CHRISTINA SMITH (NPI# 1801349261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801349261 |
| Entity Type | Individual |
| Full Name | CHRISTINA SMITH |
| Credential | NP-C |
| Practice Address |
1701 Fond Du Lac Ave Kewaskum WI 53040-9129 |
| Mailing Address |
W168n10888 Juniper Dr Germantown WI 53022-5595 |
| Practice Telephone | 2626264616 |
| Mailing Telephone | 4149153589 |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-08-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
7142-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811546567 | Christina Autumn Smith | Technician | 27062 N 178th Ave, Surprise, AZ 85387-1077 | 2019-09-05 |
| 1699242479 | Christina Ann Smith | Licensed Vocational Nurse | 345 County Road 3705, Bullard, TX 75757-7933 | 2018-10-30 |
| 1629561477 | Christina Yvette Smith | Nurse Practitioner | 1336 N Galloway Ave Ste 124, Mesquite, TX 75149 | 2018-06-07 |
| 1851823249 | Christina Smith | Physical Therapist | 9003 Tweed Rd, Richmond, VA 23228-1507 | 2017-04-03 |
| 1760923403 | Christina Louise Smith | Occupational Therapy Assistant | 312 William Clark Dr, Dardenne Prairie, MO 63368-8394 | 2017-03-14 |
| 1548709553 | Christina Smith | Massage Therapist | 20 Trafalgar St, Rochester, NY 14619-1222 | 2017-02-23 |
| 1740734334 | Christina Lynn Smith | Nurse Practitioner | 3001 58th Ter E, Bradenton, FL 34203-5374 | 2016-08-11 |
| 1184093205 | Christina Smith | Case Manager/Care Coordinator | 14300 N May Ave Apt 6103, Oklahoma City, OK 73134-5055 | 2015-09-18 |
| 1104214436 | Christina Smith | Speech-Language Pathologist | 304 E South St Unit 5025, Orlando, FL 32801-3502 | 2015-01-09 |
| 1730581729 | Christina Marie Smith | Nursing Care | 2030 Parkamo Ave, Village of Indian Springs, OH 45015-1274 | 2014-09-22 |
| Street Address |
1701 FOND DU LAC AVE |
| City | KEWASKUM |
| State | WI |
| Zip Code | 53040-9129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518976919 | West Bend Clinic | Internal Medicine | 1701 Fond Du Lac Ave, Kewaskum, WI 53040-9129 | 2006-08-05 |
| 1548743586 | Jennifer Rose Nogalski | Nurse Practitioner | 1701 Fond Du Lac Ave, Kewaskum, WI 53040-9129 | 2018-09-14 |
| 1669851770 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Clinical Medical Laboratory | 1701 Fond Du Lac Ave, Kewaskum, WI 53040-9129 | 2015-05-21 |
| 1811335334 | Froedtert & The Medical College of Wisconsin Community Physicians, Inc | Durable Medical Equipment & Medical Supplies | 1701 Fond Du Lac Ave, Kewaskum, WI 53040-9129 | 2013-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902076698 | Craig Alan Bruesewitz | Counselor | 1421 Fond Du Lac Avenue, Kewashum, WI 53040 | 2008-03-10 |
| 1508040700 | Sara Marie Bonlender | Licensed Practical Nurse | 1841 Edgewood Road, Kewaskum, WI 53040 | 2007-12-24 |
| 1861506255 | Kewaskum Fire Department | Ambulance | 1106 Fond Du Lac Ave, Kewaskum, WI 53040 | 2006-08-19 |
| 1619219532 | Cheryl Elizabeth Colwin | Counselor | 1421 Fond Du Lac Avenue, Kewaskum, WI 53040 | 2013-03-18 |
| 1790188498 | Nicolai Gerhartz | Physician Assistant | W832 County Rd S, Kewaskum, WI 53040-1116 | 2014-10-08 |
| 1871785931 | Kewaskum School District | Speech-Language Pathologist | 1676 Reigle Dr Ste 100, Kewaskum, WI 53040-8923 | 2007-08-13 |
| 1891801957 | J Dennis Connor | Dentist | 1204 Fond Du Lac Ave, Kewaskum, WI 53040-8954 | 2006-08-22 |
| 1003941444 | J Dennis Connor Dds Sc | Dentist | 1204 Fond Du Lac Ave, Kewaskum, WI 53040-8954 | 2007-02-23 |
| 1093241002 | Nicholas Brandon Bier | Student in an Organized Health Care Education/Training Program | 311 Clinton St, Kewaskum, WI 53040-9116 | 2017-05-11 |
| 1174063424 | Lori Bersch | Massage Therapist | 336 North Ave, Kewaskum, WI 53040-9130 | 2017-03-06 |
| Find all providers in zip 53040 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548743586 | Jennifer Rose Nogalski | Nurse Practitioner | 1701 Fond Du Lac Ave, Kewaskum, WI 53040-9129 | 2018-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203857 | Tiera Manuel | Nurse Practitioner | 3956 N 28th St, Milwaukee, WI 53216-2637 | 2020-10-22 |
| 1801494778 | Tajana Jovicic | Nurse Practitioner | 3157 S 66th St, Milwaukee, WI 53219-4105 | 2020-10-13 |
| 1497352090 | Carlotta Williams | Nurse Practitioner | 1205 Juniper Ln, Oconomowoc, WI 53066-3100 | 2020-10-06 |
| 1932706611 | Rachel Sullivan | Nurse Practitioner | 304 E Northlawn Dr, Cottage Grove, WI 53527-8917 | 2020-10-05 |
| 1649877663 | Kirk O'hanison | Nurse Practitioner | 1020 Oconomowoc Pkwy Unit B, Oconomowoc, WI 53066-4616 | 2020-10-02 |
| 1780291401 | Carlie Dell | Nurse Practitioner | 1636 Industrial Pkwy N, Marinette, WI 54143-3703 | 2020-09-27 |
| 1093320459 | Tyronda T Gray | Nurse Practitioner | 5833 N 117th St, Milwaukee, WI 53225-2207 | 2020-09-12 |
| 1629683065 | Yia Lor | Nurse Practitioner | 3750 Summerset Way Apt 1, Oshkosh, WI 54901-0501 | 2020-09-11 |
| 1245844364 | Asia Ann Gomez | Nurse Practitioner | 2816 E Allison Ave, Cudahy, WI 53110-2541 | 2020-09-04 |
| 1861005837 | Clair Roser Rivera | Nurse Practitioner | 3734 W Ohio Ave, Milwaukee, WI 53215-4047 | 2020-08-28 |
| 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.