THEDACARE, INCORPORATED (NPI# 1871065037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871065037 |
| Entity Type | Organization |
| Organization Name | THEDACARE, INCORPORATED |
| Practice Address |
1602 N Meade St Appleton WI 54911-3770 |
| Mailing Address |
122 E College Ave Appleton WI 54911-5794 |
| Practice Telephone | 9202251242 |
| Practice Fax Number | 9205605297 |
| Mailing Telephone | 9209963264 |
| Mailing Fax Number | 9208305910 |
| Enumeration Date | 2018-12-27 |
| Last Update Date | 2018-12-27 |
| Authorized Official Name | SUSAN M PAHL (PROVIDER ENROLLMENT SPECIALIST) |
| Authorized Official Telephone | 9209963264 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174H00000X | Health Educator | Other Service Providers |
| Other Name | Type Code |
|---|---|
| ThedaCare Lifestyle Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295823508 | Thedacare, Incorporated | Durable Medical Equipment & Medical Supplies | 3000 E. College Ave, Appleton, WI 54915 | 2006-10-11 |
| 1194812784 | Thedacare, Incorporated | Durable Medical Equipment & Medical Supplies | 2100 Omro Rd, Unit E, Oshkosh, WI 54904 | 2006-10-06 |
| 1881787380 | Thedacare, Incorporated | Hospice Care, Community Based | 3000 E College Ave, Suite A, Appleton, WI 54915 | 2006-10-02 |
| 1780031559 | Thedacare, Incorporated | Durable Medical Equipment & Medical Supplies | 191 Memorial Dr, Berlin, WI 54923-1241 | 2016-05-20 |
| 1730542408 | Thedacare, Incorporated | Family Medicine | 1080 W Fond Du Lac St, Ripon, WI 54971-9286 | 2016-03-31 |
| 1699915504 | Thedacare, Incorporated | Durable Medical Equipment & Medical Supplies | 1405 Mill St, New London, WI 54961-2155 | 2009-03-05 |
| 1760528798 | Thedacare, Incorporated | Durable Medical Equipment & Medical Supplies | 710 Riverside Dr, Waupaca, WI 54981 | 2007-01-29 |
| 1477600567 | Thedacare, Incorporated | Counselor | 444 N Westhill Blvd, Appleton, WI 54914-5715 | 2007-01-04 |
| 1699861617 | Thedacare, Incorporated | Pharmacy | 1818 N Meade St, Appleton, WI 54911-3454 | 2006-10-05 |
| 1235225210 | Thedacare, Incorporated | Home Health | 3000 E College Ave, Suite A, Appleton, WI 54915 | 2006-10-05 |
| Street Address |
1602 N MEADE ST |
| City | APPLETON |
| State | WI |
| Zip Code | 54911-3770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528557345 | Diane Kathryn Schuh | Dietitian, Registered | 1602 N Meade St, Appleton, WI 54911-3770 | 2018-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545633 | Brotherly Love, LLC | Day Training, Developmentally Disabled Services | 1513 E Frances St, Appleton, WI 54911 | 2019-12-12 |
| 1952952129 | Eagle Point Senior Living Inc | Assisted Living Facility | 995 East John Street, Appleton, WI 54911 | 2019-09-27 |
| 1619524766 | University Rx LLC | Pharmacy | 133 E College Ave, Appleton, WI 54911 | 2019-08-23 |
| 1174080063 | Shayla Russell | Counselor | Outagamie County Health and Human Services, 320 S. Walnut St., Appleton, WI 54911 | 2019-02-27 |
| 1871086645 | Megan Kilsdonk | Health Educator | 1604 N Meade St, Appleton, WI 54911 | 2018-06-07 |
| 1871085480 | Tanya Lynn Vickery | Social Worker | 410 S. Elm St., Appleton, WI 54911 | 2018-05-31 |
| 1013407501 | Teri G Metropulos | Counselor | 229 S. Morrison, Appleton, WI 54911 | 2018-05-10 |
| 1093211211 | Bonnie Anne Korytkowski | Student in an Organized Health Care Education/Training Program | 229 S. Morrison Street, Appleton, WI 54911 | 2018-04-05 |
| 1639673940 | Brett Follett | Psychologist | 401 S. Elm St., Appleton, WI 54911 | 2018-03-21 |
| 1700202892 | Brian Withrow | Counselor | 607 West 7th St., Appleton, WI 54911 | 2014-03-13 |
| Find all providers in zip 54911 | ||||
| Taxonomy Code | 174H00000X |
| Grouping | Other Service Providers |
| Classification | Health Educator |
| Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609692 | Tanya Rosenthal | Health Educator | W4991 Wege Rd, Appleton, WI 54913-8354 | 2020-11-08 |
| 1871086645 | Megan Kilsdonk | Health Educator | 1604 N Meade St, Appleton, WI 54911 | 2018-06-07 |
| 1801267240 | Dana Lynn Doke | Health Educator | 3925 N Gateway Dr, Appleton, WI 54913-7863 | 2015-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205461068 | Judith Gail Hahn | Health Educator | 2336 W Green Tree Road, Glendale, WI 53209-2704 | 2020-03-11 |
| 1467003665 | Erika Chavez | Health Educator | 1313 E Randolph Ct Apt D, Milwaukee, WI 53212-1857 | 2019-09-28 |
| 1285280156 | Tonia M Davis | Health Educator | 8139 W Custer Ave, Milwaukee, WI 53218-3533 | 2019-08-15 |
| 1154983500 | Amy Lynn Lewis | Health Educator | 5299 Easy St, Waunakee, WI 53597-9767 | 2019-07-06 |
| 1023670049 | Michelle Uetz | Health Educator | 370 County Road U, River Falls, WI 54022-8268 | 2019-06-29 |
| 1568921278 | Sword Health Inc | Health Educator | 1020 North Broadway, Milwaukee, WI 53202 | 2019-03-13 |
| 1518449040 | Gina Trampe | Health Educator | 705 Village Green Way Unit 201, West Bend, WI 53090-2528 | 2018-08-31 |
| 1679065593 | Young Men's Christian Association of Metropolitan Milwaukee, Inc. | Health Educator | 161 West Wisconsin Avenue, Suite 4000, Milwaukee, WI 53203-2601 | 2018-06-06 |
| 1811406648 | Door County Young Men's Christian Association Inc | Health Educator | 1900 Michigan Street, Sturgeon Bay, WI 54235 | 2017-09-25 |
| 1700321734 | The Young Men's Christian Association of Racine, Wisconsin | Health Educator | 725 Lake Ave, Racine, WI 53403-1207 | 2016-12-29 |
| Find all providers with the same taxonomy | ||||
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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.