JENNIFER LIDBURY (NPI# 1861853566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861853566 |
| Entity Type | Individual |
| Full Name | JENNIFER LIDBURY |
| Practice Address |
N2150 Kesaehkahtek Gresham WI 54128 |
| Practice Telephone | 7157993835 |
| Practice Fax Number | 7157995056 |
| Mailing Telephone | 7157993835 |
| Mailing Fax Number | 7157995056 |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2016-03-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 169207-30 | WI | Nursing Service Providers |
| Street Address |
N2150 KESAEHKAHTEK |
| City | GRESHAM |
| State | WI |
| Zip Code | 54128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447425145 | Mary Bernadette Barney | Counselor | N2150 Kesaehkahtek, Gresham, WI 54128 | 2008-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427315944 | Brian A Krause | Occupational Therapy Assistant | W10877 Upper Red Lake Rd, Gresham, WI 54128-8995 | 2012-04-20 |
| 1487829883 | Annette Pauline Latender | Counselor | N2150 Kesaehkahtek Rd, Gresham, WI 54128-9602 | 2008-04-25 |
| 1942708789 | Brandon Waupekenay | Counselor | N2150 Kesaehkahtek Rd, Gresham, WI 54128-9602 | 2018-01-26 |
| 1679071492 | Addie Mae Caldwell | Counselor | N2150 Kesaehkahtek Rd, Gresham, WI 54128-9602 | 2018-01-26 |
| 1962867085 | Natalie Cornelius | Counselor | N2150 Kesaehkahtek Rd, Gresham, WI 54128-9602 | 2015-12-16 |
| 1396124939 | Rachel A Seegers | Counselor | N2150 Kesaehkahtek Rd, Gresham, WI 54128-9602 | 2015-05-28 |
| 1760889471 | Jeniifer Metoxen | Counselor | N2150 Kesaehkahtek Rd, Gresham, WI 54128-9602 | 2014-11-24 |
| 1003063157 | Bruce A Wilber Jr. | Counselor | N2150 Kesaehkahtek Rd, Gresham, WI 54128-9602 | 2008-08-20 |
| 1588829030 | Maehnowesekiyah Wellness Center | Community/Behavioral Health | N2150 Kesaehkahtek Rd, Gresham, WI 54128-9602 | 2008-07-24 |
| 1912162462 | Maehnowesekiyah Wellness Center | Community/Behavioral Health | N2150 Kesaehkahtek Rd, Gresham, WI 54128-9602 | 2008-07-24 |
| Find all providers in zip 54128 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and 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 |
|---|---|---|---|---|
| 1750913950 | Lelisa Hika | Registered Nurse | 2700 Ne 17th St, Gresham, OR 97030-4406 | 2020-02-06 |
| 1932619590 | Courtney Szper | Registered Nurse | 4101 Ne Division St Fl 1, Gresham, OR 97030-4617 | 2017-10-09 |
| 1689108698 | Shelley June Williams | Registered Nurse | 4281 Sw Emerald Ave, Gresham, OR 97080-8630 | 2017-04-17 |
| 1871034371 | Cathryn Hansen | Registered Nurse | 3838 Se Saint Andrews Pl, Gresham, OR 97080-8421 | 2017-03-16 |
| 1326456831 | Chantelle Marie Davidson | Registered Nurse | 4101 Ne Division, Gresham, OR 97030 | 2014-07-28 |
| 1932522166 | Deffo Mebrat | Registered Nurse | 135 Nw Linneman Ave, Gresham, OR 97030-6248 | 2014-01-23 |
| 1710270673 | Lisa A Eisenbraun-long | Registered Nurse | 1312 E Powell Blvd, Gresham, OR 97030-8003 | 2011-05-25 |
| 1922243948 | Larisa V Katerenchuk | Registered Nurse | 417 Nw Battaglia Ave, Gresham, OR 97030-5260 | 2008-12-04 |
| 1992975262 | William Delplato | Registered Nurse | 1753 Sw Phyllis Ave, Gresham, OR 97080-8398 | 2008-03-03 |
| 1225677248 | Dmitriy Flato | Registered Nurse | 4101 Ne Division St, Gresham, OR 97030-4617 | 2019-12-23 |
| Find all providers in GRESHAM | ||||
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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.