AMBER ROSE HENDRIKSEN (NPI# 1881244358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881244358 |
| Entity Type | Individual |
| Full Name | AMBER ROSE HENDRIKSEN |
| Other Name | AMBER ROSE WERTH |
| Credential | NP |
| Practice Address |
1507 Doctors Ct Watertown WI 53094-4101 |
| Mailing Address |
125 Hospital Dr Watertown WI 53098-3303 |
| Practice Telephone | 9202614111 |
| Mailing Telephone | 9202624495 |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2019-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 9490 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1507 DOCTORS CT |
| City | WATERTOWN |
| State | WI |
| Zip Code | 53094-4101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003882788 | Sarah J Barnett | Physician Assistant | 1507 Doctors Ct, Watertown, WI 53094-4101 | 2006-02-23 |
| 1770964363 | Watertown Physician Practices LLC | Internal Medicine | 1507 Doctors Ct, Watertown, WI 53094-4101 | 2015-06-09 |
| 1578747580 | Watertown Regional Medical Center Inc | Family Medicine | 1507 Doctors Ct, Watertown, WI 53094-4101 | 2007-12-27 |
| 1770663221 | Family Medical Clinic, S.c. | Family Medicine | 1507 Doctors Ct, Watertown, WI 53094-4101 | 2006-10-17 |
| 1801992607 | Family Medical Clinic, S.c. | Family Medicine | 1507 Doctors Ct, Watertown, WI 53094-4101 | 2006-09-16 |
| 1023085685 | Michael A Grajewski | Family Medicine | 1507 Doctors Ct, Watertown, WI 53094-4101 | 2006-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861025371 | Addie Marie Littrell | Pharmacist | 624 S Church Street, Pharmacy Department, Watertown, WI 53094 | 2020-02-13 |
| 1144788274 | Robert Scott Johnson | Dentist | 314 W. Main St., Watertown, WI 53094 | 2019-03-07 |
| 1043785264 | Christian Long | Physical Therapist | Watertown Regional Medical Center, 1684 S Church St, Watertown, WI 53094 | 2018-10-04 |
| 1558566497 | Georgia E Meyer | Occupational Therapist | Rahab In Motion, 615 East Main St Suite B, Watertown, WI 53094 | 2007-06-20 |
| 1588789036 | Kjm Enterprises Inc | Home Health | 111 N Third Street, Watertown, WI 53094 | 2007-03-20 |
| 1114085412 | Paul R Sommers Dds Sc | Dentist | 121 Oakridge Court, Watertown, WI 53094 | 2006-12-05 |
| 1063593614 | Stein Optical Inc | Eyewear Supplier (Equipment, not the service) | 622 S Church St, Watertown, WI 53094 | 2006-10-18 |
| 1598851800 | David J Groh | Dentist | 1521 Doctors Ct, Watertown, WI 53094 | 2006-10-05 |
| 1861594251 | Robert Delano Heinen | General Practice | 700 Hoffmann Dr, Bethesda Lutheran Homes and Services, Watertown, WI 53094 | 2006-09-05 |
| 1669483897 | Donald Alan Wollheim | Surgery | 1911 Gateway Drive, Watertown, WI 53094 | 2006-08-11 |
| Find all providers in zip 53094 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326285396 | Doris Dittrich | Nurse Practitioner | 19742 Ny State Rte 12f, Watertown, NY 13601-1077 | 2009-01-13 |
| 1679558415 | Jean Pastorello | Nurse Practitioner | 189 Watertown St, Watertown, MA 02472-2571 | 2005-12-14 |
| 1548261670 | Laurel Ann Henderson | Nurse Practitioner | 35 Empsall Plaza, Watertown, NY 13601 | 2005-08-10 |
| 1497363113 | Allison Judeen Decurtins | Nurse Practitioner | 506 1st Ave Se, Watertown, SD 57201-4499 | 2020-07-20 |
| 1518422567 | Chris Anne Jewett | Nurse Practitioner | 826 Washington St Ste 106, Watertown, NY 13601-4071 | 2019-02-04 |
| 1184192650 | Kristina R Boetel | Nurse Practitioner | 506 1st Ave Se, Watertown, SD 57201-4499 | 2018-11-02 |
| 1043671415 | Rebecca Alleyne Holtzclaw | Nurse Practitioner | 40 Spring St, Watertown, Watertown, MA 02472-3474 | 2016-03-14 |
| 1619350667 | Emily E Muras | Nurse Practitioner | 125 Hospital Dr, Watertown, WI 53098-3303 | 2015-07-08 |
| 1487053005 | Casey Jo Brown | Nurse Practitioner | 123 Hospital Dr, Suite 2009, Watertown, WI 53098-3331 | 2014-08-19 |
| 1427392687 | Gina Marie Sullivan | Nurse Practitioner | 125 Hospital Dr, Watertown, WI 53098-3303 | 2012-11-12 |
| Find all providers in WATERTOWN | ||||
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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.