EDITH ANN HEADRICK (NPI# 1750587374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750587374 |
| Entity Type | Individual |
| Full Name | EDITH ANN HEADRICK |
| Credential | R.N. |
| Practice Address |
7525 English Lake Road Manitowoc WI 54220 |
| Practice Telephone | 9207583410 |
| Mailing Telephone | 9207583410 |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
78218-030 | WI | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 35024500 | 05 |
| Street Address |
7525 ENGLISH LAKE ROAD |
| City | MANITOWOC |
| State | WI |
| Zip Code | 54220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235614843 | Katherine Borchardt | Registered Nurse | 3520 Foxfire Ct, Manitowoc, WI 54220 | 2018-09-28 |
| 1285128215 | Aurora Pharmacy Inc | Pharmacy | 3509 Dewey Street, Suite 100, Manitowoc, WI 54220 | 2018-06-22 |
| 1477937274 | Baycare Clinic LLP | Psychiatry & Neurology | 4801 Expo Drive, Manitowoc, WI 54220 | 2015-07-13 |
| 1831593821 | Brittany Camille Schultz | Acupuncturist | 2510 Washington Street, Manitowoc, WI 54220 | 2014-10-20 |
| 1710311261 | Brian E Weitz | Physical Therapy Assistant | 960 S. Rapids Rd., Manitowoc, WI 54220 | 2013-09-01 |
| 1134499080 | Total Renal Care Inc | Clinic/Center | 3303 Dewey St, Manitowoc, WI 54220 | 2012-01-10 |
| 1679858534 | Lisa M Noworatzky | Marriage & Family Therapist | 926 S. 8th St., Manitowoc, WI 54220 | 2011-10-11 |
| 1306177225 | Cynthia Fay Wenzel | Licensed Practical Nurse | 915 East Linden Avenue, Manitowoc, WI 54220 | 2010-01-15 |
| 1851550628 | Roundys Supermarkets Inc | Pharmacy | 3300 Calumet Ave, Manitowoc, WI 54220 | 2008-06-05 |
| 1851566079 | Jennifer C Mcwilliams | Registered Nurse | 1004 Nth 8th St., Manitowoc, WI 54220 | 2008-04-29 |
| Find all providers in zip 54220 | ||||
| Taxonomy Code | 163WP0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537071 | Jacqueline Albino | Registered Nurse | 1431 Johnson Ave, Racine, WI 53402-2549 | 2020-10-29 |
| 1457959348 | Courtney Elizabeth Schultz | Registered Nurse | 760 Lutheran St, Platteville, WI 53818-2218 | 2020-10-13 |
| 1760099162 | Andrea June Rohach | Registered Nurse | 3240 E Ryan Rd, Oak Creek, WI 53154-4740 | 2020-09-29 |
| 1205448222 | Dakota Ann Drolshagen | Registered Nurse | 1567 Falcon Dr, Hartford, WI 53027-2780 | 2020-08-20 |
| 1043858525 | Raquel Lynn Starke | Registered Nurse | 12232 N Ridge Trl, Hales Corners, WI 53130-2334 | 2019-12-16 |
| 1568011062 | Sarah R Ebert | Registered Nurse | W233n5850 Aster Dr, Sussex, WI 53089-3803 | 2019-09-06 |
| 1841752789 | Meghann White | Registered Nurse | 6406 River Bend Rd, Weston, WI 54476-1989 | 2019-04-01 |
| 1922575349 | Christine Bengtson | Registered Nurse | 9000 W Wisconsin Ave Ste B440, Wauwatosa, WI 53226-4874 | 2018-10-24 |
| 1023509684 | Tammy Lyn Olson | Registered Nurse | 6022 County Road P, Cross Plains, WI 53528-9736 | 2018-05-19 |
| 1205331154 | Lisa Michelle Scherrer | Registered Nurse | 1787 River Lakes Rd N, Oconomowoc, WI 53066-4867 | 2018-03-23 |
| 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.