MISS AMBER ZUBKE (NPI# 1104378249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104378249 |
| Entity Type | Individual |
| Full Name | MISS AMBER ZUBKE |
| Credential | LPN |
| Practice Address |
1405 Oconomowoc Ave Apt 1 Watertown WI 53094-5214 |
| Practice Telephone | 2622690152 |
| Mailing Telephone | 2622690152 |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-10-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 319238 | WI | Nursing Service Providers |
| Street Address |
1405 OCONOMOWOC AVE APT 1 |
| City | WATERTOWN |
| State | WI |
| Zip Code | 53094-5214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861025371 | Addie Marie Littrell | Pharmacist | 624 S Church Street, Pharmacy Department, Watertown, WI 53094 | 2020-02-13 |
| 1144788274 | Robert Scott Johnson | Dentist | 314 W. Main St., Watertown, WI 53094 | 2019-03-07 |
| 1043785264 | Christian Long | Physical Therapist | Watertown Regional Medical Center, 1684 S Church St, Watertown, WI 53094 | 2018-10-04 |
| 1558566497 | Georgia E Meyer | Occupational Therapist | Rahab In Motion, 615 East Main St Suite B, Watertown, WI 53094 | 2007-06-20 |
| 1588789036 | Kjm Enterprises Inc | Home Health | 111 N Third Street, Watertown, WI 53094 | 2007-03-20 |
| 1114085412 | Paul R Sommers Dds Sc | Dentist | 121 Oakridge Court, Watertown, WI 53094 | 2006-12-05 |
| 1063593614 | Stein Optical Inc | Eyewear Supplier (Equipment, not the service) | 622 S Church St, Watertown, WI 53094 | 2006-10-18 |
| 1598851800 | David J Groh | Dentist | 1521 Doctors Ct, Watertown, WI 53094 | 2006-10-05 |
| 1861594251 | Robert Delano Heinen | General Practice | 700 Hoffmann Dr, Bethesda Lutheran Homes and Services, Watertown, WI 53094 | 2006-09-05 |
| 1669483897 | Donald Alan Wollheim | Surgery | 1911 Gateway Drive, Watertown, WI 53094 | 2006-08-11 |
| Find all providers in zip 53094 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: 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 |
|---|---|---|---|---|
| 1922606912 | Shaelynn Marie Miller | Licensed Practical Nurse | 22479 Echo Dr, Watertown, NY 13601-9334 | 2020-10-13 |
| 1093350126 | Lorrie A Pond | Licensed Practical Nurse | 422 College Hts Apt 2, Watertown, NY 13601-1846 | 2019-11-13 |
| 1972064707 | Karalee Cromwell | Licensed Practical Nurse | 511 W Mullin St, Watertown, NY 13601-3231 | 2019-03-26 |
| 1457827842 | Cynthia Ann Bennett | Licensed Practical Nurse | N1365 Elder Dr, Watertown, WI 53098-3770 | 2018-10-23 |
| 1114471232 | Diane Margery Bolden | Licensed Practical Nurse | 411 Thompson Blvd, Watertown, NY 13601-4139 | 2016-08-05 |
| 1992154892 | Joshua I Hall | Licensed Practical Nurse | 123 California Ave, Watertown, NY 13601-3042 | 2016-06-10 |
| 1073967386 | Amanda Pisarski | Licensed Practical Nurse | 26713 Nys Rte 12, Watertown, NY 13601 | 2016-04-22 |
| 1447653662 | Mary Supple | Licensed Practical Nurse | N6288 Stonewood Dr, Watertown, WI 53094-8710 | 2014-10-01 |
| 1235538240 | Marie Petell | Licensed Practical Nurse | 17481 Us Route 11 Lot 5r, Watertown, NY 13601-5346 | 2014-08-14 |
| 1194134205 | Cindy D Wolf | Licensed Practical Nurse | 1020 Crestview Dr, Watertown, WI 53094-6081 | 2014-08-04 |
| Find all providers in WATERTOWN | ||||
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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.