JUDITH ANN LARK (NPI# 1902239940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902239940 |
| Entity Type | Individual |
| Full Name | JUDITH ANN LARK |
| Credential | APNP |
| Practice Address |
W180n8085 Town Hall Rd Menomonee Falls WI 53051-3518 |
| Practice Telephone | 2622511005 |
| Practice Fax Number | 2622572570 |
| Mailing Telephone | 2622557172 |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2013-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
5365-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
W180N8085 TOWN HALL RD |
| City | MENOMONEE FALLS |
| State | WI |
| Zip Code | 53051-3518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386647287 | Forward Orthopedics, S.c. | Orthopaedic Surgery | W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 | 2005-05-24 |
| 1750993788 | Brittany Watson | Pharmacist | W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 | 2020-08-20 |
| 1982237277 | Kasey Knecht | Nurse Practitioner | W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 | 2020-02-15 |
| 1275163487 | Kayla Joy Scheid | Nurse Practitioner | W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 | 2020-01-16 |
| 1053969980 | Froedtert Health Pharmacy LLC | Pharmacy | W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 | 2019-09-04 |
| 1003392770 | Demi Elisabeth Anagnoustopolous | Physician Assistant | W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 | 2018-07-16 |
| 1376035782 | Shannon Daye | Registered Nurse | W180n8085 Town Hall Rd, Menomonee Falls, WI 53051 | 2018-05-31 |
| 1063902054 | Laura Swoboda | Registered Nurse | W180n8085 Town Hall Rd, Menomonee Falls, WI 53051 | 2018-05-15 |
| 1578050688 | Joseph Allen Weber | Student in an Organized Health Care Education/Training Program | W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 | 2018-04-16 |
| 1093220360 | Anne Mutitu | Nurse Practitioner | W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 | 2017-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356968002 | Marisa Hiley | Nurse Practitioner | W129 N7055 Northfield Drive, Menomonee Falls, WI 53051 | 2020-06-29 |
| 1225687940 | Andres Sercovich | Pharmacist | W12501 Leatherwood Ct N74, Menomonee Falls, WI 53051 | 2019-09-05 |
| 1699329193 | Athletico Ltd | Physical Therapist | N88w15562 Main St, Menomonee Falls, WI 53051 | 2019-08-01 |
| 1386103059 | Aegis Group Practice LLC | Occupational Therapist | N48w14250 W Hampton Ave, Menomonee Falls, WI 53051 | 2019-03-13 |
| 1962969220 | Paladina Health, LLC | Family Medicine | Paladina Health Menomonee Falls, N84 W15787 Menomonee Avenue Suite 6, Menomonee Falls, WI 53051 | 2019-02-22 |
| 1053814772 | Waukesha County Community Dental Clinic, Inc. | Clinic/Center | N81w15062 Appleton Ave, Menomonee Falls, WI 53051 | 2018-03-09 |
| 1942753314 | Kelly Schmidt | Pharmacist | 200 Woodland Prime Ste 300, Menomonee Falls, WI 53051 | 2016-08-02 |
| 1386027548 | Generations Family Dental Care Menomonee Falls, LLC | Dentist | N48 W14170 Hampton Ave., Menomonee Falls, WI 53051 | 2015-07-07 |
| 1184007551 | Monjot Kaur Kang | Pharmacist | N82 W15882 Appleton Ave, Menomonee Falls, WI 53051 | 2015-07-03 |
| 1417334038 | Costco Wholesale Corporation | Hearing Aid Equipment | 9235 Pershing Avenue, Menomonee Falls, WI 53051 | 2015-05-04 |
| Find all providers in zip 53051 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447448071 | Robin S Coleman | Clinical Nurse Specialist | 339 Reed Ave, Manitowoc, WI 54220-2020 | 2007-10-09 |
| 1235349242 | Julie Nigh | Clinical Nurse Specialist | 1320 Wisconsin Ave, Racine, WI 53403-1978 | 2007-05-22 |
| 1780671552 | Carol Ann Baird | Clinical Nurse Specialist | 1244 Wisconsin Ave, Suite 303, Racine, WI 53403-1987 | 2005-10-05 |
| City | MENOMONEE FALLS |
| Zip Code | 53051 |
Please comment or provide details below to improve the information on JUDITH ANN LARK.
| 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.