LI PAN (NPI# 1851642433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851642433 |
| Entity Type | Individual |
| Full Name | LI PAN |
| Credential | LPN |
| Practice Address |
4700 Shasta Dr Brookfield WI 53045-1006 |
| Practice Telephone | 2623917264 |
| Mailing Telephone | 2623917264 |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2012-09-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 315602-31 | WI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144841792 | Li Pan | Student in an Organized Health Care Education/Training Program | 707 E Main St, Middletown, NY 10940-2667 | 2020-05-05 |
| Street Address |
4700 SHASTA DR |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53045-1006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801436159 | Jeannie Spoon | Behavioral Analyst | 200 N. Patrick Blvd. Ste 250, Brookfield, WI 53045 | 2020-01-14 |
| 1629635313 | Hallie Mackenzie Ritchay | Speech-Language Pathologist | Greenfield Rehabilitation Agency 19395 W Capitol Dr, Ste 200, Brookfield, WI 53045 | 2019-05-29 |
| 1427535038 | Kimberly Ann Beres | Registered Nurse | 2253 Norhardt Dr, Brookfield, WI 53045 | 2018-07-26 |
| 1265927768 | Brady Frederick Bachmann | Physical Therapist | 275 Regency Ct., Suite 200, Brookfield, WI 53045 | 2018-06-27 |
| 1841792603 | Wisconsin Renal Care Group, L.L.C. | Clinic/Center | 17500 W Capitol Drive, Brookfield, WI 53045 | 2018-03-07 |
| 1750828299 | Nanette Marie Kloth | Nurse Practitioner | 18110 W Bluemond Rd, Brookfield, WI 53045 | 2017-01-23 |
| 1144772013 | Saida Reifenrath | Acupuncturist | 240 Regency Court, Suite 102, Brookfield, WI 53045 | 2016-10-26 |
| 1437545951 | Kylee Stevenson | Chiropractor | 19555 W Bluemound Rd Ste 6, Brookfield, WI 53045 | 2015-04-10 |
| 1548659725 | Patricia Ann Kender | Nurse Practitioner | 17495 W. Capitol Dr., Brookfield, WI 53045 | 2015-01-12 |
| 1568882793 | Kassandra E Holzem | Dermatology | 195 Discovery Dr, Brookfield, WI 53045 | 2014-04-28 |
| Find all providers in zip 53045 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: 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 |
|---|---|---|---|---|
| 1972018158 | Emily Pegg | Licensed Practical Nurse | 20315 Sutter Creek Dr Apt 123, Brookfield, WI 53045-3960 | 2017-12-09 |
| 1346643129 | Lisa Shingledecker | Licensed Practical Nurse | 6697 Warren Sharon Rd, Brookfield, OH 44403-9702 | 2014-10-07 |
| 1265840177 | Marlene A. Chelso, Aprn | Licensed Practical Nurse | 127 Tower Rd, Brookfield, CT 06804-3654 | 2014-07-24 |
| 1568899516 | Elizabeth C Noeske | Licensed Practical Nurse | 4155 N 162nd St, Brookfield, WI 53005-1444 | 2013-10-06 |
| 1144525429 | Loretta May Gorecki | Licensed Practical Nurse | 4153 Raymond Ave, Brookfield, IL 60513-1821 | 2011-01-19 |
| 1962644542 | Debra Jean Brooks | Licensed Practical Nurse | 3245 Fiebrantz Dr, Brookfield, WI 53005-3028 | 2009-03-30 |
| 1528231248 | Amy M Gentekis | Licensed Practical Nurse | 19100 Hi View Dr, Brookfield, WI 53045-3683 | 2008-04-03 |
| 1366598674 | Rose M. Neitzel | Licensed Practical Nurse | 3400 Hollywood Ln, Brookfield, WI 53045-2508 | 2007-01-27 |
| 1679521462 | Carol S Veenhuis | Licensed Practical Nurse | 3245 San Juan Trl, Brookfield, WI 53005-7625 | 2006-05-04 |
| 1013217959 | Tamara Anthony | Licensed Practical Nurse | 18740 W Bluemound Rd, Brookfield, WI 53045-2936 | 2010-10-26 |
| Find all providers in BROOKFIELD | ||||
| City | BROOKFIELD |
| Zip Code | 53045 |
Please comment or provide details below to improve the information on LI PAN.
| 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.