CAROLYN J KLOTZ (NPI# 1871728253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871728253 |
| Entity Type | Individual |
| Full Name | CAROLYN J KLOTZ |
| Credential | APNP |
| Practice Address |
13255 W Bluemound Rd Suite 103 Brookfield WI 53005-6245 |
| Practice Telephone | 2627960600 |
| Practice Fax Number | 2627960700 |
| Mailing Telephone | 2627960600 |
| Mailing Fax Number | 2627960700 |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4675-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
4675-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1045 W Glen Oaks Ln Ste 1, Mequon, WI 530923477 | 2622417778 | 2622418200 |
| Street Address |
13255 W BLUEMOUND RD SUITE 103 |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53005-6245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386616324 | Kellye Joy Knueppel | Optometrist | 13255 W Bluemound Rd, Suite 200, Brookfield, WI 53005-6245 | 2006-02-03 |
| 1508209438 | Hometown Hospice & Homecare Inc | Home Health | 13255 W Bluemound Rd, Suite 103, Brookfield, WI 53005-6245 | 2013-04-10 |
| 1396035960 | Brandon Arthur Begotka | Optometrist | 13255 W Bluemound Rd, Suite 200, Brookfield, WI 53005-6245 | 2011-04-15 |
| 1396903233 | The Vision Therapy Center, Inc. | Optometrist | 13255 W Bluemound Rd, Suite 200, Brookfield, WI 53005-6245 | 2008-05-28 |
| 1447477245 | Bluemound Orthopaedic Group, Ltd | Specialist | 13255 W Bluemound Rd, Suite 103, Brookfield, WI 53005-6245 | 2007-04-20 |
| 1609839497 | Eye Prosthetics of Wisconsin | Technician/Technologist | 13255 W Bluemound Rd, 101, Brookfield, WI 53005-6245 | 2006-04-11 |
| 1275594103 | Meghan Victoria Klinck | Physician Assistant | 13255 W Bluemound Rd, Suite 103, Brookfield, WI 53005-6245 | 2006-03-30 |
| 1538120837 | John Richard Phillips | Orthopaedic Surgery | 13255 W Bluemound Rd, Suite 103, Brookfield, WI 53005-6245 | 2006-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154937621 | Nsk Precision Healing & Wellness | Acupuncturist | 17040 W. Greenfield Ave #6, Brookfield, WI 53005 | 2020-09-21 |
| 1033772124 | Dbt Consultants LLC | Social Worker | 200 S. Executive Drive, Ste. 101, Brookfield, WI 53005 | 2019-04-15 |
| 1780142588 | Ashley Wing | Registered Nurse | 405 Bishops Way, Apt 555, Brookfield, WI 53005 | 2019-03-11 |
| 1407370398 | Tombolo, LLC | Clinic/Center | 12545 W. Burleigh Rd., Suite 10, Brookfield, WI 53005 | 2017-08-01 |
| 1720509045 | Rss William Conner LLC | Dentist | 15455 W Bluemound Rd Ste 250, Brookfield, WI 53005 | 2017-06-28 |
| 1669926598 | Mackenzie Rondeau | Physical Therapist | 1905 N Calhoun Rd Ste 105, Brookfield, WI 53005 | 2016-08-09 |
| 1699159319 | Charles Alan Kass | Dentist | 12720 W. North Avenue, Brookfield, WI 53005 | 2015-07-13 |
| 1164804274 | Mary-catherine Nimphius | Counselor | 250 S. Sunny Slope Rd, #128, Brookfield, WI 53005 | 2015-06-25 |
| 1528447034 | Weighless Md, LLC | Dietitian, Registered | 14960 W. Greenfield Ave Suite 104, Brookfield, WI 53005 | 2015-05-29 |
| 1366837346 | Maegan Michelle Cook | Dentist | 13780 W Greenfield Ave Ste 780, Brookfield, WI 53005 | 2015-04-06 |
| Find all providers in zip 53005 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998553 | Melissa Litwin | Nurse Practitioner | 9127 Burlington Ave, Brookfield, IL 60513-1939 | 2020-10-06 |
| 1750828299 | Nanette Marie Kloth | Nurse Practitioner | 18110 W Bluemond Rd, Brookfield, WI 53045 | 2017-01-23 |
| 1548659725 | Patricia Ann Kender | Nurse Practitioner | 17495 W. Capitol Dr., Brookfield, WI 53045 | 2015-01-12 |
| 1205117827 | Wendi Leigh Alar | Nurse Practitioner | 1325 S Parkway Dr, 5000 W. National Avenue, Brookfield, WI 53005-7356 | 2011-09-09 |
| 1073692554 | Tammy Lynn Albelo | Nurse Practitioner | 19475 W North Ave Ste 305, Brookfield, WI 53045 | 2006-11-03 |
| 1356743892 | Christine Glen | Nurse Practitioner | 13950 W Capitol Dr, Brookfield, WI 53005-2441 | 2014-09-16 |
| 1205260411 | Jacqueline J Bergner | Nurse Practitioner | 17000 W North Ave, 104w, Brookfield, WI 53005-4423 | 2013-08-23 |
| 1619311040 | Amanda Umnus | Nurse Practitioner | 19475 W North Ave Ste 305, Brookfield, WI 53045-4199 | 2013-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952870289 | Sujata Karki | Nurse Practitioner | 402 N Eau Claire Ave Apt 309, Madison, WI 53705-2820 | 2018-11-15 |
| 1861926750 | Lisa Somers | Nurse Practitioner | W126n7338 Flint Dr, Menomonee Falls, WI 53051-4532 | 2017-04-17 |
| 1902341852 | Rebecca Weld Hall | Nurse Practitioner | 3245 Milwaukee St, Madison, WI 53714-1829 | 2017-01-02 |
| 1629525613 | Katherine Simons Melde | Nurse Practitioner | 2222 S Park St Ste 210, Madison, WI 53713 | 2016-09-07 |
| 1134574643 | Victoria White | Nurse Practitioner | 2500 N Mayfair Rd Ste 260, Wauwatosa, WI 53226-1443 | 2016-05-03 |
| 1326414442 | Diane Marie Kelley | Nurse Practitioner | 300 Femrite Drive, Monona, WI 53716 | 2015-08-12 |
| 1841673829 | M Christine Meulemans | Nurse Practitioner | 3391 Wilderness Trl, Suamico, WI 54313-8746 | 2015-07-08 |
| 1588062947 | Laura Swett | Nurse Practitioner | 733 Woodside Dr, Seymour, WI 54165-1661 | 2014-12-16 |
| 1487051827 | Tamie Bennett | Nurse Practitioner | 227 E Waupun St, Oakfield, WI 53065-9746 | 2014-12-01 |
| 1275940769 | Tristan Krause | Nurse Practitioner | 4225 W. Oakwood Park Court, Franklin, WI 53132 | 2014-07-16 |
| Find all providers with the same taxonomy | ||||
| City | BROOKFIELD |
| Zip Code | 53005 |
Please comment or provide details below to improve the information on CAROLYN J KLOTZ.
| 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.