DOUGLAS MICHAEL DEDERICH (NPI# 1831345032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831345032 |
| Entity Type | Individual |
| Full Name | DOUGLAS MICHAEL DEDERICH |
| Credential | R.N. |
| Practice Address |
W10741 Becker Rd Poynette WI 53955-9492 |
| Practice Telephone | 6086350113 |
| Mailing Telephone | 6086350113 |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2008-08-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 148686 | WI | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 35064600 | 05 |
| Street Address |
W10741 BECKER RD |
| City | POYNETTE |
| State | WI |
| Zip Code | 53955-9492 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679656482 | David B. Yaeger | Chiropractor | 214 E. Seward Street, Poynette, WI 53955 | 2006-10-23 |
| 1255449823 | Brian Roger Olson | Pharmacist | 317 N Hwy 51, Poynette, WI 53955 | 2006-08-25 |
| 1871751503 | Sara J Hausser | Speech-Language Pathologist | 717 Links Dr, Poynette, WI 53955-8304 | 2008-05-29 |
| 1376524389 | Georgia J. White | Licensed Practical Nurse | 236 E Tomlinson St, Poynette, WI 53955-8574 | 2005-11-07 |
| 1407990864 | Poynette-dekorra Fire Protection District | Emergency Medical Technician, Basic | 606 Water Tower Rd., Poynette, WI 53955-8622 | 2007-02-19 |
| 1124208061 | School District of Poynette | Local Education Agency (LEA) | 108 N Cleveland St, Poynette, WI 53955-8913 | 2007-11-08 |
| 1316190010 | Greenbush Oaks, Inc | Counselor | 415 N Main St Ste 3, Poynette, WI 53955-8963 | 2008-10-28 |
| 1699924423 | Angela Marie Thompson | Massage Therapist | 415 N Main St, Suite 2 Office 2, Poynette, WI 53955-8963 | 2008-09-17 |
| 1326215161 | Curtis S Hossman | Counselor | 415 N Main St, Poynette, WI 53955-8963 | 2008-05-12 |
| 1679539191 | Kristine Merrill | Counselor | 415 N Main St, Suite 3, Poynette, WI 53955-8963 | 2006-04-24 |
| Find all providers in zip 53955 | ||||
| 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 |
|---|---|---|---|---|
| 1942649264 | Mary Schmidt | Registered Nurse | N3896 Tipperary Rd, Poynette, WI 53955-9413 | 2013-06-19 |
| 1437308152 | Mary Ellen Young | Registered Nurse | 422 Valley View Dr, Poynette, WI 53955-8966 | 2008-09-17 |
| 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 | ||||
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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.