MARY C FOX (NPI# 1003169376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003169376 |
| Entity Type | Individual |
| Full Name | MARY C FOX |
| Other Name | MARY C BAUGHER |
| Credential | FNP |
| Practice Address |
3237 Voyager Dr Green Bay WI 54311-8349 |
| Mailing Address |
3301 W Forest Home Ave Milwaukee WI 53215-2843 |
| Practice Telephone | 9204688288 |
| Mailing Telephone | 4143892233 |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2020-09-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 5150-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
150638 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100026969 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558802413 | Mary Fox | Nurse Practitioner | 2803 Attala Road 2207, Kosciusko, MS 39090-3163 | 2017-03-13 |
| 1053858191 | Mary Fox | Physical Therapy Assistant | 100 Grey Stone Drive, Beaver, WV 25813 | 2017-01-27 |
| 1861882409 | Mary Fox | Counselor | 975 Swinnea Rdg, Suite 3, Southaven, MS 38671-6013 | 2015-02-04 |
| 1053652065 | Mary Fox | Specialist | 5732 Dacola Shores Rd, Conesus, NY 14435-9307 | 2013-03-15 |
| 1962645184 | Mary Evelyn Fox | Counselor | 1318 Lafaunce Way, Fort Myers, FL 33919 | 2009-04-17 |
| 1598975815 | Mary Claire Fox | Psychologist | 272 Iris Ct, Paramus, NJ 07652-1505 | 2007-05-23 |
| 1003913732 | Mary M. Fox | Psychologist | 3811 Mound View Ave, Studio City, CA 91604-3631 | 2006-09-17 |
| 1710957287 | Mary Ellen Fox | Family Medicine | 414 Spring Ave, Saint Louis, MO 63119-2635 | 2006-01-25 |
| 1427692953 | Mary Fox | Social Worker | 28 W Shortcut Rd, Newport, PA 17074-8721 | 2019-10-28 |
| 1629632732 | Mary Fox | Student in an Organized Health Care Education/Training Program | 169 Ashley Ave, Charleston, SC 29425-8905 | 2019-04-24 |
| Street Address |
3237 VOYAGER DR |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54311-8349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316976814 | Kevin F Nelson | Physician Assistant | 3237 Voyager Dr, Green Bay, WI 54311-8349 | 2006-06-30 |
| 1962030890 | Loryn Sheahan | Physical Therapy Assistant | 3237 Voyager Dr, Green Bay, WI 54311-8349 | 2020-03-27 |
| 1679032148 | Steffany Marie Di Biase | Nurse Practitioner | 3237 Voyager Dr, Green Bay, WI 54311-8349 | 2019-03-14 |
| 1699258871 | Adrienne A Hernandez | Physical Therapist | 3237 Voyager Dr, Green Bay, WI 54311-8349 | 2018-09-13 |
| 1164863429 | Nicole S Herzog | Physical Therapist | 3237 Voyager Dr, Green Bay, WI 54311-8349 | 2013-07-15 |
| 1245526714 | Brian Chapman | Physical Therapist | 3237 Voyager Dr, Green Bay, WI 54311 | 2011-06-23 |
| 1639340995 | Barbara Lynn Boucher | Nurse Practitioner | 3237 Voyager Dr, Green Bay, WI 54311-8349 | 2008-03-14 |
| 1669667242 | Rajesh Kannan Ethiraj | Preventive Medicine | 3237 Voyager Dr, Green Bay, WI 54311-8349 | 2007-09-07 |
| 1679794184 | Jennifer Lynn Deneys | Physical Therapist | 3237 Voyager Dr, Green Bay, WI 54311-8349 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333847 | Karen Ginnow | Pharmacist | Walmart #1908, 2292 Main St, Green Bay, WI 54311 | 2020-10-15 |
| 1639786551 | Maggie Hall | Dental Hygienist | 2633 Development Dr. Ste 40, Green Bay, WI 54311 | 2020-09-24 |
| 1295370807 | Jennifer Marie Arendt | Technician | 2970 Mossy Oak Cir #39, Green Bay, WI 54311 | 2019-11-07 |
| 1518508803 | Cheryl Ann Johnson | Specialist | 830 Edgewood Dr., Green Bay, WI 54311 | 2019-10-08 |
| 1124670898 | Robert H Wagner Family Dentist S.c. | Dentist | 2830 Curry Court, Suite 1, Green Bay, WI 54311 | 2019-07-12 |
| 1821659624 | The Salvation Army | Counselor | The Salvation Army Ray & Joan Kroc Center, 1315 Lime Kiln Road, Green Bay, WI 54311 | 2019-06-24 |
| 1578052866 | Matthew Robert Wagner | Dentist | 2830 Curry Ln #1, Green Bay, WI 54311 | 2018-05-02 |
| 1861916769 | Atlas Spinal Care | Chiropractor | 2069 Central Ct, Suite 11, Green Bay, WI 54311 | 2017-08-01 |
| 1851844161 | Green Bay Family Dental LLC | Dentist | 2609 Development Dr., Green Bay, WI 54311 | 2016-08-03 |
| 1710382809 | Betsy Hoida | Pharmacist | 2485 Greenbrier Rd., Green Bay, WI 54311 | 2014-10-31 |
| Find all providers in zip 54311 | ||||
| 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 |
|---|---|---|---|---|
| 1023623832 | Serena Ashour | Nurse Practitioner | 1215 Wirtz Ave, Green Bay, WI 54304-2547 | 2020-09-09 |
| 1245786441 | Danielle Collier | Nurse Practitioner | 835 S Webster, Green Bay, WI 54301-3526 | 2016-08-28 |
| 1275087561 | Kerri Schey | Nurse Practitioner | 2845 Greenbrier Rd Fl 1, Green Bay, WI 54311-6519 | 2016-08-04 |
| 1104205731 | Maureen K Wery | Nurse Practitioner | 2845 Greenbrier Rd Fl 4, Green Bay, WI 54311-6519 | 2015-05-28 |
| 1295128239 | Amanda Bachman | Nurse Practitioner | 1821 S Webster Avenue, Green Bay, WI 54307 | 2015-03-16 |
| 1851643498 | Melissa Anne Smith | Nurse Practitioner | 2845 Greenbriar Road, Suite 320, Green Bay, WI 54208-8900 | 2012-10-05 |
| 1477856581 | Holly Marie Kempers | Nurse Practitioner | 720 S Vanburen Suite 201, Green Bay, WI 54301 | 2010-12-10 |
| 1710900071 | Constance Husman | Nurse Practitioner | 1381 W Mason St, Green Bay, WI 54303-2022 | 2006-07-26 |
| 1487603593 | Kelly R Eells | Nurse Practitioner | 2223 Lime Kiln Rd, Green Bay, WI 54311-6213 | 2006-05-08 |
| 1033168265 | Deborah Lynn Decker | Nurse Practitioner | 2020 Riverside Dr Ste 200, Green Bay, WI 54301-2300 | 2006-05-06 |
| Find all providers in GREEN BAY | ||||
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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.