JAY E FOTLAND (NPI# 1881646347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881646347 |
| Entity Type | Individual |
| Full Name | JAY E FOTLAND |
| Practice Address |
2222 Kwik Trip Way La Crosse WI 54602 |
| Practice Telephone | 6087802269 |
| Mailing Telephone | 6087802269 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2014-02-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
R-100621-0 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4372-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2222 KWIK TRIP WAY |
| City | LA CROSSE |
| State | WI |
| Zip Code | 54602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598115370 | Mh Health Care Services, PC | General Practice | 2222 Kwik Trip Way, C/o Kwik Trip Employee Health Center, La Crosse, WI 54603-3238 | 2016-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558393009 | Catholic Charities of The Diocese of Lacrosse, Inc. | Counselor | 3710 East Ave S, La Crosse, WI 54602-0266 | 2006-07-07 |
| 1902912744 | Michelle Sue Skau | Counselor | 300 4th Street North, La Crosse, WI 54602-4002 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659119 | Taylor Burgart | Registered Nurse | 2332 Ferry St, La Crosse, WI 54601-5144 | 2020-11-08 |
| 1437757986 | Wonderland Therapy LLC | Clinic/Center | 2116 Winnebago St, La Crosse, WI 54601-5060 | 2020-10-15 |
| 1952915639 | Gundersen Clinic Ltd | Clinic/Center | 2615 George St, La Crosse, WI 54603-1670 | 2020-09-01 |
| 1427669746 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1607 Losey Blvd S, La Crosse, WI 54601-6151 | 2020-08-11 |
| 1184234163 | Weber Health Logistics, LLC | Clinic/Center | 333 Front St N, La Crosse, WI 54601-3220 | 2020-08-05 |
| 1144830480 | Eve E Viner | Student in an Organized Health Care Education/Training Program | 122 10th St S, La Crosse, WI 54601-4113 | 2020-08-02 |
| 1205445590 | Elizabeth Ann Mullen-houser | Psychologist | 1507 Winnebago St, La Crosse, WI 54601-4967 | 2020-07-23 |
| 1376161745 | Susan Minter Dnp Aprn LLC | Clinic/Center | 1234 Ridout Rd, La Crosse, VA 23950-2808 | 2020-07-11 |
| 1609494533 | Morgan Elizabeth Miller | Student in an Organized Health Care Education/Training Program | W3902 State Road 33, La Crosse, WI 54601-2530 | 2020-07-07 |
| 1003433749 | Caitlin Kolb | Registered Nurse | 1203 Charles St, La Crosse, WI 54603-2502 | 2020-06-29 |
| Find all providers in LA CROSSE | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841295987 | Faith P Wagner | Nurse Practitioner | 2500 State Rd, La Crosse, WI 54601-5098 | 2005-06-16 |
| 1447865142 | Marissa Pederson | Nurse Practitioner | 1526 Rose St, La Crosse, WI 54603-4500 | 2020-09-10 |
| 1114538717 | Judith Michele Rausch | Nurse Practitioner | 916 Ferry St, La Crosse, WI 54601-4717 | 2020-08-17 |
| 1881230548 | Lori Ann Miskell | Nurse Practitioner | 1526 Rose St, La Crosse, WI 54603-4500 | 2019-11-18 |
| 1316598600 | Kessa Lynn Marie Hughes | Nurse Practitioner | 1900 South Ave, La Crosse, WI 54601-5467 | 2019-09-27 |
| 1457908790 | Carly J Gerardy | Nurse Practitioner | 1836 South Ave, La Crosse, WI 54601-5429 | 2019-08-21 |
| 1336791862 | Brookelyn R Kruger | Nurse Practitioner | 1836 South Ave, La Crosse, WI 54601-5429 | 2019-07-15 |
| 1245791144 | Melanie Ann Bratcher | Nurse Practitioner | 1836 South Avenue, La Crosse, WI 54601 | 2019-03-25 |
| 1861962920 | Robyn Lynn Brown | Nurse Practitioner | 1836 South Ave, La Crosse, WI 54601-5429 | 2018-12-03 |
| 1710469051 | Krista Jane Kirchner | Nurse Practitioner | 1836 South Ave, La Crosse, WI 54601-5429 | 2018-09-04 |
| Find all providers in LA CROSSE | ||||
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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.