MICHELLE LYNN PETRIE (NPI# 1104394089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104394089 |
| Entity Type | Individual |
| Full Name | MICHELLE LYNN PETRIE |
| Credential | RN |
| Practice Address |
N56w34882 Lake Dr Oconomowoc WI 53066-2462 |
| Practice Telephone | 2624090863 |
| Mailing Telephone | 2624090863 |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2018-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 23025730 | WI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154667699 | Michelle Dawn Petrie | Case Manager/Care Coordinator | 767 Dahlia St., Denver, CO 80220 | 2013-01-02 |
| 1336704972 | Michelle Petrie | Nurse Practitioner | 2055 Alexandria Way, Macedonia, OH 44056-1998 | 2019-05-09 |
| 1881809861 | Michelle Marie Petrie | Anesthesiology | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2007-05-11 |
| Street Address |
N56W34882 LAKE DR |
| City | OCONOMOWOC |
| State | WI |
| Zip Code | 53066-2462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376109082 | Sharon Legwinski | Occupational Therapist | 2195 N. Summit Way, Oconomowoc, WI 53066 | 2019-05-17 |
| 1033676390 | Paladina Health, LLC | Family Medicine | Paladina Health Oconomowoc Sentry Equipment Circle, 966 Blue Ribbon Circle N, Oconomowoc, WI 53066 | 2019-02-22 |
| 1689145500 | Oconomowoc Developmental Training Center of Wisconsin LLC | Residential Treatment Facility, Emotionally Disturbed Children | 36100 Genesee Lake School, Oconomowoc, WI 53066 | 2018-12-17 |
| 1649748203 | Ginny Dacquisto | Dietitian, Registered | 1134 Lily Rd, Oconomowoc, WI 53066 | 2018-11-12 |
| 1174000764 | Aimee M Metzger | Social Worker | 405 E Forest St Ste 113, Oconomowoc, WI 53066 | 2018-07-26 |
| 1023482569 | Forefront Dermatology, S.c. | Dermatology | 1320 Pabst Farms Cir, Suite 180, Oconomowoc, WI 53066 | 2015-11-20 |
| 1962890475 | Monica Rodriguez | Counselor | 405 East Forest Street, Suite 119, Oconomowoc, WI 53066 | 2015-01-06 |
| 1518384643 | Kimberley Bevan | Pharmacist | 1284 East Summit Avenue, Suite 100, Oconomowoc, WI 53066 | 2014-03-26 |
| 1699098905 | Heidi Eckroth Nunnemacher | Counselor | 35315 Genesee Lake Road, Oconomowoc, WI 53066 | 2010-03-02 |
| 1669705240 | Oconomowoc Development Training Center Ll | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3222 N. Silver Cedar Rd., Oconomowoc, WI 53066 | 2009-09-14 |
| Find all providers in zip 53066 | ||||
| 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 |
|---|---|---|---|---|
| 1386265395 | Allison Marie Fanelli | Registered Nurse | W389n7868 Pennsylvania St, Oconomowoc, WI 53066-9622 | 2020-04-30 |
| 1528587508 | Colleen Anne Rice | Registered Nurse | 1138 Blue Dahlia Rd, Oconomowoc, WI 53066-2202 | 2017-09-11 |
| 1356736193 | Renee Marie Muehlbauer | Registered Nurse | 1010 Hancock Dr, Oconomowoc, WI 53066-4412 | 2015-03-30 |
| 1427463488 | Elisabeth Hobday | Registered Nurse | 1320 Grandview Ave, Oconomowoc, WI 53066-3455 | 2014-06-27 |
| 1942637210 | Susan A Groehler | Registered Nurse | W359n5672 Surrey Dr, Oconomowoc, WI 53066-2451 | 2013-10-02 |
| 1164861654 | Donna J Banner | Registered Nurse | 961 Autumn Ridge Dr, Oconomowoc, WI 53066-4175 | 2013-06-18 |
| 1528338431 | Sara Lynn Agamaite | Registered Nurse | 981 Spring Waters Dr, Oconomowoc, WI 53066-4181 | 2012-01-09 |
| 1447550264 | Heidi Dawn Kenyon | Registered Nurse | 314 S Maple St, Oconomowoc, WI 53066-3523 | 2010-10-26 |
| 1811297989 | Kelly D Parish | Registered Nurse | 3328 N Interlaken Dr, Oconomowoc, WI 53066-4914 | 2010-10-23 |
| 1366768129 | Ellen L Anderson | Registered Nurse | N71w35536 Mapleton Lake Dr, Oconomowoc, WI 53066-1214 | 2010-04-19 |
| Find all providers in OCONOMOWOC | ||||
| City | OCONOMOWOC |
| Zip Code | 53066 |
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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.