MR. DEAN SPANGLE (NPI# 1033126131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033126131 |
| Entity Type | Individual |
| Full Name | MR. DEAN SPANGLE |
| Credential | MS, RD, CD |
| Practice Address |
1617 73rd St Kenosha WI 53143-5363 |
| Practice Telephone | 2626531771 |
| Mailing Telephone | 2626531771 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
1334-029 | WI | Dietary & Nutritional Service Providers |
| Street Address |
1617 73RD ST |
| City | KENOSHA |
| State | WI |
| Zip Code | 53143-5363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891262275 | Shanda L Goecks | Registered Nurse | 6916 26th Ave, Kenosha, WI 53143 | 2018-10-24 |
| 1689942989 | Racine Kenosha Community Action Agency | Public Health or Welfare | 2000 63rd Street, Kenosha, WI 53143 | 2011-12-01 |
| 1538497797 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7525 Sheridan Rd, Kenosha, WI 53143 | 2009-11-30 |
| 1497929012 | Ebba M Johnson | Physical Therapist | 524 74th Street, Kenosha, WI 53143 | 2008-04-15 |
| 1770789489 | Kenosha Community Health Center, Inc | Family Medicine | 6226 14th Ave, Kenosha, WI 53143 | 2007-06-21 |
| 1558413161 | Junith M Thompson | Obstetrics & Gynecology | 6530 Sheridan Road, Kenosha, WI 53143 | 2007-01-17 |
| 1154471332 | Ljh Ambulance, Inc | Ambulance | 6329 28th Ave, Kenosha, WI 53143 | 2007-01-11 |
| 1578625794 | Michael A Schellpfeffer Md Ob Gyn Sc | Obstetrics & Gynecology | 1400 75th Street, Kenosha, WI 53143 | 2006-12-14 |
| 1457468654 | Yasmine S Sido | Physician Assistant | 7550 22nd Ave, Kenosha, WI 53143 | 2006-08-24 |
| 1356307359 | Nancy Jane Houtchens | Dentist | 7533 22nd Ave, Ste 100, Kenosha, WI 53143 | 2006-04-26 |
| Find all providers in zip 53143 | ||||
| Taxonomy Code | 133VN1006X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Metabolic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154465284 | Cheryl Lynn Shockey | Dietitian, Registered | Appleton Medical Center 1818 North Meade Street, Appleton, WI 54911 | 2007-02-20 |
| 1962972059 | Linda Jensen | Dietitian, Registered | 611 N Saint Joseph Ave, Marshfield, WI 54449-1832 | 2018-11-30 |
| 1013428028 | Thomas Allen Tio | Dietitian, Registered | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2017-10-17 |
| 1831507318 | Kayli Siow | Dietitian, Registered | 600 Highland Ave, Madison, WI 53792-0001 | 2014-07-28 |
| 1457664872 | Wendy Ellis | Dietitian, Registered | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2010-07-15 |
| 1568784817 | Alison H Stoffer | Dietitian, Registered | 9969 S 27th St, Franklin, WI 53132 | 2010-02-26 |
| 1053586677 | Diane Lynn Olson | Dietitian, Registered | 5249 E Terrace Dr, Suite 9953, Madison, WI 53718-8339 | 2008-04-24 |
| 1114086550 | Lisa Marie Bingen | Dietitian, Registered | 600 Highland Ave, Compliance Mail Code 2433, Madison, WI 53792-0001 | 2006-12-08 |
| 1285793620 | Michelle Denise Johnson | Dietitian, Registered | 600 Highland Ave, Compliance Mail Code 2433, Madison, WI 53792-0001 | 2006-12-08 |
Please comment or provide details below to improve the information on MR. DEAN SPANGLE.
| 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.