MRS. CARISSA JO MEYER (NPI# 1104104892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104104892 |
| Entity Type | Individual |
| Full Name | MRS. CARISSA JO MEYER |
| Credential | APNP |
| Practice Address |
277 N Altenhofen Dr Appleton WI 54913-8401 |
| Practice Telephone | 9209931643 |
| Practice Fax Number | 9209931645 |
| Mailing Telephone | 9209931643 |
| Mailing Fax Number | 9209931645 |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2014-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4468-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508397894 | Carissa Meyer | Student in an Organized Health Care Education/Training Program | 100 E 77th St, New York, NY 10075-1850 | 2017-03-27 |
| 1104251057 | Carissa Jene Meyer | Speech-Language Pathologist | 800 Scott and White Blvd, College Station, TX 77840-5601 | 2013-09-11 |
| 1831324227 | Carissa L Meyer | Orthopaedic Surgery | 25 Prospect Ave, Hackensack, NJ 07601-1960 | 2009-05-28 |
| 1427099100 | Carissa S Meyer | Pediatrics | 6750 N Macarthur Blvd, Building 2 Suite 150, Irving, TX 75039-2420 | 2006-06-10 |
| Street Address |
277 N ALTENHOFEN DR |
| City | APPLETON |
| State | WI |
| Zip Code | 54913-8401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457994584 | Pamela J Andersen | Music Therapist | 245 N. Metro Drive, Appleton, WI 54913 | 2019-10-22 |
| 1396387510 | Nancy Sibley | Technician | N4423 County Road Ee, Appleton, WI 54913 | 2019-10-09 |
| 1659872240 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 3801 N. Richmond Street, Grand Chute, WI 54913 | 2018-02-28 |
| 1780116244 | Alison Pelger | Physician Assistant | 3916 North Intertech Court, Appleton, WI 54913 | 2017-04-03 |
| 1316311905 | Lucy Bouressa | Specialist/Technologist | 2105 E. Enterprise Ave, 113, Appleton, WI 54913 | 2015-11-19 |
| 1992189989 | Brittany Reinke | Physical Therapist | Walking and Wheeling, LLC, W4652 Glenn Street, Appleton, WI 54913 | 2015-07-20 |
| 1902280092 | Costco Wholesale Corporation | Pharmacy | 5401 W Integrity Way, Grand Chute, WI 54913 | 2015-07-17 |
| 1942646849 | Richard Anthony Mauthe | Pharmacist | 5401 W. Integrity Way, Neenah, WI 54913 | 2013-05-17 |
| 1750622163 | Tonya Janelle Wilderman | Pharmacist | 1400 N Mccarthy Rd, Apt 2, Grand Chute, WI 54913 | 2013-03-10 |
| 1295938777 | Jenna Marie Kadlec | Physical Therapist | 3916 N. Intertech Court, Appleton, WI 54913 | 2007-06-11 |
| Find all providers in zip 54913 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518519982 | Jacqueline Karlin | Nurse Practitioner | 2535 Northern Rd Ste D, Appleton, WI 54914-8753 | 2019-07-15 |
| 1700351301 | Jessica Friday | Nurse Practitioner | 3815 Stoney Creek Ct, Appleton, WI 54913-7953 | 2018-10-10 |
| 1871076273 | Alecia Raschke | Nurse Practitioner | 3232 N Ballard Rd Ste 100, Appleton, WI 54911-8804 | 2018-09-11 |
| 1386155216 | Mh Health Care Services, PC | Nurse Practitioner | 2175 S Memorial Dr, Appleton, WI 54915-1435 | 2017-10-18 |
| 1699184580 | Michelle Becker | Nurse Practitioner | 4435 West Lawrence St., Appleton, WI 54914 | 2014-08-05 |
| 1649693326 | Katlyn Sue Hansen | Nurse Practitioner | 2700 E Enterprise Ave Ste B, Appleton, WI 54913-7656 | 2014-01-30 |
| 1184882334 | Jana Lynn Esden | Nurse Practitioner | 913 S West Ave, Appleton, WI 54915-2394 | 2008-05-23 |
| 1659390037 | Linda Jean Middleton | Nurse Practitioner | 10tri Park Way, Appleton, WI 54914 | 2006-07-18 |
| 1902413081 | Miranda Wendricks | Nurse Practitioner | 2500 E Capitol Dr, Appleton, WI 54911-8735 | 2020-09-23 |
| 1548886567 | Dana S Lehrer | Nurse Practitioner | 2500 E Capitol Dr, Appleton, WI 54911-8735 | 2020-06-25 |
| Find all providers in APPLETON | ||||
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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.