JENNIFER L REICHARDT (NPI# 1811188683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811188683 |
| Entity Type | Individual |
| Full Name | JENNIFER L REICHARDT |
| Other Name | JENNIFER L MATTIOLI |
| Credential | APNP |
| Practice Address |
W5282 Amy Ave Appleton WI 54915-7233 |
| Mailing Address |
122 E College Ave Appleton WI 54911-5794 |
| Practice Telephone | 9203581900 |
| Mailing Telephone | 9209963264 |
| Mailing Fax Number | 9208305970 |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3157 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
3157 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2701 E Enterprise Ave, Appleton, WI 549137729 | 9209542551 | 9209542554 |
| 640 Deerwood Ave, Neenah, WI 549567110 | 9207279982 | 9207279983 |
| Street Address |
W5282 AMY AVE |
| City | APPLETON |
| State | WI |
| Zip Code | 54915-7233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831140326 | Kevin J Hayes | Pediatrics | W5282 Amy Ave, Appleton, WI 54915-7233 | 2006-05-12 |
| 1518497320 | Aaron James Nelson | Physical Therapist | W5282 Amy Ave, Appleton, WI 54915-7233 | 2017-06-14 |
| 1497119218 | Thedacare Regional Medical Center - Appleton, Inc. | General Acute Care Hospital | W5282 Amy Ave, Appleton, WI 54915-7233 | 2016-04-07 |
| 1669866505 | Abby L Smolcich | Pediatrics | W5282 Amy Ave, Appleton, WI 54915-7233 | 2015-03-27 |
| 1235405176 | Adam Robert Olson | Family Medicine | W5282 Amy Ave, Appleton, WI 54915-7233 | 2012-03-26 |
| 1952600132 | Joshua R Block | Family Medicine | W5282 Amy Ave, Thedacare Physicians-darboy Family Practice, Appleton, WI 54915-7233 | 2011-03-27 |
| 1720140536 | Douglas Paul Moard | Family Medicine | W5282 Amy Ave, Appleton, WI 54915-7233 | 2006-12-15 |
| 1679682165 | Tracy Motiff-muesbeck | Physical Therapist | W5282 Amy Ave, Appleton, WI 54915-7233 | 2006-08-29 |
| 1154339596 | Suzanne Swanson | Obstetrics & Gynecology | W5282 Amy Ave, Appleton, WI 54915-7233 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205466737 | Leyes Robers Dental LLC | Dentist | 3216 W County Rd Kk, Appleton, WI 54915 | 2020-01-23 |
| 1912426958 | Shanna L. Larsen | Registered Nurse | 1101 E. South River St., Appleton, WI 54915 | 2017-09-11 |
| 1477082816 | Amy Fazel | Driver | 226 E Calumet St, Appleton, WI 54915 | 2017-06-08 |
| 1871940213 | B.a.israel LLC | Community Based Residential Treatment Facility, Mental Illness | N9520 Silver Court, Appleton, WI 54915 | 2016-05-16 |
| 1982933479 | Stephanie I. Braski | Counselor | 1531 S. Oneida St, Appleton, WI 54915 | 2009-12-14 |
| 1386808319 | Shawn S Williamson | Emergency Medicine | 1506 South Oneida Street, Appleton, WI 54915 | 2008-07-18 |
| 1700040870 | Heidi Jo Van Toll | Occupational Therapist | 1335 S Oneida Street, Appleton, WI 54915 | 2008-07-17 |
| 1669639142 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | N9642 County Rd N, Appleton, WI 54915 | 2008-05-21 |
| 1265699748 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Fl 4, Appleton, WI 54915 | 2008-05-21 |
| 1073770558 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Ste 580, Appleton, WI 54915 | 2008-05-21 |
| Find all providers in zip 54915 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518519982 | Jacqueline Karlin | Nurse Practitioner | 2535 Northern Rd Ste D, Appleton, WI 54914-8753 | 2019-07-15 |
| 1700351301 | Jessica Friday | Nurse Practitioner | 3815 Stoney Creek Ct, Appleton, WI 54913-7953 | 2018-10-10 |
| 1871076273 | Alecia Raschke | Nurse Practitioner | 3232 N Ballard Rd Ste 100, Appleton, WI 54911-8804 | 2018-09-11 |
| 1386155216 | Mh Health Care Services, PC | Nurse Practitioner | 2175 S Memorial Dr, Appleton, WI 54915-1435 | 2017-10-18 |
| 1699184580 | Michelle Becker | Nurse Practitioner | 4435 West Lawrence St., Appleton, WI 54914 | 2014-08-05 |
| 1649693326 | Katlyn Sue Hansen | Nurse Practitioner | 2700 E Enterprise Ave Ste B, Appleton, WI 54913-7656 | 2014-01-30 |
| 1104104892 | Carissa Jo Meyer | Nurse Practitioner | 277 N Altenhofen Dr, Appleton, WI 54913-8401 | 2011-07-28 |
| 1184882334 | Jana Lynn Esden | Nurse Practitioner | 913 S West Ave, Appleton, WI 54915-2394 | 2008-05-23 |
| 1659390037 | Linda Jean Middleton | Nurse Practitioner | 10tri Park Way, Appleton, WI 54914 | 2006-07-18 |
| 1902413081 | Miranda Wendricks | Nurse Practitioner | 2500 E Capitol Dr, Appleton, WI 54911-8735 | 2020-09-23 |
| Find all providers in APPLETON | ||||
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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.