MARYLOU MERCADO (NPI# 1093145773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093145773 |
| Entity Type | Individual |
| Full Name | MARYLOU MERCADO |
| Practice Address |
1411 N Taylor Dr Sheboygan WI 53081-3043 |
| Practice Telephone | 9204964700 |
| Mailing Telephone | 9204964700 |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2013-11-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 90261-30 | WI | Nursing Service Providers |
| Street Address |
1411 N TAYLOR DR |
| City | SHEBOYGAN |
| State | WI |
| Zip Code | 53081-3043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063483543 | Karen Lu Colvin | Nurse Anesthetist, Certified Registered | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2006-01-31 |
| 1235753922 | Elizabeth Grace Garncarz | Physician Assistant | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2020-05-29 |
| 1649827163 | Alice Chanakira-alimi | Physician Assistant | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2019-08-20 |
| 1821582016 | Lauren Sheafer | Physician Assistant | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2018-06-20 |
| 1033603774 | Marlee Anne Hall | Physician Assistant | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2018-06-16 |
| 1386180362 | Amy Sue Gumieny | Nurse Practitioner | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2017-01-13 |
| 1417300518 | Prevea | Clinic/Center | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2016-07-13 |
| 1841687365 | Tina N Ozbeki | Family Medicine | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2015-04-22 |
| 1346668936 | St Nicholas Hospital-sisters of The Third Order of St Francis | Durable Medical Equipment & Medical Supplies | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2014-04-01 |
| 1770922320 | Derek Schenk | Specialist/Technologist, Other | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2013-06-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770053696 | Kathy Hughes Counseling, LLC | Community/Behavioral Health | 630 Riverfront Dr Ste 203, Sheboygan, WI 53081 | 2018-12-04 |
| 1780159004 | Great Lakes Clinic and Consultants, LLC | Clinic/Center | 1407 North 8th Street, Suite 203, Sheboygan, WI 53081 | 2018-10-13 |
| 1174032106 | Laura Elizabeth Manning | Registered Nurse | 325 Linocln Ave, Sheboygan, WI 53081 | 2017-09-21 |
| 1043733686 | Chasidy D Wilke | Behavioral Analyst | 2223 Terrace View Dr Apt 3a, Sheboygan, WI 53081 | 2017-07-25 |
| 1700320074 | Darlene Wilken | Counselor | 2842 S. Business Dr, Sheboygan, WI 53081 | 2016-12-06 |
| 1942652185 | Jacob Steven Son | Dentist | 3555 Wasington Ave., Sheboygan, WI 53081 | 2016-07-12 |
| 1225491749 | Cassandra Lea Loehndorf | Social Worker | 3321 S. 12th St., Sheboygan, WI 53081 | 2016-04-01 |
| 1003201112 | Jason Meinhardt | Dentist | 2115 S Memorial Pl, Sheboygan, WI 53081 | 2015-04-06 |
| 1346634110 | Christopher Lenz | Specialist/Technologist | 2920 Superior Ave., Prevea Orthopedics, Sheboygan, WI 53081 | 2015-03-19 |
| 1780008060 | James Simac | Counselor | 503 Wisconsin Ave., Sheboygan, WI 53081 | 2014-02-07 |
| Find all providers in zip 53081 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104488154 | Pamela Ann Ourada | Registered Nurse | 2603 S 15th St, Sheboygan, WI 53081-6230 | 2019-06-30 |
| 1598232878 | Andrea Kimberly Saxon | Registered Nurse | 3166 North Ave, Sheboygan, WI 53083-3631 | 2018-10-25 |
| 1487161444 | Mandy Marie Lorenz | Registered Nurse | 1716 Alabama Ave, Sheboygan, WI 53081-5152 | 2017-12-29 |
| 1174032106 | Laura Elizabeth Manning | Registered Nurse | 325 Linocln Ave, Sheboygan, WI 53081 | 2017-09-21 |
| 1801347349 | Kelly Salonen | Registered Nurse | 4014 N 30th St, Sheboygan, WI 53083-2009 | 2016-10-19 |
| 1922456177 | Amy Hocevar | Registered Nurse | W1807 Ashwood Dr, Sheboygan, WI 53083-3343 | 2016-05-28 |
| 1518353762 | Dawn Wittig | Registered Nurse | 2125 S Memorial Pl, Ste 3, Sheboygan, WI 53081-3772 | 2015-04-14 |
| 1477945160 | Lisa Haas | Registered Nurse | 2020 N 26th St, Sheboygan, WI 53081-2011 | 2015-03-04 |
| 1366848079 | Janet T Carpenter | Registered Nurse | 1611 Sunnyside Ave, Sheboygan, WI 53081-7734 | 2014-11-06 |
| 1033528245 | Amy Zeiler | Registered Nurse | 3923 N 46th St, Sheboygan, WI 53083-2547 | 2014-08-13 |
| Find all providers in SHEBOYGAN | ||||
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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.