AMBER MICOLICHEK (NPI# 1881155463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881155463 |
| Entity Type | Individual |
| Full Name | AMBER MICOLICHEK |
| Credential | CPM, LM |
| Practice Address |
823 Elmore St Green Bay WI 54303-3571 |
| Practice Telephone | 9202650457 |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2019-03-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 176B00000X | Midwife | 219-49 | WI | Other Service Providers |
| Street Address |
823 ELMORE ST |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54303-3571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952921033 | Ashley Marie Vandermoss | Social Worker | 1601 W Mason Street, Green Bay, WI 54303 | 2020-04-20 |
| 1598307423 | Jean Marie Castaneda | Case Manager/Care Coordinator | 2517 N. Court, Green Bay, WI 54303 | 2019-10-11 |
| 1215579552 | Integrated Treatment Centers, LLC | Clinic/Center | 2311 W Mason Street, Green Bay, WI 54303 | 2019-10-08 |
| 1003460551 | Affordable Dentures & Implants - Green Bay, S.c. | Dentist | 1800-c W. Mason Street, Green Bay, WI 54303 | 2019-08-01 |
| 1164940375 | Kaeley Rae Blaney | Student in an Organized Health Care Education/Training Program | 2088 Memorial Drive #208, Green Bay, WI 54303 | 2017-09-07 |
| 1518498047 | Treatment Providers LLC | Clinic/Center | 2731 N Packerland Dr Ste A, Green Bay, WI 54303 | 2017-03-26 |
| 1851840565 | Back To Balance Chiropractic, LLC | Chiropractor | 110 Packerland Drive, Suite B, Green Bay, WI 54303 | 2016-09-23 |
| 1710361001 | Matthew Lemay | Acupuncturist | 727 E Walnut, Suite B2, Green Bay, WI 54303 | 2015-07-16 |
| 1144600149 | Carrie Jean Banaszak | Counselor | 1039 Mason Street, Green Bay, WI 54303 | 2015-06-04 |
| 1174921993 | Kensey Meyer | Occupational Therapy Assistant | 1555 Dousman Road, Seymour, WI 54303 | 2014-12-10 |
| Find all providers in zip 54303 | ||||
| Taxonomy Code | 176B00000X |
| Grouping | Other Service Providers |
| Classification | Midwife |
| A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization. |
| Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851909832 | Gina Jimenez | Midwife | 1002 S Fisk St Ste 150, Green Bay, WI 54304-2277 | 2020-07-16 |
| 1487012464 | Makayla Jean Giesler-dagwer | Midwife | 2190 Daly Dr, Green Bay, WI 54311-4411 | 2016-02-04 |
| 1407189285 | Kathryn M. Stam | Midwife | 2605 S Oneida St Ste 107, Green Bay, WI 54304-5331 | 2009-09-11 |
| 1871011569 | Molly Beth Hohol | Midwife | 720 S Van Buren St, Green Bay, WI 54301-3538 | 2017-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457969461 | Miranda Welch | Midwife | 2414 E Mifflin St, Madison, WI 53704-4965 | 2020-07-15 |
| 1528697638 | Sara A Stites | Midwife | 1285 21 3/4 St, Cameron, WI 54822-9714 | 2020-04-02 |
| 1780216945 | Peggy M Hammond | Midwife | N11541 Kratzke Rd, Clintonville, WI 54929-9070 | 2020-02-06 |
| 1225668635 | Lucky J Tomaszek | Midwife | 1815 Hogeboom Ave, Eau Claire, WI 54701-4354 | 2020-01-24 |
| 1578114385 | Nichole Baumbach | Midwife | 1114 Pauline Ave, Madison, WI 53705-1353 | 2019-09-23 |
| 1366007080 | Emily Allen | Midwife | 817 Well St, Onalaska, WI 54650-2651 | 2019-05-08 |
| 1861965451 | Stateline Midwives, LLC | Midwife | 8009 Antioch Rd, Salem, WI 53168-9525 | 2019-01-07 |
| 1780150284 | Whitney Sanchez | Midwife | 2754 N Stowell Ave, Milwaukee, WI 53211-3772 | 2018-10-23 |
| 1891282752 | Valerie Oliver | Midwife | 211 W Capital Dr, Milwaukee, WI 53206 | 2018-04-17 |
| 1386148088 | Katherine Michelle Breitenmoser | Midwife | W6982 Joe Snow Rd, Merrill, WI 54452-9710 | 2018-03-19 |
| 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.