TAMARA L ERICKSON (NPI# 1902091135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902091135 |
| Entity Type | Individual |
| Full Name | TAMARA L ERICKSON |
| Credential | MS |
| Practice Address |
2314 Grandview Blvd Suites 301 & 110 Waukesha WI 53188-1675 |
| Mailing Address |
285 N Janacek Rd Brookfield WI 53045-6102 |
| Practice Telephone | 2625249416 |
| Practice Fax Number | 2625249434 |
| Mailing Telephone | 2626419050 |
| Mailing Fax Number | 2626419126 |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2008-01-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
13917-130 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477721389 | Tamara Ann Erickson | Physical Therapist | 301 River St, Osceola, WI 54020-3024 | 2008-02-13 |
| Street Address |
2314 GRANDVIEW BLVD SUITES 301 & 110 |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53188-1675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
| 1013475706 | Rachel Mueller | Occupational Therapist | 29667 Summit Ave, S11, Waukesha, WI 53188 | 2019-03-12 |
| 1861962649 | Emily Elizabeth Seefeld | Occupational Therapy Assistant | 29667 Summit Ave S11, Waukesha, WI 53188 | 2018-12-05 |
| 1003393307 | Ashley Susan Callahan | Dental Hygienist | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | 2018-07-19 |
| 1245741321 | Melissa Weir | Case Manager/Care Coordinator | 514 Riverview Avenue, Waukesha, WI 53188 | 2017-10-17 |
| 1093233629 | Patricia Marie Sombrio | Dental Hygienist | 711 Moreland Blvd 204, Waukesha, WI 53188 | 2017-09-04 |
| 1134660244 | Bdg of Wisconsin, Inc. | Behavioral Analyst | N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 | 2017-03-09 |
| 1255888731 | Lynne Sarah Alva | Dental Hygienist | 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 | 2016-09-01 |
| 1881069730 | Michelle Koch | Occupational Therapist | 29667 Summit Ave. S11, Waukesha, WI 53188 | 2015-12-03 |
| 1952711012 | Rhonda Schroeder | Dental Hygienist | W286 N991 Shepherds Way, Waukesha, WI 53188 | 2014-04-29 |
| Find all providers in zip 53188 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467917609 | Choice 2 Change Therapy, Inc. | Counselor | 217 Wisconsin Ave Ste 114, Waukesha, WI 53186-4946 | 2019-02-01 |
| 1851864029 | Daniel Chadwick | Counselor | 741 N Grand Ave Ste 204, Waukesha, WI 53186-4841 | 2019-01-09 |
| 1376021782 | Jasen Alan Eberhardt | Counselor | 223 Wisconsin Ave Ste B, Waukesha, WI 53186-4968 | 2018-07-30 |
| 1952601833 | Heidi J Rubio | Counselor | 210 Nw Barstow St, Suite 110, Waukesha, WI 53188 | 2010-10-26 |
| 1477793180 | Sarah M Smith | Counselor | W231n1440 Corporate Ct # 310, Waukesha, WI 53186-1303 | 2009-02-21 |
| 1952577488 | Patricia Rose Gutierrez | Counselor | 147 Randall St, Waukesha, WI 53188-3528 | 2008-05-05 |
| 1275734105 | Denise Louise Drum | Counselor | 407 Pilot Ct Ste 400, Waukesha, WI 53188-2466 | 2007-05-29 |
| 1124182126 | David Poehlmann | Counselor | 2422 N Grandview Blvd, Suite 501, Waukesha, WI 53188-6105 | 2006-12-21 |
| 1629132840 | Maribeth Rose Dettlaff | Counselor | 500 Riverview Ave Ste 2, Waukesha, WI 53188-3632 | 2006-12-21 |
| 1013078518 | Daniel E Hermsen | Counselor | W231 N1440 Corporate Court, Suite 310, Waukesha, WI 53186-1301 | 2006-12-12 |
| Find all providers in WAUKESHA | ||||
Please comment or provide details below to improve the information on TAMARA L ERICKSON.
| 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.