKO |
| Credential | APNP |
| Practice Address |
12601 W Hampton Avenue Suite 100a Butler WI 53007 |
| Mailing Address |
9619 Beachwood Avenue Milwaukee WI 53224 |
| Practice Telephone | 2623731869 |
| Mailing Telephone | 4143538788 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 1806-033 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43930800 | 05 |
| Street Address |
12601 W HAMPTON AVENUE SUITE 100A |
| City | BUTLER |
| State | WI |
| Zip Code | 53007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649713033 | Teresa Taylor | Home Health Aide | 5145 N 124th St, Butler, WI 53007-1334 | 2016-12-02 |
| 1013060136 | Donald E Dlouhy | Optometrist | 12728 W Hampton Ave, Butler, WI 53007-1602 | 2007-01-20 |
| 1215177167 | Donald E. Dlouhy LLC | Clinic/Center | 12728 W Hampton Ave, Butler, WI 53007-1602 | 2009-03-04 |
| 1598862633 | Cynthia L Solliday | Psychologist | 12802 W Hampton Ave, Butler, WI 53007-1606 | 2006-09-20 |
| 1124325410 | Lauren N Solliday-mcroy | Specialist | 12802 W Hampton Ave, Butler, WI 53007-1606 | 2011-02-22 |
| 1932419413 | Mind Body Soulutions | Psychologist | 12802 W Hampton Ave, Butler, WI 53007-1606 | 2010-10-18 |
| 1770686362 | Louis C Boryc | Dentist | 13195 W Hampton Ave, Butler, WI 53007-1609 | 2006-09-07 |
| 1003327511 | New Leaf Home Care, LLC | Home Health | 12714 W Hampton Ave Ste E, Butler, WI 53007-1640 | 2017-10-24 |
| 1245764588 | Pang Vue | Technician | 12714 W Hampton Ave, Ste E, Butler, WI 53007-1640 | 2017-04-13 |
| 1881925261 | Midland Health Testing Services, Inc. | Contractor | 12523 W Hampton Ave, Butler, WI 53007-1703 | 2010-01-25 |
| Find all providers in zip 53007 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255850251 | Kristin Michelle Mohler | Nurse Practitioner | 353 N. Duffy Rd, Butler, PA 16001 | 2017-09-12 |
| 1154761740 | Tammy Albritton Duncan-singleton | Nurse Practitioner | 56 Mcdowell St, Butler, GA 31006-5337 | 2013-06-27 |
| 1316215064 | Cory R Wilhite | Nurse Practitioner | 109 Technology Dr, Suite A, Butler, PA 16001-1785 | 2011-12-09 |
| 1811152085 | Theresa Michelle Ramella | Nurse Practitioner | 104 Technology Dr Ste 202, Butler, PA 16001-1801 | 2008-07-27 |
| 1912033994 | Sheri L Rolewski | Nurse Practitioner | 1022b North Main Street, Lower Level, Butler, PA 16001-1954 | 2007-02-26 |
| 1942263686 | Denise M Kuhaupt | Nurse Practitioner | 12601 W Hampton Ave Ste 100a, Aurora Quickcare, Butler, WI 53007-1705 | 2006-04-11 |
| 1184626566 | Allen M Jones | Nurse Practitioner | 160 Hollywood Dr Fl 2, Butler, PA 16001-5600 | 2005-08-15 |
| 1144829664 | Kristen Cress | Nurse Practitioner | 102 Technology Dr Ste 110, Butler, PA 16001-1784 | 2020-10-26 |
| 1356940076 | Katelyn R Straynick | Nurse Practitioner | 389 New Castle Rd, Butler, PA 16001-1743 | 2020-10-23 |
| 1043823784 | Jason Matthew Dorich | Nurse Practitioner | 353 N Duffy Rd, Butler, PA 16001-1138 | 2020-08-24 |
| Find all providers in BUTLER | ||||
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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.