MS. B J BECKERRN (NPI# 1811048739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811048739 |
| Entity Type | Individual |
| Full Name | MS. B J BECKERRN |
| Credential | RN |
| Practice Address |
6283 Riesch Rd West Bend WI 53095-9106 |
| Practice Telephone | 2623341021 |
| Practice Fax Number | 2623340556 |
| Mailing Telephone | 2623341021 |
| Mailing Fax Number | 2623340556 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372600000X | Adult Companion | 39979100 | WI | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | PRIOR AUTHROIZATION # | 3095070 | 01 |
| Street Address |
6283 RIESCH RD |
| City | WEST BEND |
| State | WI |
| Zip Code | 53095-9106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820428 | David Fountain | Contractor | 726 Creedwood Lane, West Bend, WI 53095 | 2020-04-24 |
| 1922664358 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1745 South Main St, West Bend, WI 53095 | 2019-05-10 |
| 1912423773 | Michelle R Prentice | Family Medicine | West Bend Health Center, 1700 W. Paradise Drive, West Bend, WI 53095 | 2017-08-14 |
| 1386165918 | Quad/med, LLC | Clinic/Center | 432 E. Washington St. #1115, West Bend, WI 53095 | 2017-07-05 |
| 1508230632 | Jesen Daniel | Counselor | 111 East Washington St, Affiliated Clinical Services, West Bend, WI 53095 | 2015-12-01 |
| 1477965259 | Jenna Crofts | Specialist/Technologist | 1190 East Paradise Drive, West Bend, WI 53095 | 2014-05-28 |
| 1023436342 | Visionworks | Optometrist | 1437 S. Main St., West Bend, WI 53095 | 2014-04-03 |
| 1295157295 | Stephanie Rabe | Registered Nurse | 910 E. Paradise Drive, West Bend, WI 53095 | 2014-01-09 |
| 1477898815 | Ralph Norman Olsen | Pediatrics | 6267 Riesch Road, West Bend, WI 53095 | 2012-12-11 |
| 1932458536 | Joshua Aaron Barta | Dentist | 2090 Continental Drive, West Bend, WI 53095 | 2012-08-29 |
| Find all providers in zip 53095 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427664218 | Rosita Saya-ang | Adult Companion | N41w22612 Sunder Creek Dr, Pewaukee, WI 53072-2266 | 2020-09-17 |
| 1093347312 | Danielle Wren | Adult Companion | 3611 N Teutonia Ave, Milwaukee, WI 53206-2331 | 2020-02-05 |
| 1326690454 | Suzanne Lynn Marcon-fuller | Adult Companion | 204 E Blodgett St, Marshfield, WI 54449-2205 | 2019-07-09 |
| 1275192965 | Lakia Jackson | Adult Companion | 9700 W Capitol Dr Apt 1, Milwaukee, WI 53222-1468 | 2019-06-06 |
| 1194281832 | Kailey Lynae Lemon | Adult Companion | 310c Merritt Ave, Oshkosh, WI 54901-5020 | 2019-02-19 |
| 1033630827 | Franhold LLC | Adult Companion | 4703 Carter St, Oregon, WI 53575-2862 | 2017-06-30 |
| 1760920508 | Lachelle Brown | Adult Companion | 3292 N 60th St, Milwaukee, WI 53216-3168 | 2017-01-31 |
| 1871948547 | Mindy Ochs | Adult Companion | 340 Midland Rd Ste 130, Janesville, WI 53546-2339 | 2016-04-29 |
| 1114312386 | Holistic Home Health Care Incorporated | Adult Companion | 3422 West Howard Ave, Greenfield, WI 53221 | 2015-04-03 |
| 1275937542 | Latoya Hall | Adult Companion | 3170 N 13th St, Milwaukee, WI 53206-2763 | 2014-10-15 |
| 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.