TIFFANY ANN SASSE (NPI# 1891009627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891009627 |
| Entity Type | Individual |
| Full Name | TIFFANY ANN SASSE |
| Credential | APNP |
| Practice Address |
980 S Saint Augustine St Pulaski WI 54162-9453 |
| Mailing Address |
744 S Webster Ave Green Bay WI 54301-3505 |
| Practice Telephone | 9208827700 |
| Mailing Telephone | 9204457226 |
| Mailing Fax Number | 9204457229 |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2019-04-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
408433 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
980 S SAINT AUGUSTINE ST |
| City | PULASKI |
| State | WI |
| Zip Code | 54162-9453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689005910 | Baycare Clinic LLP | Durable Medical Equipment & Medical Supplies | 980 S Saint Augustine St, Pulaski, WI 54162-9453 | 2013-12-12 |
| 1740599646 | Amanda J Jacobs | Physician Assistant | 980 S Saint Augustine St, Pulaski, WI 54162-9453 | 2010-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134761455 | Susan Calewarts | Technician | 8154 Camber Ln., Pulaski, WI 54162 | 2019-10-09 |
| 1124261961 | Crystal Lynn Urban | Acupuncturist | W1515 Middle Drive, Pulaski, WI 54162 | 2009-04-09 |
| 1982733804 | Michael Alan Alsvig | Pharmacist | 121 North St. Augustine St., Pulaski, WI 54162 | 2007-03-05 |
| 1215074778 | Paul M. Chrisman | Dentist | 960 South Saint Augustine St., Pulaski, WI 54162 | 2007-01-31 |
| 1235208232 | Gloria M Krumrai | Chiropractor | 415 S Wisconsin St, Pulaski, WI 54162 | 2006-11-06 |
| 1730294836 | Patricia A Darling Miller | Registered Nurse | 980 S St Augustine St, Pulaski, WI 54162 | 2006-08-20 |
| 1427195981 | Pulaski Family Dental Care, S.c. | Clinic/Center | 960 South Saint Augustine St., Pulaski, WI 54162 | 2007-01-31 |
| 1871662874 | Dale John Krumrai | Chiropractor | 415 S Wisconsin Ave, Pulaski, WI 54162-0143 | 2006-11-06 |
| 1134300494 | Gregory B Jerlinga | Dentist | 759 S St Augustine Street, Pulaski, WI 54162-0380 | 2007-11-15 |
| 1861525966 | Paul S. Petroll | Dentist | 960 S. St. Augustine St, Pulaski, WI 54162-0739 | 2007-03-14 |
| Find all providers in zip 54162 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104308006 | Haley Beecham Phillips | Nurse Practitioner | 311 Glendale Dr., Pulaski, TN 38478 | 2018-09-06 |
| 1972882504 | Kelly Leann Kelley | Nurse Practitioner | 912 W College St, Pulaski, TN 38478-3630 | 2011-08-13 |
| 1982910758 | Kim E Goldinger | Nurse Practitioner | 625 W Madison St, Pulaski, TN 38478-2611 | 2010-08-31 |
| 1023231149 | Jody Lee Hipple | Nurse Practitioner | 61 Delano Street, Pulaski, NY 13142 | 2007-04-10 |
| 1477686087 | Wanda G Moore | Nurse Practitioner | 1414 W College St, Pulaski, TN 38478-5202 | 2007-03-13 |
| 1275527376 | Celeste I Carnes | Nurse Practitioner | 61 Delano St, Pulaski, NY 13142-1400 | 2005-09-02 |
| 1134124902 | Lisa Ann Weaver | Nurse Practitioner | 104 Ivy Ln, Pulaski, TN 38478-4550 | 2005-06-16 |
| 1588262976 | Molly Katalin Gardner | Nurse Practitioner | 2400 Lee Hwy N, Pulaski, VA 24301-2326 | 2020-10-16 |
| 1932724366 | Todd C Bryant | Nurse Practitioner | 61 Delano St, Pulaski, NY 13142-1400 | 2020-06-11 |
| 1841814332 | Randi Leigh Mcelhaney | Nurse Practitioner | 625 W Madison St, Pulaski, TN 38478-2611 | 2020-06-01 |
| Find all providers in PULASKI | ||||
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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.