MRS. LYNN ANN FREDRICKSON (NPI# 1821192444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821192444 |
| Entity Type | Individual |
| Full Name | MRS. LYNN ANN FREDRICKSON |
| Credential | RN |
| Practice Address |
15134 Washington Ave Union Grove WI 53182 |
| Practice Telephone | 2628352019 |
| Mailing Telephone | 2628352019 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 163W00000X | Registered Nurse | WI | Nursing Service Providers | |
| X | 163WH0200X |
Registered Nurse Specialization: Home Health |
WI | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38320000 | 05 |
| Street Address |
15134 WASHINGTON AVE |
| City | UNION GROVE |
| State | WI |
| Zip Code | 53182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770134843 | Cory Harpe | Technician | 23338 18th St., Union Grove, WI 53182 | 2019-09-20 |
| 1477925121 | Michael Joseph Gillen | Psychologist | 21425 Spring Street, Union Grove Va Clinic, Union Grove, WI 53182 | 2015-10-21 |
| 1881738615 | Roxanne Roese | Nurse Practitioner | 21425b Spring Street, Union Grove, WI 53182 | 2007-02-16 |
| 1619486776 | Adam Lee Wesner | Social Worker | 21425 Spring St, Union Grove, WI 53182 | 2017-09-21 |
| 1912441569 | Amie Koehnlein | Counselor | 1120 Main St, Union Grove, WI 53182 | 2016-12-15 |
| 1417337247 | Laura Brantman-johnson | Registered Nurse | 4320 67th Dr, Union Grove, WI 53182 | 2015-06-06 |
| 1932142197 | Catherine A Russell | Social Worker | Va Clinic, 21425 Spring, Union Grove, WI 53182 | 2006-06-14 |
| 1104928332 | Hospice Advantage, LLC | Hospice Care, Community Based | 951 Main St, Suite 120, Union Grove, WI 53182-1039 | 2006-09-01 |
| 1992759161 | Union Grove Yorkville Fire Rescue | Ambulance | 700 Main St, Union Grove, WI 53182-1048 | 2006-05-20 |
| 1144501099 | Joshua M Rode | Physical Therapy Assistant | 1420 Park Pl Apt 10, 10, Union Grove, WI 53182-1058 | 2011-09-06 |
| Find all providers in zip 53182 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184990715 | Cindy Davis | Registered Nurse | 4050 67th Dr, Union Grove, WI 53182-9405 | 2012-03-28 |
| 1932373750 | Marijo Ann Rommelfaenger | Registered Nurse | 907 N Britton Rd, Union Grove, WI 53182-9331 | 2008-04-14 |
| 1417337247 | Laura Brantman-johnson | Registered Nurse | 4320 67th Dr, Union Grove, WI 53182 | 2015-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659119 | Taylor Burgart | Registered Nurse | 2332 Ferry St, La Crosse, WI 54601-5144 | 2020-11-08 |
| 1013518786 | Elizabeth Kay Anderson | Registered Nurse | 105 Birch St E, Frederic, WI 54837-8985 | 2020-11-08 |
| 1851992739 | Jennifer J. Rutkowski | Registered Nurse | 310 E Highway St, Mount Hope, WI 53816-9796 | 2020-11-05 |
| 1588265847 | Dylan Apuli | Registered Nurse | 420 N East Ave, Waukesha, WI 53186-5034 | 2020-11-03 |
| 1972104271 | Beata Aniela Kasia | Registered Nurse | 6100 W State St Apt 331, Wauwatosa, WI 53213-2991 | 2020-11-03 |
| 1033710652 | Shaffaq Zaveri | Registered Nurse | N7259 Meyer Ct, Holmen, WI 54636 | 2020-11-02 |
| 1043810898 | Courtney L Schumacher | Registered Nurse | 162 Custer Ct, Green Bay, WI 54301-1243 | 2020-10-30 |
| 1336749456 | Nancy Renae Reiland | Registered Nurse | 2112 Fred St, Marinette, WI 54143-1228 | 2020-10-28 |
| 1841890282 | Debra Harris | Registered Nurse | 816 Fulton St, Wausau, WI 54403-4969 | 2020-10-26 |
| 1548869167 | Amy Lee Kurth | Registered Nurse | 923 Scott St, Wausau, WI 54403-4952 | 2020-10-23 |
| Find all providers with the same taxonomy | ||||
| City | UNION GROVE |
| Zip Code | 53182 |
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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.