CARRIE FITZSIMMONS (NPI# 1033523584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033523584 |
| Entity Type | Individual |
| Full Name | CARRIE FITZSIMMONS |
| Other Name | CARRIE KOBLESKE |
| Credential | NP |
| Practice Address |
342 N Water St Ste 600 Milwaukee WI 53202 |
| Mailing Address |
270 Main St N Ste 300 Stillwater MN 55082-6788 |
| Practice Telephone | 6513421039 |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2018-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
6353 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | LICENSE | 111657 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 302 W Phillip Ave, Norfolk, NE 687015248 | 4023718000 | 4023710971 |
| Street Address |
342 N WATER ST STE 600 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528054897 | Nicole Meyer Papermaster | Physician Assistant | 342 N Water St Ste 600, Milwaukee, WI 53202-5715 | 2005-09-22 |
| 1639787542 | Amanda Long | Counselor | 342 N Water St Ste 600, Milwaukee, WI 53202-5715 | 2020-07-16 |
| 1710505771 | Jennifer Martin | Behavioral Analyst | 342 N Water St Ste 600, Milwaukee, WI 53202-5715 | 2020-07-07 |
| 1518585678 | Elizabeth Tiberg | Behavioral Analyst | 342 N Water St Ste 600, Milwaukee, WI 53202-5715 | 2020-07-06 |
| 1053948844 | Love and Care Home Care Agency LLC | Home Health | 342 N Water St Ste 600, Milwaukee, WI 53202-5715 | 2020-03-24 |
| 1720612716 | Ivory Scheeler | Behavioral Analyst | 342 N Water St Ste 600, Milwaukee, WI 53202-5715 | 2020-02-27 |
| 1891349858 | Emily Moon | Nurse Practitioner | 342 N Water St Ste 600, Milwaukee, WI 53202-5715 | 2019-07-29 |
| 1609435692 | Kari M Stockheimer | Nurse Practitioner | 342 N Water St Ste 600, Milwaukee, WI 53202-5715 | 2019-06-12 |
| 1073099644 | Sydney Pieknik | Behavioral Analyst | 342 N Water St Ste 600, Milwaukee, WI 53202-5715 | 2018-07-17 |
| 1760974356 | Regan M Roberts | Behavioral Analyst | 342 N Water St Ste 600, Milwaukee, WI 53202-5715 | 2018-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053958298 | Melanie Ann Pare | Occupational Therapist | 1414 N. Prospect Ave., Milwaukee, WI 53202 | 2019-12-06 |
| 1568921278 | Sword Health Inc | Health Educator | 1020 North Broadway, Milwaukee, WI 53202 | 2019-03-13 |
| 1619446408 | First Priority Home Care, LLC | Home Health | 342 W. Water Street, Suite 600, Milwaukee, WI 53202 | 2018-11-21 |
| 1346747169 | Creative Counseling of Milwaukee | Counselor | 2266 E Prospect Ave, Suite 304, Milwaukee, WI 53202 | 2018-04-09 |
| 1043692700 | Matthew Weinlander | Psychiatry & Neurology | 827 N Cass St # 9, Milwaukee, WI 53202 | 2015-06-18 |
| 1437572831 | Pathfinder Medical Group | Family Medicine | 216 Milwaukee St, Suite 2d, Milwaukee, WI 53202 | 2014-01-22 |
| 1669819785 | Kate Savage Anzia | Counselor | 2266 North Prospect Avenue, Suite 326, Ravenswood Clinic, Milwaukee, WI 53202 | 2013-05-30 |
| 1164773222 | Rutell Counseling Services, L.L.C. | Counselor | 759 N. Milwaukee St., Suite 600, Milwaukee, WI 53202 | 2012-09-28 |
| 1548563760 | Susan Rose Westergren | Pharmacist | 1400 E. Brady St, Walgreens, Milwaukee, WI 53202 | 2010-12-09 |
| 1174848816 | Brian D Eiche | Emergency Medicine | 111 E. Wisconsin Ave. Ste 2100, Infinity Healthcare, Milwaukee, WI 53202 | 2010-04-06 |
| Find all providers in zip 53202 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203857 | Tiera Manuel | Nurse Practitioner | 3956 N 28th St, Milwaukee, WI 53216-2637 | 2020-10-22 |
| 1801494778 | Tajana Jovicic | Nurse Practitioner | 3157 S 66th St, Milwaukee, WI 53219-4105 | 2020-10-13 |
| 1093320459 | Tyronda T Gray | Nurse Practitioner | 5833 N 117th St, Milwaukee, WI 53225-2207 | 2020-09-12 |
| 1861005837 | Clair Roser Rivera | Nurse Practitioner | 3734 W Ohio Ave, Milwaukee, WI 53215-4047 | 2020-08-28 |
| 1760003909 | Mary Esson | Nurse Practitioner | 100 N 75th St, Milwaukee, WI 53213-3516 | 2020-04-28 |
| 1487297271 | Mackenna Leslie Hill | Nurse Practitioner | 11002 W Park Pl, Milwaukee, WI 53224-3615 | 2019-10-24 |
| 1093276040 | Danielle L Laczniak | Nurse Practitioner | 3070 N 51st St Fl 6, Milwaukee, WI 53210-1645 | 2019-03-30 |
| 1871066506 | Lisa Ann Parker | Nurse Practitioner | 3237 S 16th St # 208, Milwaukee, WI 53215-4526 | 2019-01-04 |
| 1467922948 | Gretchen Louise Grencer-liegel | Nurse Practitioner | 1555 N Rivercenter Dr Ste 205, Milwaukee, WI 53212-3958 | 2018-11-28 |
| 1871074385 | Mary Teresa Falk | Nurse Practitioner | 2350 N Lake Dr Ste 306, Milwaukee, WI 53211-4528 | 2018-08-23 |
| Find all providers in MILWAUKEE | ||||
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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.