MARIE AGATHA THOMALLA (NPI# 1942592639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942592639 |
| Entity Type | Individual |
| Full Name | MARIE AGATHA THOMALLA |
| Credential | LPN |
| Practice Address |
1810 4th Ave Apt 5 Baldwin WI 54002-5141 |
| Mailing Address |
122 Canabury Ct Little Canada MN 55117-1502 |
| Practice Telephone | 7156844655 |
| Mailing Telephone | 7632381979 |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2011-05-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | L 70522-4 | MN | Nursing Service Providers |
| Street Address |
1810 4TH AVE APT 5 |
| City | BALDWIN |
| State | WI |
| Zip Code | 54002-5141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578023438 | Kaci Lee Tolzman | Licensed Practical Nurse | 1810 4th Ave Apt 5, Baldwin, WI 54002-5141 | 2019-03-25 |
| 1851636401 | Kayode Idowu | Registered Nurse | 1810 4th Ave Apt 5, Baldwin, WI 54002-5141 | 2012-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477099026 | Nichole Mattison | Radiologic Technologist | 1180 Oak St, Baldwin, WI 54002 | 2017-01-06 |
| 1497807929 | Dane L Rasmussen | Pharmacist | 840 Main St., Baldwin, WI 54002 | 2007-01-17 |
| 1114083912 | Douglas Earl Jacot | Chiropractor | 1640 Tenth Avenue, Baldwin, WI 54002 | 2006-12-28 |
| 1902907454 | Michael Lee Douglas | Family Medicine | 1110 Bergslien Street, Baldwin, WI 54002 | 2006-09-26 |
| 1427092196 | Shaima Sulemankhil | Family Medicine | 730 10th Ave., Baldwin, WI 54002 | 2006-06-15 |
| 1538114079 | Village of Baldwin | Ambulance | 630 Highway 12, Baldwin, WI 54002 | 2006-05-23 |
| 1861001083 | Marina Cheung Taylor | Physical Therapist | 990 Main Street, Suite #1, Baldwin, WI 54002 | 2020-07-23 |
| 1497245625 | Meghan Ann Becker | Physical Therapist | 650 Birch St, Baldwin, WI 54002 | 2018-05-14 |
| 1720599673 | Karli Rae Kerrschneider | Nurse Practitioner | 1100 Bergslien St, Baldwin, WI 54002 | 2017-10-18 |
| 1730446477 | Brittany Beeson | Family Medicine | 1100 Bergslien St, Baldwin, WI 54002 | 2012-04-19 |
| Find all providers in zip 54002 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: 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 |
|---|---|---|---|---|
| 1083232961 | Sandy Sylvain | Licensed Practical Nurse | 3437 Bertha Dr, Baldwin, NY 11510-5029 | 2020-07-08 |
| 1053978759 | Claudye Saint Louis | Licensed Practical Nurse | 56 Oakwood Ct Apt 1-n, Baldwin, NY 11510-1257 | 2019-05-29 |
| 1932670015 | Krystle Elecia Fowlin | Licensed Practical Nurse | 2808 Tulip Ave, Baldwin, NY 11510-4237 | 2018-12-16 |
| 1083111728 | Carol Wallace | Licensed Practical Nurse | 1052 Archer Pl, Baldwin, NY 11510-3604 | 2018-04-10 |
| 1184141095 | Jasmine Manning | Licensed Practical Nurse | 2331 Surrey Ln, Baldwin, NY 11510-3025 | 2017-08-23 |
| 1891216818 | Guiliouse Limprevil | Licensed Practical Nurse | 848 Harbor Cir, Baldwin, NY 11510-4036 | 2017-06-29 |
| 1851835565 | Mark Seymore | Licensed Practical Nurse | 860 Us Highway 90 E, Baldwin, FL 32234-1727 | 2016-12-14 |
| 1386046605 | Jammie Lynn Jacobs | Licensed Practical Nurse | 668 Willow St, Baldwin, WI 54002-4301 | 2014-09-17 |
| 1851723407 | Louise Pierre-louis | Licensed Practical Nurse | 3248 Bertha Dr, Baldwin, NY 11510-5001 | 2013-08-06 |
| 1518221910 | Regine Leogene | Licensed Practical Nurse | 926 Ocean St, Baldwin, NY 11510-4750 | 2012-06-29 |
| Find all providers in BALDWIN | ||||
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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.