NANCY E. DERKOWSKI (NPI# 1801049648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801049648 |
| Entity Type | Individual |
| Full Name | NANCY E. DERKOWSKI |
| Practice Address |
1401 Churchill St Waupaca WI 54981-2027 |
| Mailing Address |
N3579 Woodfield Ct Waupaca WI 54981-8524 |
| Practice Telephone | 7152588131 |
| Mailing Telephone | 7152589772 |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2008-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Street Address |
1401 CHURCHILL ST |
| City | WAUPACA |
| State | WI |
| Zip Code | 54981-2027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780757872 | Extendicare Homes, Inc. | Skilled Nursing Facility | 1401 Churchill St, Waupaca, WI 54981-2027 | 2006-11-16 |
| 1962978700 | Luke Casona Berdin | Physical Therapist | 1401 Churchill St, Waupaca, WI 54981-2027 | 2018-10-19 |
| 1619407392 | Jennifer Marie Kundinger | Physical Therapy Assistant | 1401 Churchill St, Waupaca, WI 54981-2027 | 2017-06-15 |
| 1619341344 | Amanda Cleary Pickart | Physical Therapist | 1401 Churchill St, Waupaca, WI 54981-2027 | 2015-11-18 |
| 1093108565 | Crossroads Care Center of Crystal River LLC | Skilled Nursing Facility | 1401 Churchill St, Waupaca, WI 54981-2027 | 2015-03-09 |
| 1336531177 | Kristin J Lueke | Occupational Therapy Assistant | 1401 Churchill St, Waupaca, WI 54981-2027 | 2015-03-03 |
| 1033511316 | Prostep Rehabilitation | Skilled Nursing Facility | 1401 Churchill St, Waupaca, WI 54981-2027 | 2014-09-18 |
| 1164784062 | Kasey Louise Tessar | Physical Therapist | 1401 Churchill St, Waupaca, WI 54981-2027 | 2012-06-15 |
| 1467729459 | Janet Leikip | Physical Therapy Assistant | 1401 Churchill St, Waupaca, WI 54981-2027 | 2011-11-19 |
| 1376859074 | Torri Yaeger | Physical Therapy Assistant | 1401 Churchill St, Waupaca, WI 54981-2027 | 2010-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366096141 | Renee Elizabeth Winn | Speech-Language Pathologist | 800 Riverside Drive Dr. 902 Building, Speech Therapy, Waupaca, WI 54981 | 2019-07-30 |
| 1891263216 | Stephanie Rice | Dental Hygienist | N4008 Morgan Dr, Waupaca, WI 54981 | 2018-11-03 |
| 1972092989 | Renew Physical Therapy and Wellness, LLC | Physical Therapist | N2919 County Road Qq, Waupaca, WI 54981 | 2018-05-04 |
| 1366942195 | Lanna Boyle | Physical Medicine & Rehabilitation | E1132 Hillcrest Dr, Waupaca, WI 54981 | 2018-02-19 |
| 1710333893 | Thedacare Medical Center - Waupaca, Inc. | General Acute Care Hospital | N2610 Wi 22, Waupaca, WI 54981 | 2016-05-09 |
| 1750743365 | Kimberly Marie Kraeger | Counselor | Waupaca County Dhhs, 811 Harding St, Waupaca, WI 54981 | 2016-03-23 |
| 1619211596 | Kari Anna Esbensen | Counselor | N2919 Cty Qq, Waupaca, WI 54981 | 2012-11-16 |
| 1396027629 | Roots Wholistic Health | Chiropractor | 717 Churchill St., Waupaca, WI 54981 | 2011-09-13 |
| 1629387006 | Barton Jerome Blum | General Practice | E1803 Melody Lane, Waupaca, WI 54981 | 2010-10-01 |
| 1710219357 | Anne Marie Collins-reed | Social Worker | 315 River Road, New London, WI 54981 | 2010-02-08 |
| Find all providers in zip 54981 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001909 | Wendy M Barth | Dietitian, Registered | N3035 Sidney Ave, Neillsville, WI 54456-7037 | 2020-10-21 |
| 1255946166 | Rachael Omdoll | Dietitian, Registered | 700 Airview Dr, Palmyra, WI 53156-9204 | 2020-09-09 |
| 1194336669 | Carly Duerst | Dietitian, Registered | W6068 Pioneer Rd, New Glarus, WI 53574-9735 | 2020-08-10 |
| 1730799636 | Bailey May Knutson | Dietitian, Registered | N44w6025 Hamilton Rd, Cedarburg, WI 53012-2454 | 2020-08-05 |
| 1538778550 | Kirsten White | Dietitian, Registered | W3021 Cara Way, Appleton, WI 54915-3991 | 2020-07-27 |
| 1780293696 | Samantha Jo Johnson | Dietitian, Registered | 2854 Greenbrier Rd, Green Bay, WI 54311-6528 | 2020-07-27 |
| 1487272977 | Sara Elizabeth Flitter | Dietitian, Registered | W437 Clement Cir, Campbellsport, WI 53010-1846 | 2020-07-10 |
| 1821616517 | Emily Anne Oschmann | Dietitian, Registered | 630 Woodland Cir, Waterford, WI 53185-2885 | 2020-07-08 |
| 1982221180 | Emilie Williamson | Dietitian, Registered | 1340 S 72nd St, West Allis, WI 53214-3122 | 2020-07-03 |
| 1811512916 | Nicole Lehtinen | Dietitian, Registered | 20200 Poplar Creek Pkwy Unit 116n, Brookfield, WI 53045-2163 | 2020-06-15 |
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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.