MELISSA CHESMORE (NPI# 1831404474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831404474 |
Entity Type | Individual |
Full Name | MELISSA CHESMORE |
Practice Address |
1002 Lincoln Ave Baraboo WI 53913-1808 |
Practice Telephone | 6083569055 |
Practice Fax Number | 6083565447 |
Mailing Telephone | 6083569055 |
Mailing Fax Number | 6083565447 |
Enumeration Date | 2010-08-06 |
Last Update Date | 2017-02-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
676233 | WI | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 1831404474 | 05 |
Street Address |
1002 LINCOLN AVE |
City | BARABOO |
State | WI |
Zip Code | 53913-1808 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467410001 | Kristine Kaye Burnstad | Social Worker | 1002 Lincoln Ave, Baraboo, WI 53913-1808 | 2006-05-03 |
1326321605 | Ann Feutz | Counselor | 1002 Lincoln Ave, Baraboo, WI 53913-1808 | 2011-09-23 |
1699053314 | Robyn Renae Bradley | Social Worker | 1002 Lincoln Ave, Baraboo, WI 53913-1808 | 2011-07-29 |
1760613087 | Vicki J Marquardt | Counselor | 1002 Lincoln Ave, Baraboo, WI 53913-1808 | 2009-08-04 |
1942431622 | Stephanie Lee Oestreich | Counselor | 1002 Lincoln Ave, Baraboo, WI 53913-1808 | 2009-07-29 |
1710154117 | Kathryn M Reedy | Counselor | 1002 Lincoln Ave, Baraboo, WI 53913-1808 | 2008-05-14 |
1316953540 | Peter T Laubach | Social Worker | 1002 Lincoln Ave, Baraboo, WI 53913-1808 | 2006-07-31 |
1740210053 | Family Service Associates | Clinic/Center | 1002 Lincoln Ave, Baraboo, WI 53913-1808 | 2006-07-03 |
1528001450 | Thomas J. Hayes | Psychologist | 1002 Lincoln Ave, Baraboo, WI 53913-1808 | 2006-06-14 |
1598708083 | Donna T. Rose | Psychologist | 1002 Lincoln Ave, Baraboo, WI 53913-1808 | 2006-06-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902407786 | Nordic Private Care, LLC | Clinic/Center | 814 Lynn Avenue, Baraboo, WI 53913 | 2020-11-06 |
1467088336 | Malerie Catherine Kurt | Physical Therapist | 707 14th Street, Rehabilitation Department, Baraboo, WI 53913 | 2020-03-23 |
1639718174 | Gwendolynn Sue Doyle | Physical Therapy Assistant | 1414 Jefferson Street, Baraboo, WI 53913 | 2020-01-02 |
1922572320 | Karen L Elsby | Case Manager/Care Coordinator | Lutheran Social Services of Wi, 727 8th Street, Baraboo, WI 53913 | 2019-01-18 |
1952874281 | Cheryl Millard | Social Worker | Lutheran Social Services of Wisconsin, 727 8th Street Lower Level, Baraboo, WI 53913 | 2019-01-09 |
1427536598 | Daniel Robert Tokarczyk | Hearing Instrument Specialist | 622 State Hwy 136, Miracle Ear, Baraboo, WI 53913 | 2018-08-01 |
1508359928 | Erick Lichte Krueger | Counselor | 840 Us-12 #1, Baraboo, WI 53913 | 2018-06-11 |
1003351834 | Jason Welch | Hearing Instrument Specialist | 622 State Rd 136, Baraboo, WI 53913 | 2017-01-03 |
1376947820 | Affordable Medfical Transportation Services, Inc. | Non-emergency Medical Transport (VAN) | 1350 Jefferson St., Office, Attn, : Ada Vans, Baraboo, WI 53913 | 2014-10-13 |
1609179134 | Barbara Ostrowski | Registered Nurse | 52845 White Eagle Rd, Ho-chunk House of Wellness, Baraboo, WI 53913 | 2010-12-06 |
Find all providers in zip 53913 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003422726 | Wisconsin Healthcare Family Practices and Behavioral Services LLC | Nurse Practitioner | 10721 W Capitol Dr Ste G103, Wauwatosa, WI 53222-1210 | 2020-09-17 |
1689292856 | Julianne Margaret John | Nurse Practitioner | 3237 S 16th St Ste 310, Milwaukee, WI 53215-4526 | 2020-07-13 |
1356968002 | Marisa Hiley | Nurse Practitioner | W129 N7055 Northfield Drive, Menomonee Falls, WI 53051 | 2020-06-29 |
1932726700 | Lauren Marie Skemp | Nurse Practitioner | 1960 Hyview Rd, Cuba City, WI 53807-9718 | 2020-06-28 |
1235779240 | Conscious Practice, LLC | Nurse Practitioner | 119 19th St N, La Crosse, WI 54601-3724 | 2020-01-08 |
1073152161 | Stephanie L Ruskell | Nurse Practitioner | 3805 Spring St Ste 240, Mount Pleasant, WI 53405-1667 | 2020-01-06 |
1558924811 | Sarah Kathryn Garven | Nurse Practitioner | 5000 West National Ave Rm 3119, Milwaukee, WI 53295-1000 | 2019-04-22 |
1104394535 | Therese Ann Alm | Nurse Practitioner | 383 Williamstowne Ste 101, Delafield, WI 53018-2332 | 2018-11-03 |
1477079242 | Aeron Rachel Adams | Nurse Practitioner | W10237 Lake Emily Rd, Fox Lake, WI 53933 | 2017-08-14 |
1396140398 | Monica Gorski | Nurse Practitioner | 505 King St Ste 218, La Crosse, WI 54601-4289 | 2014-11-03 |
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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.