MRS. BECKY LYNN JARACZ KOHL (NPI# 1811018468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811018468 |
| Entity Type | Individual |
| Full Name | MRS. BECKY LYNN JARACZ KOHL |
| Credential | MS, PA-C |
| Practice Address |
611 E Sherman Ave Fort Atkinson WI 53538-1960 |
| Mailing Address |
4826 Academy Dr Madison WI 53716-1452 |
| Practice Telephone | 9205685330 |
| Practice Fax Number | 9205685075 |
| Mailing Telephone | 6082683683 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2008-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1576023 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43023100 | 05 |
| Street Address |
611 E SHERMAN AVE |
| City | FORT ATKINSON |
| State | WI |
| Zip Code | 53538-1960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366417461 | Nathaniel J Fullerton | Internal Medicine | 611 E Sherman Ave, Fort Atkinson, WI 53538-1960 | 2006-02-22 |
| 1629332085 | Bret Hunt | Emergency Medicine | 611 E Sherman Ave, Fort Atkinson, WI 53538-1960 | 2012-06-30 |
| 1043512791 | Jamie L Foltz | Nurse Anesthetist, Certified Registered | 611 E Sherman Ave, Fort Atkinson, WI 53538-1960 | 2010-12-01 |
| 1750603684 | Chris Lee Suttinger | Specialist/Technologist, Other | 611 E Sherman Ave, Fort Atkinson, WI 53538-1960 | 2010-02-19 |
| 1841350022 | Jennifer L Klenske | Internal Medicine | 611 E Sherman Ave, Fort Atkinson, WI 53538-1960 | 2006-12-11 |
| 1588762264 | Jeffrey A Cichocki | Nurse Anesthetist, Certified Registered | 611 E Sherman Ave, Fort Atkinson, WI 53538-1960 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902370695 | Home Care Assistance Services, LLC | In Home Supportive Care | 1001 Madison Avenue, Suite C, Fort Atkinson, WI 53538 | 2019-01-15 |
| 1609367291 | David Lewis | Physical Therapy Assistant | 431 Raintree Dr, Fort Atkinson, WI 53538 | 2018-05-20 |
| 1972093706 | City of Fort Atkinson | Ambulance | 124 Milwaukee Ave W, Fort Atkinson, WI 53538 | 2018-05-17 |
| 1306383468 | Chelsey Turk | Specialist/Technologist | 1231 Orchard Lane, Fort Atkinson, WI 53538 | 2017-01-27 |
| 1639625452 | Insight Counseling Services | Community/Behavioral Health | 615 Frederick Ave., Fort Atkinson, WI 53538 | 2016-08-31 |
| 1912355314 | Melissa Anne Gleason Trimbell | Dentist | 520 Handeyside Ln Ste 4, Fort Atkinson, WI 53538 | 2016-05-26 |
| 1295141943 | Brittany K Romans | Registered Nurse | 1230 Commonwealth Dr, 1, Fort Atkinson, WI 53538 | 2014-07-02 |
| 1023367117 | June Ann Sullivan | Occupational Therapy Assistant | 815 West Cramer Street, Fort Atkinson, WI 53538 | 2012-09-05 |
| 1306080551 | Mary Kathleen Bornick | Licensed Practical Nurse | W. 6143 N. Thornapple Court, Fort Atkinson, WI 53538 | 2009-04-30 |
| 1528244613 | Community Dental Clinic | Clinic/Center | 520 Handeyside, Suite 4, Fort Atkinson, WI 53538 | 2008-01-18 |
| Find all providers in zip 53538 | ||||
| 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 |
|---|---|---|---|---|
| 1932186210 | Michael D Dougherty | Physician Assistant | 611 Sherman Ave East, Fort Atkinson, WI 53538 | 2005-12-28 |
| 1710338694 | Breah Klemp | Physician Assistant | 1620 Mehta Ln, Fort Atkinson, WI 53538-9178 | 2016-06-22 |
| 1457791055 | Holly Crowley | Physician Assistant | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 | 2013-06-27 |
| 1275795940 | Joanne R. Timmerman | Physician Assistant | 1504 Madison Ave, Fort Atkinson, WI 53538-3100 | 2008-06-25 |
| 1811000243 | Eugene E Ott | Physician Assistant | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 | 2006-08-17 |
| 1760449821 | Clark A Collins | Physician Assistant | 1504 Madison Ave, Fort Atkinson, WI 53538-3100 | 2006-05-01 |
| 1699737387 | Deborah E Degnan | Physician Assistant | 1504 Madison Ave, Fort Atkinson, WI 53538-3100 | 2006-04-06 |
| 1831179910 | James Brown | Physician Assistant | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 | 2006-01-17 |
| 1003895319 | Patricia A Steckelmann | Physician Assistant | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 | 2006-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811409 | Kristen T Razner | Physician Assistant | 2500 E Capitol Dr # 3700, Appleton, WI 54911-8735 | 2020-11-03 |
| 1659986677 | Jordana Butler | Physician Assistant | 2105 E Enterprise Ave # 101, Appleton, WI 54913-7862 | 2020-09-15 |
| 1952916108 | Nicholas Allan Lueddecke | Physician Assistant | 101709 Fence Rd, Abbotsford, WI 54405-5400 | 2020-09-14 |
| 1073127049 | Dana Van De Hey | Physician Assistant | 616 White Birch Ct, Appleton, WI 54915-4516 | 2020-09-07 |
| 1386257194 | Harrison R Pham | Physician Assistant | 214 E Florida St Apt 526, Milwaukee, WI 53204-1657 | 2020-08-31 |
| 1366055063 | Clai Bishop Catto | Physician Assistant | 902c Tainter St, Menomonie, WI 54751-1546 | 2020-08-24 |
| 1003434978 | Benjamin Alton Cuvelier | Physician Assistant | 132 Cambridge Ave Apt 407, Waukesha, WI 53188-4788 | 2020-07-08 |
| 1366060295 | Sarah Anne Cook | Physician Assistant | 850 Brinsmere Dr, Elm Grove, WI 53122-2101 | 2020-07-07 |
| 1275159428 | Breanna Evert | Physician Assistant | 2320 Parklawn Dr # C111, Waukesha, WI 53186-2954 | 2020-06-23 |
| 1376168443 | Sadie Kolodziej | Physician Assistant | 401 Dewey Dr, Stevens Point, WI 54482-9655 | 2020-06-14 |
| Find all providers with the same taxonomy | ||||
| City | FORT ATKINSON |
| Zip Code | 53538 |
Please comment or provide details below to improve the information on MRS. BECKY LYNN JARACZ KOHL.
| 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.