MARY JAMIE CAIRO


Address: 3601 30th Ave, Ste 203, Kenosha, WI 53144-1695
Phone: 2626528001

MARY JAMIE CAIRO (NPI# 1962493635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962493635
Entity Type Individual
Full Name MARY JAMIE CAIRO
Other Name JAMIE CAIRO
Credential NP
Practice Address 3601 30th Ave
Ste 203
Kenosha
WI 53144-1695
Mailing Address 3003 W Good Hope Rd
Milwaukee
WI 53209-2042
Practice Telephone 2626528001
Mailing Telephone 4143523100
Enumeration Date 2005-11-02
Last Update Date 2010-06-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 693 WI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI RR MEDICARE P00823712 01

Office Location

Street Address 3601 30TH AVE
STE 203
City KENOSHA
State WI
Zip Code 53144-1695

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902341548 Blossom Chiropractic and Natural Medicine Chiropractor 3601 30th Ave, Suite 101, Kenosha, WI 53144-1695 2017-01-05
1548716533 Forefront Dermatology, S.c. Dermatology 3601 30th Ave, Suite 201, Kenosha, WI 53144 2016-08-30
1578961181 Mary C Girsh-jensen Counselor 3601 30th Ave, Suite 102, Kenosha, WI 53144-1695 2014-12-12
1972938173 Jennifer M Rolfing Physical Therapist 3601 30th Ave, Suite 103, Kenosha, WI 53144-1695 2013-09-06
1396186045 Chad T Mikesell Physical Therapist 3601 30th Ave, Suite 103, Kenosha, WI 53144-1695 2013-07-10
1447500814 Jena Lynn Delisle Physical Therapist 3601 30th Ave, Suite 103, Kenosha, WI 53144-1695 2012-09-13
1801151212 Jenna M Sherman Specialist/Technologist 3601 30th Ave, Suite 103, Kenosha, WI 53144-1695 2012-07-11
1003184003 Lindsay B. Nehls Physical Therapist 3601 30th Ave, Suite 103, Kenosha, WI 53144-1695 2011-12-05
1104151406 Karen Beth Wahlgren Occupational Therapist 3601 30th Ave, Suite 103, Kenosha, WI 53144-1695 2009-10-05
1518291376 Family Pediatrics, Inc. Clinic/Center 3601 30th Ave, Kenosha, WI 53144-1695 2009-09-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902410202 Dpt Holdings LLC Occupational Therapist 3825 39th Ave #110, Kenosha, WI 53144 2020-09-03
1225641392 Eunice Boatin Social Worker Kenosha Human Development Services, 3536 52nd Street, Kenosha, WI 53144 2020-08-28
1881250256 Shoptikal LLC Eyewear Supplier (Equipment, not the service) 3621 Market Lane, Kenosha, WI 53144 2019-05-11
1124540067 Kaitlyn King Speech-Language Pathologist 5219 88th Ave., Kenosha, WI 53144 2017-07-12
1174992721 Claire Ann Adams Acupuncturist 5416 52nd Street, Kenosha, WI 53144 2015-09-24
1285017087 Jessica Lynn Gillengerten Acupuncturist 4235 Green Bay Rd., Suite #10, Kenosha, WI 53144 2015-06-30
1750704656 Amanda Kay Kreuzer Occupational Therapy Assistant 3109 30th Ave, Kenosha, WI 53144 2014-01-28
1841626785 B7 Pharmacy Inc Pharmacy 3825 39th Ave Ste 100, Kenosha, WI 53144 2013-09-24
1124326764 Wisconsin Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 3710 57th Ave, Kenosha, WI 53144 2011-03-07
1982931291 Roman Bilak General Practice 4126 - 7th Street, Kemosha, WI 53144 2009-11-06
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710518238 Roshonda E Frazier Nurse Practitioner 4517 38th Ave, Kenosha, WI 53144-3643 2020-02-03
1497228712 Shannon Godbolt Nurse Practitioner 6308 8th Ave # 3030, Kenosha, WI 53143-5031 2019-01-09
1568821841 Wisconsin Tele-med Network Nurse Practitioner 6923 39th Ave, Kenosha, WI 53142-7129 2016-02-16
1588041891 Melissa Swierad Nurse Practitioner 6308 8th Ave Ste 3040, Kenosha, WI 53143-5031 2015-05-06
1568459568 Gwendolyn M Perry-brye Nurse Practitioner 8600 Sheridan Rd Ste 600, Kenosha, WI 53143-6515 2005-10-04
1730796574 Saralyn Paredes Nurse Practitioner 10400 75th St, Kenosha, WI 53142-7884 2020-09-25
1053926949 Carly Pickos Nurse Practitioner 2707 15th Pl, Kenosha, WI 53140-4947 2020-09-09
1669094165 Simona Slavinskiene Nurse Practitioner 6308 8th Ave, Kenosha, WI 53143-5031 2020-05-07
1134757073 Amber Jirschele Nurse Practitioner 10400 75th St, Kenosha, WI 53142-8323 2020-03-27
1912539974 Kristina A Roscizewski Nurse Practitioner 10400 75th St, Kenosha, WI 53142-7884 2020-02-07
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Competitor

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City KENOSHA
Zip Code 53144

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Dataset Information

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.

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