CHRISTINE MARIE BOLYARD (NPI# 1992021620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992021620 |
| Entity Type | Individual |
| Full Name | CHRISTINE MARIE BOLYARD |
| Practice Address |
638 State St Oconomowoc WI 53066-3743 |
| Practice Telephone | 2625677262 |
| Mailing Telephone | 2625677262 |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2010-04-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 26525-3 | WI | Nursing Service Providers |
| Street Address |
638 STATE ST |
| City | OCONOMOWOC |
| State | WI |
| Zip Code | 53066-3743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376109082 | Sharon Legwinski | Occupational Therapist | 2195 N. Summit Way, Oconomowoc, WI 53066 | 2019-05-17 |
| 1033676390 | Paladina Health, LLC | Family Medicine | Paladina Health Oconomowoc Sentry Equipment Circle, 966 Blue Ribbon Circle N, Oconomowoc, WI 53066 | 2019-02-22 |
| 1689145500 | Oconomowoc Developmental Training Center of Wisconsin LLC | Residential Treatment Facility, Emotionally Disturbed Children | 36100 Genesee Lake School, Oconomowoc, WI 53066 | 2018-12-17 |
| 1649748203 | Ginny Dacquisto | Dietitian, Registered | 1134 Lily Rd, Oconomowoc, WI 53066 | 2018-11-12 |
| 1174000764 | Aimee M Metzger | Social Worker | 405 E Forest St Ste 113, Oconomowoc, WI 53066 | 2018-07-26 |
| 1023482569 | Forefront Dermatology, S.c. | Dermatology | 1320 Pabst Farms Cir, Suite 180, Oconomowoc, WI 53066 | 2015-11-20 |
| 1962890475 | Monica Rodriguez | Counselor | 405 East Forest Street, Suite 119, Oconomowoc, WI 53066 | 2015-01-06 |
| 1518384643 | Kimberley Bevan | Pharmacist | 1284 East Summit Avenue, Suite 100, Oconomowoc, WI 53066 | 2014-03-26 |
| 1699098905 | Heidi Eckroth Nunnemacher | Counselor | 35315 Genesee Lake Road, Oconomowoc, WI 53066 | 2010-03-02 |
| 1669705240 | Oconomowoc Development Training Center Ll | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3222 N. Silver Cedar Rd., Oconomowoc, WI 53066 | 2009-09-14 |
| Find all providers in zip 53066 | ||||
| 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 |
|---|---|---|---|---|
| 1598016990 | Susanc Kuerschner | Licensed Practical Nurse | N7770 Maple Ridge Rd, Oconomowoc, WI 53066-2007 | 2012-09-25 |
| 1396004826 | Samantha Sarah Schmittinger | Licensed Practical Nurse | 667 Summit Ave, Oconomowoc, WI 53066-3843 | 2012-05-03 |
| 1285892554 | Tina Marie Falkowski | Licensed Practical Nurse | N7706 Maple Ridge Road, Oconomowoc, WI 53066 | 2008-05-23 |
| 1679536395 | Susan Corene Elliott | Licensed Practical Nurse | 4350 Mariners Cir, Oconomowoc, WI 53066-4565 | 2006-04-11 |
| 1194028530 | Stephanie Michelle Mundy | Licensed Practical Nurse | N68w35460 County Road K, Oconomowoc, WI 53066-1210 | 2010-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366040180 | Ashlee K Regenauer | Licensed Practical Nurse | 1103 Whitewater Ave, Fort Atkinson, WI 53538-2669 | 2020-10-14 |
| 1538767355 | Samantha Jo Dates | Licensed Practical Nurse | N8273 E Friesland Rd, Randolph, WI 53956-9407 | 2020-10-14 |
| 1861090714 | Kayla Ann Grapentine | Licensed Practical Nurse | 2425 Dewey St Unit 28, Manitowoc, WI 54220-6368 | 2020-10-13 |
| 1457966731 | Denise Brown | Licensed Practical Nurse | 1215 Monroe Ave, Racine, WI 53405-2862 | 2020-09-13 |
| 1720690514 | Kaitlynn Sutor | Licensed Practical Nurse | 6102 Pacific Crest Rd, Mcfarland, WI 53558-8741 | 2020-08-21 |
| 1326650227 | Emily J. Szulczewski | Licensed Practical Nurse | 4724 W Greenfield Rd, Janesville, WI 53548-9111 | 2020-08-20 |
| 1881205359 | Michelle Eichenberg | Licensed Practical Nurse | 1028 East St Apt 8, Fort Atkinson, WI 53538-2643 | 2020-08-10 |
| 1205445509 | Kelsey Tenpas | Licensed Practical Nurse | 8232 State Highway 73, Pittsville, WI 54466-9336 | 2020-07-23 |
| 1013535491 | Debra Ann Martens Mcpherrin | Licensed Practical Nurse | 551 Rivershores Dr, West Bend, WI 53090-2531 | 2020-07-11 |
| 1861019952 | Tasha Harris | Licensed Practical Nurse | 1238 Sunfield St, Sun Prairie, WI 53590-2740 | 2020-07-06 |
| Find all providers with the same taxonomy | ||||
| City | OCONOMOWOC |
| Zip Code | 53066 |
Please comment or provide details below to improve the information on CHRISTINE MARIE BOLYARD.
| 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.