JACKIE JOACHIM (NPI# 1841486008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841486008 |
| Entity Type | Individual |
| Full Name | JACKIE JOACHIM |
| Credential | APNP |
| Practice Address |
221 E Sunset Dr Waukesha WI 53186 |
| Mailing Address |
161 Washington St Eight Tower Bridge Ste 1400 Conshohocken PA 19428 |
| Practice Telephone | 8668253227 |
| Practice Fax Number | 4844502617 |
| Mailing Telephone | 8668253227 |
| Mailing Fax Number | 4844502617 |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2020-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 3175 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3175 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
3175 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | APNP LICENSE | 3175 | 01 |
| Street Address |
221 E SUNSET DR |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487669388 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 221 E Sunset Dr, Waukesha, WI 53189-7603 | 2006-07-29 |
| 1093349326 | Lisa Nguyen | Pharmacist | 221 E Sunset Dr, Waukesha, WI 53189-7603 | 2020-02-25 |
| 1942603469 | Mary Kraus | Pharmacist | 221 E Sunset Dr, Waukesha, WI 53189-7603 | 2014-09-29 |
| 1821367566 | Thomas Diestler | Pharmacist | 221 E Sunset Dr, Waukesha, WI 53189-7603 | 2011-12-27 |
| 1750659090 | Jay Litzenberg | Pharmacist | 221 E Sunset Dr, Waukesha, WI 53189-7603 | 2011-12-01 |
| 1053698423 | Susan R Hanosh | Pharmacist | 221 E Sunset Dr, Waukesha, WI 53189-7603 | 2011-11-13 |
| 1518244029 | Ann Bjerke | Pharmacist | 221 E Sunset Dr, Waukesha, WI 53189-7603 | 2011-11-11 |
| 1841478534 | Lisa Sinclair | Nurse Practitioner | 221 E Sunset Dr, Waukesha, WI 53189-7603 | 2008-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295391472 | Christine Lowdon Triggs | Dentist | 21680 West Bluemound Rd, Waukesha, WI 53186 | 2019-05-14 |
| 1881182889 | Allure Medical of Wisconsin Pllc | Clinic/Center | 1930 W Bluemound Rd Ste 340, Waukesha, WI 53186 | 2018-04-25 |
| 1316462104 | Mary B Mckee | Dietitian, Registered | 22370 W Bluemound Rd, #102, Waukesha, WI 53186 | 2017-08-14 |
| 1740738343 | Rebecca Menelle | Physical Therapist | 1809 Shepherd Ct, Apt 206, Waukesha, WI 53186 | 2016-09-13 |
| 1568919876 | Dianne Isnard | Physical Therapist | W231n1440 Corporate Court, Waukesha, WI 53186 | 2016-09-02 |
| 1982065991 | Brandon James Decker | Nurse Practitioner | 21775 Hillcrest Drive, Waukesha, WI 53186 | 2016-03-18 |
| 1598142937 | Sophia Marie Klingbiel | Social Worker | 1515 Paramount Dr., Waukesha, WI 53186 | 2015-05-06 |
| 1326478165 | Glen D Haberman | Dentist | 141 Wisconsin Avenue, Waukesha, WI 53186 | 2013-11-14 |
| 1487991014 | Sara Nicole Francis | Counselor | 217 Wisconsin Ave Ste 211, Waukesha, WI 53186 | 2013-01-16 |
| 1770862054 | Alex Colque, M.d. S.c. | Plastic Surgery | 21675 E Moreland Blvd, Suite 100, Waukesha, WI 53186 | 2011-08-04 |
| Find all providers in zip 53186 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
| 1639648769 | Amy J Anderson | Nurse Practitioner | 721 American Ave Ste 310, Waukesha, WI 53188-5071 | 2018-11-19 |
| 1891232922 | Sarah Applebey | Nurse Practitioner | 3324 Fox Ridge Dr, Waukesha, WI 53189-6807 | 2017-01-26 |
| 1013452150 | Danielle Marie Bernacchi | Nurse Practitioner | W308s2809 Wild Berry Ct, Waukesha, WI 53188-9105 | 2016-12-28 |
| 1518416106 | Erica Soule Linn | Nurse Practitioner | 1708 Paramount Ct, Waukesha, WI 53186-3967 | 2016-09-24 |
| 1316398589 | Dina Paulette Sotola | Nurse Practitioner | 2428 N Grandview Blvd Ste 102, Waukesha, WI 53188-6906 | 2016-06-28 |
| 1982065991 | Brandon James Decker | Nurse Practitioner | 21775 Hillcrest Drive, Waukesha, WI 53186 | 2016-03-18 |
| 1659732790 | Rebecca A Bott | Nurse Practitioner | 1111 Delafield St Ste 218, Waukesha, WI 53188-3403 | 2016-03-17 |
| 1063850246 | Tracey Sue Kochanski | Nurse Practitioner | 1130 W Sunset Ave, Waukesha, WI 53189 | 2013-06-10 |
| 1992040257 | Joann Louise Browne | Nurse Practitioner | 1111 Delafield St Ste 19, Waukesha, WI 53188-3417 | 2012-11-27 |
| Find all providers in WAUKESHA | ||||
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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.