CAROLYN T MCCARTHY (NPI# 1063464337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063464337 |
| Entity Type | Individual |
| Full Name | CAROLYN T MCCARTHY |
| Credential | NP |
| Practice Address |
130 W Bruce St Suite 200 Milwaukee WI 53204-1667 |
| Practice Telephone | 4143841400 |
| Mailing Telephone | 4143841400 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2016-11-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 13525-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 4704216109 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4850416 | 05 | |
| MI | 4850407 | 05 | |
| MI | BCBS GROUP # | 700D114790 | 01 |
| MI | 4850425 | 05 | |
| WI | 1063464337 | 05 | |
| MI | GROUP NPI | 1598712390 | 01 |
| MI | 4850381 | 05 | |
| MI | 4850390 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508015090 | Carolyn Mccarthy | Counselor | 425 Divisadero St Ste 301, San Francisco, CA 94117-2242 | 2008-09-09 |
| 1174628671 | Carolyn Minton Mccarthy | Social Worker | 201 Bryson Ave, Staten Island, NY 10314-1922 | 2006-09-13 |
| Street Address |
130 W BRUCE ST SUITE 200 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53204-1667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275088478 | Leslie Davis | Psychologist | 130 W Bruce St, Ste 200, Milwaukee, WI 53204-1667 | 2016-08-18 |
| 1780010744 | Jeffrey Luecke | Nurse Practitioner | 130 W Bruce St, 200, Milwaukee, WI 53204-1667 | 2013-09-23 |
| 1912243924 | Katayonsadat Tabatabaei Dakhili | Nurse Practitioner | 130 W Bruce St, #200, Milwaukee, WI 53204-1667 | 2012-12-19 |
| 1174621122 | Steven M Murphy | Family Medicine | 130 W Bruce St, Suite 200, Milwaukee, WI 53204-1667 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528423290 | Blue Ribbon Healthcare LLC | Health Maintenance Organization | 1743 South1st Street, Milwaukee, WI 53204 | 2015-12-23 |
| 1215336599 | Marsha Vann | Counselor | 1028 N 9th St, Milwaukee, WI 53204 | 2014-08-22 |
| 1891109260 | Melissa Bendever | Counselor | 1111 South 6th Street, Milwaukee, WI 53204 | 2014-06-13 |
| 1942585823 | Theresa Marie Hintze | Counselor | 600 W Virginia Atlas Ste 203, Milwaukee, WI 53204 | 2011-10-11 |
| 1922395151 | Palmas & Ram Rudra LLC | Chiropractor | 1247 S. Cesar E. Chaves Drive, Milwaukee, WI 53204 | 2011-07-08 |
| 1225355183 | Victoria A White | Family Medicine | 16th Street Community Health Center, 1032 S Cesar E. Chavez Drive, Milwaukee, WI 53204 | 2010-04-30 |
| 1174850499 | Dnt Associates Inc. | Dentist | 710 W. Historic Mitchell St., Mitchell Street Dental, Milwaukee, WI 53204 | 2009-11-06 |
| 1851559124 | Michael L Kitzinger | Social Worker | 1201 W Historic Mitchell St, Milwaukee, WI 53204 | 2008-05-23 |
| 1083778781 | Douglas Ralph Higbie | Psychologist | 634 W Mitchell St, Milwaukee, WI 53204 | 2006-12-20 |
| 1013019413 | Romeo C Lo Md | Internal Medicine | 1672 S 9th St, 2nd Floor, Milwaukee, WI 53204 | 2006-09-05 |
| Find all providers in zip 53204 | ||||
| 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 |
|---|---|---|---|---|
| 1952910010 | Dana Diane Broyles | Nurse Practitioner | 6500 W Ohio Ave, Milwaukee, WI 53219-4246 | 2020-07-24 |
| 1174149918 | Nicole Leigh Heding | Nurse Practitioner | 10421 W Birch Ave, Milwaukee, WI 53225-3211 | 2020-06-17 |
| 1841825759 | Brittany M Schoenick | Nurse Practitioner | 2901 W Kinnickinnic River Pkwy Ste 102, Milwaukee, WI 53215-3660 | 2020-03-11 |
| 1154960201 | Scottie-lynn Hecht | Nurse Practitioner | 1020 N 12th St Ste 102, Milwaukee, WI 53233-1308 | 2020-01-06 |
| 1518505064 | Jennifer Nelson | Nurse Practitioner | 7725 W Burleigh St, Milwaukee, WI 53222-5003 | 2019-12-16 |
| 1861043952 | Rosina Bloomingdale Norton | Nurse Practitioner | 1921 E Harford Ave, Milwaukee, WI 53211 | 2019-09-20 |
| 1275188393 | Candace Bentley | Nurse Practitioner | 3842 N 24th St, Milwaukee, WI 53206-1423 | 2019-08-06 |
| 1669934022 | Michaella Cariello-becker | Nurse Practitioner | 2500 W Layton Ave Ste 30-40, Milwaukee, WI 53221-5420 | 2019-04-04 |
| 1932601838 | Elizabeth D Morawski | Nurse Practitioner | 2801 Kinnickinnic Parkway, Suite 630, Milwaukee, WI 53215 | 2018-03-06 |
| 1457806390 | Katrina Buretta | Nurse Practitioner | 2901 W Kinnickinnic River Pkwy Ste 403, Milwaukee, WI 53215-3660 | 2016-08-21 |
| 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.