SHANDA L GOECKS (NPI# 1891262275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891262275 |
| Entity Type | Individual |
| Full Name | SHANDA L GOECKS |
| Practice Address |
6916 26th Ave Kenosha WI 53143 |
| Mailing Address |
6916 26th Ave Kenosha WI 53143-5202 |
| Practice Telephone | 2629140081 |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2018-10-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 190756 | WI | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6916 26th Ave, Kenosha, WI 53143 | 2629140081 |
| Street Address |
6916 26TH AVE |
| City | KENOSHA |
| State | WI |
| Zip Code | 53143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689942989 | Racine Kenosha Community Action Agency | Public Health or Welfare | 2000 63rd Street, Kenosha, WI 53143 | 2011-12-01 |
| 1538497797 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7525 Sheridan Rd, Kenosha, WI 53143 | 2009-11-30 |
| 1497929012 | Ebba M Johnson | Physical Therapist | 524 74th Street, Kenosha, WI 53143 | 2008-04-15 |
| 1770789489 | Kenosha Community Health Center, Inc | Family Medicine | 6226 14th Ave, Kenosha, WI 53143 | 2007-06-21 |
| 1558413161 | Junith M Thompson | Obstetrics & Gynecology | 6530 Sheridan Road, Kenosha, WI 53143 | 2007-01-17 |
| 1154471332 | Ljh Ambulance, Inc | Ambulance | 6329 28th Ave, Kenosha, WI 53143 | 2007-01-11 |
| 1578625794 | Michael A Schellpfeffer Md Ob Gyn Sc | Obstetrics & Gynecology | 1400 75th Street, Kenosha, WI 53143 | 2006-12-14 |
| 1457468654 | Yasmine S Sido | Physician Assistant | 7550 22nd Ave, Kenosha, WI 53143 | 2006-08-24 |
| 1356307359 | Nancy Jane Houtchens | Dentist | 7533 22nd Ave, Ste 100, Kenosha, WI 53143 | 2006-04-26 |
| 1871566257 | Terry W Huff Dds Sc | Clinic/Center | 6402 Sheridan Rd, Kenosha, WI 53143 | 2006-02-08 |
| Find all providers in zip 53143 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306480017 | Amanda Spaay | Registered Nurse | 4902 65th St, Kenosha, WI 53142-3151 | 2019-11-05 |
| 1134778590 | Brenda Chiapetta | Registered Nurse | 3233 23rd Ave, Kenosha, WI 53140 | 2019-09-09 |
| 1720559073 | Christina Petra Matias | Registered Nurse | 7645 10th Ave, Kenosha, WI 53143-6044 | 2018-12-16 |
| 1659849388 | Marney Scully | Registered Nurse | 6314 95th Ave, Kenosha, WI 53142-8166 | 2018-11-12 |
| 1598271777 | Dokota Brown | Registered Nurse | 7810 17th Ave, Kenosha, WI 53143-5958 | 2017-12-24 |
| 1356890727 | Ben Estep | Registered Nurse | 2328 11th St, Kenosha, WI 53140-1193 | 2016-09-27 |
| 1295180529 | Amy Jensen | Registered Nurse | 4128 Washington Rd Apt 107, Kenosha, WI 53144-4215 | 2016-04-23 |
| 1699148676 | Rebecca A Fapso | Registered Nurse | 2045 18th Ave, Kenosha, WI 53140-4719 | 2015-11-12 |
| 1659749117 | Bridgett Toma | Registered Nurse | 8319 64th St, Kenosha, WI 53142-7578 | 2015-09-14 |
| 1134503196 | Lori Peters | Registered Nurse | 5133 22nd St, Kenosha, WI 53144-1338 | 2015-07-18 |
| Find all providers in KENOSHA | ||||
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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.