CAROLINE MARIE BRANDT (NPI# 1992215867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992215867 |
| Entity Type | Individual |
| Full Name | CAROLINE MARIE BRANDT |
| Credential | AGACNP-BC |
| Practice Address |
975 Port Washington Rd Ste 310 Grafton WI 53024 |
| Mailing Address |
975 Port Washington Rd Ste 310 Grafton WI 53024-9201 |
| Practice Telephone | 2623291000 |
| Practice Fax Number | 2623298151 |
| Mailing Telephone | 2623291000 |
| Mailing Fax Number | 2623298151 |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2018-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 8052 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
8052-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1992215867 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 975 Port Washington Rd Ste 310, Grafton, WI 53024 | 2623291000 | 2623298151 |
| Community Memorial Hospital: Heart and Vascular Clinic, W180 N8085 Town Hall Road, Menomonee Falls, WI 53051 | 2625321300 |
| Street Address |
975 PORT WASHINGTON RD STE 310 |
| City | GRAFTON |
| State | WI |
| Zip Code | 53024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245739135 | Kathy Anne Herzog | Counselor | 101 Falls Rd Suite 210, Grafton, WI 53024 | 2018-02-06 |
| 1124569181 | Quirt Family Dentistry, Sc | Dentist | 1580 Port Washington Road, Grafton, WI 53024 | 2017-03-10 |
| 1639626260 | Jennifer Pogodzinski | Physical Therapist | 975 N. Port Washington Avenue, Grafton, WI 53024 | 2016-09-01 |
| 1750790119 | Amanda K Olejniczak | Dentist | 1505 Wisconsin Ave, Ste 130, Grafton, WI 53024 | 2014-08-10 |
| 1992053680 | Liliya Lakshtanov | Registered Nurse | 910 E. Paradise Dr., West Bend, WI 53024 | 2012-08-28 |
| 1467708446 | Trevor Holwell | Pharmacist | 1600 N Port Washington Rd, Grafton, WI 53024 | 2012-07-27 |
| 1770838120 | Brian A. Vetterkind | Physical Therapist | 2225 Wisconsin Ave Ste 100, Grafton, WI 53024 | 2012-07-20 |
| 1366774689 | Tracy Lynn Doro-krueger | Counselor | 1814 Arapaho Court, Grafton, WI 53024 | 2010-02-11 |
| 1659507754 | Karen Marie Geschke | Physical Therapist | 2020 Cheyenne Ct., Grafton, WI 53024 | 2009-06-03 |
| 1134373368 | Janine I. Herman | Respiratory Therapist, Certified | 11649 N. Port Washington Rd # 109, Endeavor Therapy, Mequon, WI 53024 | 2008-11-14 |
| Find all providers in zip 53024 | ||||
| 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 |
|---|---|---|---|---|
| 1205133014 | Haylea Alexandria Myers | Nurse Practitioner | 8 Harman Ctr Ste 201, Grafton, WV 26354-1559 | 2011-02-15 |
| 1306809850 | Lois W Shields | Nurse Practitioner | 914 Denbigh Blvd, Grafton, VA 23692 | 2006-04-07 |
| 1700499845 | Melissa A Stock | Nurse Practitioner | 975 Port Washington Rd, Grafton, WI 53024-9201 | 2020-08-28 |
| 1629618871 | Kaylee L Zapata | Nurse Practitioner | 222 Grafton Dr, Grafton, VA 23692-2152 | 2020-01-15 |
| 1043862741 | Rebekah L Otte | Nurse Practitioner | 975 Port Washington Rd, Grafton, WI 53024-9201 | 2019-07-12 |
| 1538624010 | Angela Jill David | Nurse Practitioner | 975 Port Washington Rd, Grafton, WI 53024-9204 | 2019-02-08 |
| 1679045389 | Ashley A Joppe | Nurse Practitioner | 975 Port Washington Rd, Grafton, WI 53024-9201 | 2018-12-19 |
| 1598257362 | Alexandrea E Manker | Nurse Practitioner | 975 Port Washington Rd, Grafton, WI 53024 | 2018-06-06 |
| 1912498791 | Andrew Ceelen | Nurse Practitioner | 975 Port Washington Rd, Grafton, WI 53024-9201 | 2018-05-28 |
| 1285159087 | Amy Croatt | Nurse Practitioner | 975 Port Washington Rd, Grafton, WI 53024-9201 | 2017-08-14 |
| Find all providers in GRAFTON | ||||
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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.