MRS. TARA R RULLMAN (NPI# 1851527428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851527428 |
| Entity Type | Individual |
| Full Name | MRS. TARA R RULLMAN |
| Credential | MA |
| Practice Address |
3734 7th Ave Suite 12 Kenosha WI 53140-5525 |
| Mailing Address |
37790 89th Pl Twin Lakes WI 53181-9168 |
| Practice Telephone | 2626549370 |
| Practice Fax Number | 2626549379 |
| Mailing Telephone | 2625373877 |
| Mailing Fax Number | 2625373718 |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2009-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
3734 7TH AVE SUITE 12 |
| City | KENOSHA |
| State | WI |
| Zip Code | 53140-5525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922054519 | Ismael R Staromana | Anesthesiology | 3734 7th Ave, Dominican Building #15, Kenosha, WI 53140-5525 | 2006-05-25 |
| 1336374925 | Lisa M Defazio | Social Worker | 3734 7th Ave, Suite 24, Kenosha, WI 53140-5525 | 2009-05-26 |
| 1942474341 | Steven M Schwimmer, D.o. | Internal Medicine | 3734 7th Ave, Suite 27, Kenosha, WI 53140-5525 | 2008-04-16 |
| 1366627689 | Pradeep G. Kumar Md Inc | Clinic/Center | 3734 7th Ave, Suite 1, Kenosha, WI 53140-5525 | 2008-01-05 |
| 1356526743 | Vicki L Bartow | Social Worker | 3734 7th Ave, Suite 12, Kenosha, WI 53140-5525 | 2008-01-03 |
| 1104001999 | Amy F Fockler | Social Worker | 3734 7th Ave, Suite 12, Kenosha, WI 53140-5525 | 2007-12-31 |
| 1275652315 | Corrie Ruth Lee | Counselor | 3734 7th Ave, Suite 24, Kenosha, WI 53140-5525 | 2007-03-28 |
| 1023153947 | Leilane U Sta Romana Mdsc | Internal Medicine | 3734 7th Ave, Dominican Building Suite 15, Kenosha, WI 53140-5525 | 2007-02-20 |
| 1730246380 | Ashokkumar K Shah | Psychiatry & Neurology | 3734 7th Ave, Suite 24, Kenosha, WI 53140-5525 | 2007-01-02 |
| 1255494852 | Ernesto Buencamino Md Sc | Internal Medicine | 3734 7th Ave, Suite 11, Kenosha, WI 53140-5525 | 2006-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225663396 | Lydia Zopf | Counselor | 2001 Alford Park Dr., Carthage College, Kenosha, WI 53140 | 2020-03-09 |
| 1952949406 | Rotate Rehabilitation and Performance | Physical Therapist | 5606 6th Avenue Suite Ll9, Kenosha, WI 53140 | 2019-12-16 |
| 1134778590 | Brenda Chiapetta | Registered Nurse | 3233 23rd Ave, Kenosha, WI 53140 | 2019-09-09 |
| 1275003394 | Kimberly Shaffner | Family Medicine | 4536 22nd Avenue, Kenosha, WI 53140 | 2018-12-01 |
| 1659863389 | Bart L Mengo | Contractor | 1715 60th Street, Kenosha, WI 53140 | 2018-05-30 |
| 1093182941 | Guided Wellness Counseling | Community/Behavioral Health | 1112 56th St, Kenosha, WI 53140 | 2015-08-26 |
| 1376970764 | Stacey L Andersen | Acupuncturist | 5603 7th Ave, Kenosha, WI 53140 | 2013-10-01 |
| 1841467438 | Deborah Schwerdtfeger | Occupational Therapy Assistant | 3415 Sheridan Road, Woodstock Rehab Dept, Kenosha, WI 53140 | 2008-05-13 |
| 1942492020 | Rebecca Ann Burdette | Counselor | 920 60th Street, Renosha, WI 53140 | 2007-08-13 |
| 1851598619 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 2707 15th Place, Kenosha, WI 53140 | 2007-06-27 |
| Find all providers in zip 53140 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073110631 | Be Insightful Counseling LLC | Counselor | 2901 35th St Lowr Suiteb, Kenosha, WI 53140-5117 | 2020-10-07 |
| 1013559855 | Stephanie L Mayberry | Counselor | 6127 Green Bay Rd Ste 200, Kenosha, WI 53142-2929 | 2019-10-14 |
| 1144616277 | Kimberly Ann Oleksak | Counselor | 3200 Sheridan Rd Ste 104, Kenosha, WI 53140-1921 | 2015-04-15 |
| 1861428674 | Sharon Lynn O'brien | Counselor | 6121 Green Bay Rd, Suite 220, Kenosha, WI 53142-2926 | 2006-06-23 |
| 1346848454 | Brooke A Bilyk | Counselor | 6127 Green Bay Rd Ste 200, Kenosha, WI 53142-2929 | 2020-10-12 |
| 1043833270 | Linda Flahive | Counselor | 6809 122nd Ave, Kenosha, WI 53142-7335 | 2020-05-21 |
| 1780164707 | Nicole Cremona | Counselor | 2108 63rd St, Kenosha, WI 53143-4454 | 2018-08-20 |
| 1013411693 | Ann M Grossman | Counselor | 6321 23rd Ave, Kenosha, WI 53143-4801 | 2018-03-20 |
| 1902349699 | Monica Nanul | Counselor | 2108-63 Street, Kenosha, WI 53143-4454 | 2016-11-29 |
| 1679970123 | Evette Rowley | Counselor | 2108 63rd St, Kenosha, WI 53143-4454 | 2014-11-28 |
| Find all providers in KENOSHA | ||||
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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.