RENATE A VILLARREAL (NPI# 1740595032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740595032 |
| Entity Type | Individual |
| Full Name | RENATE A VILLARREAL |
| Other Name | RENATE A POELMAN |
| Credential | PA-C |
| Practice Address |
3801 Spring St Racine WI 53405-1667 |
| Mailing Address |
3805b Spring St Suite 230 Racine WI 53405-1641 |
| Practice Telephone | 2626874479 |
| Practice Fax Number | 2626875375 |
| Mailing Telephone | 2626874479 |
| Mailing Fax Number | 2626875375 |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2014-09-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2600-23 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | WI LICENSE | 2600-23 | 01 |
| Street Address |
3801 SPRING ST |
| City | RACINE |
| State | WI |
| Zip Code | 53405-1667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033115787 | Mark A. Pelton | Pharmacist | 3801 Spring St, Racine, WI 53405-1667 | 2005-06-27 |
| 1528685252 | Tanya Higgins | Nurse Anesthetist, Certified Registered | 3801 Spring St, Racine, WI 53405 | 2020-06-29 |
| 1033583190 | Jennifer Scidmore | Physician Assistant | 3801 Spring St, Racine, WI 53405 | 2015-11-30 |
| 1265774715 | Erin Cecelia Siegel | Internal Medicine | 3801 Spring St, Racine, WI 53405 | 2013-03-22 |
| 1578866448 | Courtney Brooke Hoffman | Nurse Anesthetist, Certified Registered | 3801 Spring St, Racine, WI 53405-1667 | 2010-12-14 |
| 1669784112 | Peter David Blochowicz | Nurse Anesthetist, Certified Registered | 3801 Spring St, Racine, WI 53405-1667 | 2010-07-12 |
| 1154651115 | Jeffrey Thomas Vaughan Kroeger | Nurse Anesthetist, Certified Registered | 3801 Spring St, Racine, WI 53405-1667 | 2010-01-13 |
| 1467782748 | Racine Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | 3801 Spring St, Racine, WI 53405-1667 | 2010-01-08 |
| 1104058528 | Matthew T Czerniak | Physician Assistant | 3801 Spring St, Racine, WI 53405-1667 | 2009-08-18 |
| 1003041070 | Jane Collins | Dietitian, Registered | 3801 Spring St, Racine, WI 53405-1667 | 2009-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609407923 | Anita Kathy Nykaza | Dietitian, Registered | 3805 A Suite 311, Racine, WI 53405 | 2020-01-27 |
| 1023666062 | Shawn L Drulia | Physician Assistant | 3805 Spring St #320, Racine, WI 53405 | 2019-09-03 |
| 1235627720 | Oxygen One, Inc. | Durable Medical Equipment & Medical Supplies | 3805a Spring Street, Suite 210, Racine, WI 53405 | 2018-04-30 |
| 1356838650 | Melissa Metzger | Psychologist | 2340 Mohr Ave, Racine, WI 53405 | 2018-04-23 |
| 1689029217 | Melissa Ileen Swainston | Nurse Practitioner | 3803 Spring St., Suite Number 410, Racine, WI 53405 | 2016-05-02 |
| 1215305487 | Denetta Lauraelaine Flowers | Licensed Practical Nurse | 4311 Durand Ave., #104, Mt.pleasant, WI 53405 | 2015-09-04 |
| 1841675204 | Colleen Koderca | Registered Nurse | 3317-meachem Rd, Racine, WI 53405 | 2015-07-28 |
| 1790102986 | Georges Wakim | Specialist/Technologist | 3811 Spring St., Suite 102, Racine, WI 53405 | 2014-03-25 |
| 1982021176 | Matthew F Patzke | Specialist/Technologist | 3811 Spring Street Suite 102, Racine, WI 53405 | 2014-03-25 |
| 1073930269 | Jessica Geisler | Specialist/Technologist | 3811 Spring Street Suite #102, Racine, WI 53405 | 2014-03-25 |
| Find all providers in zip 53405 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023666062 | Shawn L Drulia | Physician Assistant | 3805 Spring St #320, Racine, WI 53405 | 2019-09-03 |
| 1376686006 | Kelly Schneider | Physician Assistant | 3811 Spring St Ste 301, Racine, WI 53405-1667 | 2007-02-14 |
| 1417064528 | Daniel A Teska | Physician Assistant | 3805b Spring Street, Suite 230, Racine, WI 53405-1640 | 2006-08-24 |
| 1194362160 | Kylie S Nordness | Physician Assistant | 3807 Spring St, Racine, WI 53405-1667 | 2019-12-09 |
| 1275027450 | Leslie Pierce | Physician Assistant | 2333 Northwestern Ave, Racine, WI 53404-2520 | 2018-06-20 |
| 1104058528 | Matthew T Czerniak | Physician Assistant | 3801 Spring St, Racine, WI 53405-1667 | 2009-08-18 |
| 1679720312 | Susan J Perez | Physician Assistant | 1244 Wisconsin Ave, Racine, WI 53403-1987 | 2008-08-25 |
| 1396961017 | Andrea K Keeling | Physician Assistant | 3801 Spring St, Racine, WI 53405-1667 | 2007-04-18 |
| 1467526400 | Kirsten J Antonneau | Physician Assistant | 1515 S Greenbay Rd, Racine, WI 53406-4409 | 2006-11-20 |
| 1669572863 | Autumn M Monaweck | Physician Assistant | 3801 Spring St, Racine, WI 53405-1667 | 2006-09-25 |
| Find all providers in RACINE | ||||
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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.