NICOLE MARIE JODAT (NPI# 1871742627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871742627 |
| Entity Type | Individual |
| Full Name | NICOLE MARIE JODAT |
| Other Name | NICOLE MARIE SELL |
| Credential | PA-C |
| Practice Address |
601 N Barker Rd Ste 110 Brookfield WI 53045-5929 |
| Practice Telephone | 2627850777 |
| Practice Fax Number | 2627858029 |
| Mailing Telephone | 2627850777 |
| Mailing Fax Number | 2627858029 |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2020-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2335-023 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1871742627 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 240 Maple Ave, Mukwonago, WI 531498475 | 2627850777 | 2627858029 |
| Street Address |
601 N BARKER RD STE 110 |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53045-5929 |
| 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 | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073123758 | Rem Occupational Health & Wellness Inc | Physician Assistant | 21125 Enterprise Ave, Brookfield, WI 53045-5229 | 2020-08-06 |
| 1457910986 | Matthew Joseph Parisi | Physician Assistant | 150 S Sunny Slope Rd Ste 136, Brookfield, WI 53005-4858 | 2019-06-09 |
| 1295229805 | Jessica Kuennen | Physician Assistant | 16650 W Bluemound Rd, Brookfield, WI 53005 | 2018-06-18 |
| 1376063214 | Steven Paul Schinkal Jr. | Physician Assistant | 150 S Sunny Slope Rd Ste 136, Brookfield, WI 53005-4858 | 2017-06-21 |
| 1801200167 | Jaclyn Elizabeth Lucas | Physician Assistant | 150 S Sunny Slope Rd Ste 136, Brookfield, WI 53005-4858 | 2014-06-15 |
| 1871812180 | Jeremy Jason Wojtecki | Physician Assistant | 150 S Sunny Slope Rd, Suite 136, Brookfield, WI 53005-6461 | 2010-05-26 |
| 1790948511 | Sarah Miller | Physician Assistant | 150 S Sunny Slope Rd Ste 136, Brookfield, WI 53005-4858 | 2008-07-02 |
| 1356502231 | Julie Ann Hirokawa | Physician Assistant | 31 Old Route 7, Brookfield, CT 06804 | 2008-06-23 |
| 1740327543 | Brookfield Preventive Medicine, LLC | Physician Assistant | 300 Federal Rd, Building 1, Suite 100, Brookfield, CT 06804-2412 | 2007-01-31 |
| 1639216427 | Eugenia Ann Corriero | Physician Assistant | 300 Federal Rd, Building 1, Suite 108, Brookfield, CT 06804-2412 | 2007-01-31 |
| Find all providers in BROOKFIELD | ||||
| City | BROOKFIELD |
| Zip Code | 53045 |
Please comment or provide details below to improve the information on NICOLE MARIE JODAT.
| 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.