KRISTA BOTSFORD (NPI# 1831290667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831290667 |
| Entity Type | Individual |
| Full Name | KRISTA BOTSFORD |
| Credential | PA |
| Practice Address |
9004 Hollirob Ln Wausau WI 54403-9171 |
| Practice Telephone | 7158455532 |
| Mailing Telephone | 7158455532 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2013-01-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 640 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 42934000 | 05 |
| Street Address |
9004 HOLLIROB LN |
| City | WAUSAU |
| State | WI |
| Zip Code | 54403-9171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932714292 | Human Services Board Serving North Central Health Care Facility | Special Hospital | 2380 Marshall St., Wausau, WI 54403 | 2020-09-14 |
| 1396129755 | Aimee Budleski | Counselor | 530 Grant Street, Wasuau, WI 54403 | 2015-07-16 |
| 1467861328 | Nevin Grossnickle | Massage Therapist | 319 4th Street, Ll, Wausau, WI 54403 | 2014-08-05 |
| 1609297860 | Brian Christus | Counselor | 209 West Washington Street Suite B., Wausau, WI 54403 | 2013-12-13 |
| 1376983676 | Jacqueline J Streveler | Counselor | 741 N First St, Wausau, WI 54403 | 2013-07-01 |
| 1033468947 | Tonia Yvette Backman | Social Worker | 1810 North 2nd Street, Wausau, WI 54403 | 2012-09-06 |
| 1730436551 | Ashley L Schulz | Registered Nurse | 1005 Colonial Rd, Wausau, WI 54403 | 2012-08-10 |
| 1093061939 | Kimberly Gilray | Physical Therapist | 1100 Lakeview Drive, Wausau, WI 54403 | 2012-07-30 |
| 1841594603 | Daniel L. Schaut | Dentist | 1723 Mulligan Dr., Wausau, WI 54403 | 2011-01-07 |
| 1982836813 | Eric J Gabrielsen | Dentist | 200 E. Bridge St., Ste-100, Wausau, WI 54403 | 2009-08-11 |
| Find all providers in zip 54403 | ||||
| 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 |
|---|---|---|---|---|
| 1053803239 | Hayley Marie Schanen | Physician Assistant | 2200 Westwood Dr, Wausau, WI 54401-7806 | 2018-06-04 |
| 1164959565 | Laura Berry | Physician Assistant | 2720 Plaza Dr Ste 1100, Wausau, WI 54401-4169 | 2017-05-16 |
| 1023494085 | Katrina Marie Mattek | Physician Assistant | 227500 Rib Mountain Dr Ste 200, Wausau, WI 54401-5052 | 2015-07-31 |
| 1467705327 | Tyler P Laber | Physician Assistant | 2800 Westhill Dr Ste 200, Wausau, WI 54401-3770 | 2012-10-17 |
| 1720044340 | Aaron C Wanish | Physician Assistant | 225000 Hummingbird Rd Ste 100, Wausau, WI 54401-2950 | 2006-04-22 |
| 1114989050 | Jody L Wilkins | Physician Assistant | 3000 Westhill Dr, Suite 100, Wausau, WI 54401-3795 | 2006-04-05 |
| 1578533949 | Kristin Ruesch | Physician Assistant | 3300 Westhill Dr, Wausau, WI 54401-4710 | 2006-01-26 |
| 1548248727 | Carla J Heiden | Physician Assistant | 500 Wind Ridge Drive, Cardiovascular Associates, Wausau, WI 54401 | 2006-01-06 |
| 1861027559 | Amber Jeanne Brock | Physician Assistant | 3300 Westhill Dr, Wausau, WI 54401-4710 | 2020-03-03 |
| 1588299275 | Cassandra Rick | Physician Assistant | 3300 Westhill Dr, Wausau, WI 54401-4710 | 2020-03-03 |
| Find all providers in WAUSAU | ||||
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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.