MARY JANE RICHBOURG (NPI# 1952400483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952400483 |
| Entity Type | Individual |
| Full Name | MARY JANE RICHBOURG |
| Credential | NP |
| Practice Address |
2116 Craig Road Eau Claire WI 54701 |
| Mailing Address |
1000 N Oak Ave Marshfield WI 54449-5777 |
| Practice Telephone | 7158584718 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 109935 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43935900 | 05 |
| Street Address |
2116 CRAIG ROAD |
| City | EAU CLAIRE |
| State | WI |
| Zip Code | 54701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548372998 | Becky Gunthert | Advanced Practice Midwife | 2116 Craig Road, Eau Claire, WI 54701 | 2006-08-31 |
| 1407400138 | Brandon Scott Fraleigh | Physical Therapist | 2116 Craig Road, Eau Claire, WI 54701-6149 | 2019-07-31 |
| 1255701165 | Grace Lutheran Foundation, Inc | Skilled Nursing Facility | 2116 Craig Road, Eau Claire, WI 54701 | 2015-10-05 |
| 1710368535 | Karlee Bitney | Specialist/Technologist | 2116 Craig Road, Eau Claire, WI 54701-6149 | 2015-06-17 |
| 1316021348 | Jennifer Polnaszek | Physician Assistant | 2116 Craig Road, Eau Claire, WI 54701 | 2006-10-25 |
| 1063595403 | Rebecca A Bredl | Audiologist | 2116 Craig Road, Eau Claire, WI 54701 | 2006-10-21 |
| 1790867968 | Lawrence Scherrer | Dermatology | 2116 Craig Road, Eau Claire, WI 54701 | 2006-10-19 |
| 1205918471 | Christine Murphy | Dermatology | 2116 Craig Road, Eau Claire, WI 54701 | 2006-10-19 |
| 1700975232 | Steven S Santos | Nurse Anesthetist, Certified Registered | 2116 Craig Road, Eau Claire, WI 54701 | 2006-10-12 |
| 1417043449 | Nathaniel S Jalil | Internal Medicine | 2116 Craig Road, Eau Claire, WI 54701 | 2006-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887563 | Molly Amanda Haferman | Pharmacist | 3184 London Road, Eau Claire, WI 54701 | 2020-09-24 |
| 1194375915 | Moments Hospice of Eau Claire LLC | Hospice Care, Community Based | 2263 East Ridge Center, Eau Claire, WI 54701 | 2019-09-13 |
| 1043778228 | Rita Marie Acosta | Emergency Medical Technician, Basic | 509 University Dr, Mcphee Atr, Eau Claire, WI 54701 | 2019-03-07 |
| 1619450954 | Michael Brown | Case Manager/Care Coordinator | 102 S Barstow St, Eau Claire, WI 54701 | 2018-09-12 |
| 1417436569 | Valerie Jayne Both | Social Worker | 1000 Starr Avenue, Eau Claire, WI 54701 | 2018-08-09 |
| 1023519055 | Rachel Delanois | Specialist/Technologist | Kinesiology --mcphee Physical Education Center 208, 509 University Drive, Eau Claire, WI 54701 | 2018-02-25 |
| 1427564863 | Matayla Springstroh | Specialist/Technologist | 509 University Drive, Eau Claire, WI 54701 | 2017-12-21 |
| 1265981062 | Molly Hart | Student in an Organized Health Care Education/Training Program | 509 University Dr., Eau Claire, WI 54701 | 2016-09-22 |
| 1982051918 | Renee Teigen-stary | Registered Nurse | 3440 Oakwood Hills Parkway, Eau Claire, WI 54701 | 2016-05-19 |
| 1699104059 | Susan Marie Keller | Speech-Language Pathologist | 3656 Mull Dr., Dove Healthcare - South, Eau Claire, WI 54701 | 2013-11-06 |
| Find all providers in zip 54701 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366744815 | Jennifer S. Volk | Nurse Practitioner | 2839 Mall Dr Ste 5, Eau Claire, WI 54701 | 2010-12-03 |
| 1609920743 | Willow Creek Womens Clinic Sc | Nurse Practitioner | 130 S Barstow St Ste 1b, Eau Claire, WI 54701-3661 | 2007-01-23 |
| 1477606242 | Linda Poirier | Nurse Practitioner | 130 So Barstow, 1b, Eau Claire, WI 54701 | 2007-01-18 |
| 1679669659 | Sandra Lee Seefeldt | Nurse Practitioner | Student Health Service Uw Eau Claire, Crest Wellness Center, Eau Claire, WI 54701 | 2006-10-05 |
| 1770566879 | Steven P Sullivan | Nurse Practitioner | 2809 E Hamilton Ave, Suite 107, Eau Claire, WI 54701-6863 | 2005-11-22 |
| 1841297132 | Julie L. Barneson | Nurse Practitioner | 733 W Clairemont Ave, Eau Claire, WI 54701-6101 | 2005-07-01 |
| 1801495999 | Cheyenne Therese Madorin | Nurse Practitioner | 900 W Clairemont Ave, Eau Claire, WI 54701-6122 | 2020-10-20 |
| 1225649890 | Heather Margaret Cork | Nurse Practitioner | 2116 Craig Rd, Eau Claire, WI 54701-6149 | 2020-08-16 |
| 1902439813 | Jessica Ewing | Nurse Practitioner | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2020-02-19 |
| 1740811397 | Stacy Wiemeri | Nurse Practitioner | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2020-02-03 |
| Find all providers in EAU CLAIRE | ||||
| City | EAU CLAIRE |
| Zip Code | 54701 |
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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.