MS. NICOLE E HANSEN (NPI# 1861824948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861824948 |
| Entity Type | Individual |
| Full Name | MS. NICOLE E HANSEN |
| Other Name | NICOLE E KENNEDY |
| Credential | APNP |
| Practice Address |
725 S Webster Ave The Neuro Team Green Bay WI 54301-3500 |
| Mailing Address |
Po Box 22487 Green Bay WI 54305-2487 |
| Practice Telephone | 9204337995 |
| Practice Fax Number | 9204333458 |
| Mailing Telephone | 9204457222 |
| Mailing Fax Number | 9204457289 |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2019-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5362-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AMERICAN NURSES CREDENTIALING CENTER | 2013009391 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114542008 | Nicole Desiree' Hansen | Home Health Aide | 2012 James St, Niles, OH 44446-3980 | 2020-06-16 |
| 1700386448 | Nicole Susanne Hansen | Registered Nurse | N26w24150 River Park Dr Apt H, Pewaukee, WI 53072-5851 | 2018-02-20 |
| 1821471269 | Nicole Hansen | Registered Nurse | 9544 N Sharon Ave, Fresno, CA 93720-1458 | 2015-07-02 |
| 1740800085 | Nicole Hansen | Social Worker | 5770 S 1500 W, Taylorsville, UT 84123-5216 | 2020-04-16 |
| 1508416793 | Nicole Hansen | Counselor | 210 Ballston Ave, Ballston Spa, NY 12020-3606 | 2019-09-19 |
| 1821555798 | Nicole Ann Hansen | Physician Assistant | 1520 S 70th St Ste 200, Lincoln, NE 68506-1566 | 2019-02-26 |
| 1548542327 | Nicole Hansen | Pharmacist | 2110 Stringtown Rd, Grove City, OH 43123-2931 | 2011-09-16 |
| Street Address |
725 S WEBSTER AVE THE NEURO TEAM |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54301-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326090697 | Richard L Erdman | Emergency Medicine | 725 S Webster Ave, Green Bay, WI 54301-3500 | 2006-05-16 |
| 1548807282 | Kate S Laurin | Nurse Practitioner | 725 S Webster Ave, Green Bay, WI 54301-3500 | 2019-12-02 |
| 1871155879 | Torri L Pulley | Speech-Language Pathologist | 725 S Webster Ave, Green Bay, WI 54301-3500 | 2019-07-01 |
| 1609354513 | Brittany A Barrette | Registered Nurse | 725 S Webster Ave, Green Bay, WI 54301-3500 | 2018-08-02 |
| 1184149965 | Alexandria M Caelwaerts | Physical Therapist | 725 S Webster Ave, Green Bay, WI 54301-3500 | 2017-08-14 |
| 1649706862 | Bellin Memorial Hospital Inc | Internal Medicine | 725 S Webster Ave, Suite 303, Green Bay, WI 54301-3500 | 2017-05-08 |
| 1770030157 | Rebekah R Vandewalle | Nurse Practitioner | 725 S Webster Ave, Green Bay, WI 54301-3500 | 2016-09-02 |
| 1225420664 | Bellin Memorial Hospital Inc | Psychiatry & Neurology | 725 S Webster Ave, Suite 201, Green Bay, WI 54301-3500 | 2015-02-23 |
| 1083059034 | Megan C Brzezinski | Registered Nurse | 725 S Webster Ave, Suite 201, Green Bay, WI 54301-3500 | 2013-05-03 |
| 1205279841 | Sara Faith Piper | Speech-Language Pathologist | 725 S Webster Ave, Green Bay, WI 54301-3500 | 2013-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386102465 | Parc Village Dental, LLC | Dentist | 2805 Libal Street, Suite A, Green Bay, WI 54301 | 2019-03-07 |
| 1598229478 | Shaina Marie Conner | Registered Nurse | 835 S Vanburen St, Green Bay, WI 54301 | 2019-01-25 |
| 1093298960 | Brown County | Case Management | 111 N. Jefferson Street, Green Bay, WI 54301 | 2018-09-07 |
| 1639609928 | Frontline Healthcare LLC | Specialist/Technologist, Other | 2221 S. Webster Ave. Suite 270, Greenbay, WI 54301 | 2017-06-19 |
| 1992242606 | Charmaine Rimple | Counselor | 526 South Monroe Avenue, Green Bay, WI 54301 | 2017-01-20 |
| 1962944819 | Rebecca Lucille Reinbold | Registered Nurse | 917 Catherine Street, Green Bay, WI 54301 | 2016-11-09 |
| 1730635061 | Melissa Kristof | Specialist/Technologist, Other | 1821 Sounth Webster Ave., Green Bay, WI 54301 | 2016-08-28 |
| 1255709747 | Vivian Sweetheart Bishop-cook | Counselor | 2920 South Webster Ave, Green Bay, WI 54301 | 2015-09-14 |
| 1881079960 | Chelsi S Weber | Registered Nurse | 2300 Riverside Dr., Ste 204, Green Bay, WI 54301 | 2015-07-30 |
| 1962816371 | Joelle M Hesse | Counselor | 630 Cherry St., Green Bay, WI 54301 | 2014-06-13 |
| Find all providers in zip 54301 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194353763 | Tiffany Dahlke | Nurse Practitioner | 2427 Bluestone Pl, Green Bay, WI 54311-6433 | 2020-03-30 |
| 1285121707 | Deanna Danelle Olk | Nurse Practitioner | 917 Lincoln St, Green Bay, WI 54303-3625 | 2018-04-19 |
| 1306221619 | Karen M Kroll | Nurse Practitioner | 1630 Commanche Ave Ste 102, Green Bay, WI 54313-5753 | 2015-07-28 |
| 1770968760 | Esmaeil Ben Kamali | Nurse Practitioner | 725 S Webster Ave Ste 201, Green Bay, WI 54301-3500 | 2015-07-20 |
| 1427338730 | Natasha M Koehler | Nurse Practitioner | 2749 E Carrera Ct, Green Bay, WI 54311-7278 | 2011-08-18 |
| 1780982397 | Seth Patrick Moore | Nurse Practitioner | 879 Mather St, Green Bay, WI 54303-3651 | 2011-03-06 |
| 1316263569 | Chris Edwin Anibal | Nurse Practitioner | 744 South Webster Avenue, Green Bay, WI 54305-3500 | 2010-04-13 |
| 1184956864 | Douglas A Bartelt | Nurse Practitioner | 464 Cardinal Lane, Green Bay, WI 54313-9569 | 2010-02-05 |
| 1750504916 | Heather Mary Weber | Nurse Practitioner | 622 Bodart St, Green Bay, WI 54301 | 2007-04-10 |
| 1346314937 | Denise Mary Brilliant | Nurse Practitioner | 2340 E Mason St, Green Bay, WI 54302-3746 | 2006-11-17 |
| Find all providers in GREEN BAY | ||||
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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.