CASSANDRA M MOTKOWSKI


Address: 725 S Webster Ave Ste 201, Green Bay, WI 54301
Phone: 9204307100

CASSANDRA M MOTKOWSKI (NPI# 1114403102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114403102
Entity Type Individual
Full Name CASSANDRA M MOTKOWSKI
Other Name CASSANDRA M COOK
Credential APNP
Practice Address 725 S Webster Ave Ste 201
Green Bay
WI 54301
Mailing Address Po Box 22487
Green Bay
WI 54305-2487
Practice Telephone 9204307100
Practice Fax Number 9204307114
Mailing Telephone 9204457222
Mailing Fax Number 9204457289
Enumeration Date 2018-07-13
Last Update Date 2019-12-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 195907-30 WI Nursing Service Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
4704345763 MI Physician Assistants & Advanced Practice Nursing Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
8621-33 WI Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
440 Woodward Ave, Iron Mountain, MI 498014631 9067769040 9067745950
107 E Highland Dr, Oconto Falls, WI 541541002 9208463092 9208468313
744 S Webster Ave, Green Bay, WI 543013505 9204333500 9204307114
2820 Roosevelt Rd, Marinette, WI 541433834 7157355225 7157355388

Office Location

Street Address 725 S WEBSTER AVE STE 201
City GREEN BAY
State WI
Zip Code 54301

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770968760 Esmaeil Ben Kamali Nurse Practitioner 725 S Webster Ave Ste 201, Green Bay, WI 54301-3500 2015-07-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386102465 Parc Village Dental, LLC Dentist 2805 Libal Street, Suite A, Green Bay, WI 54301 2019-03-07
1598229478 Shaina Marie Conner Registered Nurse 835 S Vanburen St, Green Bay, WI 54301 2019-01-25
1093298960 Brown County Case Management 111 N. Jefferson Street, Green Bay, WI 54301 2018-09-07
1639609928 Frontline Healthcare LLC Specialist/Technologist, Other 2221 S. Webster Ave. Suite 270, Greenbay, WI 54301 2017-06-19
1992242606 Charmaine Rimple Counselor 526 South Monroe Avenue, Green Bay, WI 54301 2017-01-20
1962944819 Rebecca Lucille Reinbold Registered Nurse 917 Catherine Street, Green Bay, WI 54301 2016-11-09
1730635061 Melissa Kristof Specialist/Technologist, Other 1821 Sounth Webster Ave., Green Bay, WI 54301 2016-08-28
1255709747 Vivian Sweetheart Bishop-cook Counselor 2920 South Webster Ave, Green Bay, WI 54301 2015-09-14
1881079960 Chelsi S Weber Registered Nurse 2300 Riverside Dr., Ste 204, Green Bay, WI 54301 2015-07-30
1962816371 Joelle M Hesse Counselor 630 Cherry St., Green Bay, WI 54301 2014-06-13
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194353763 Tiffany Dahlke Nurse Practitioner 2427 Bluestone Pl, Green Bay, WI 54311-6433 2020-03-30
1285121707 Deanna Danelle Olk Nurse Practitioner 917 Lincoln St, Green Bay, WI 54303-3625 2018-04-19
1306221619 Karen M Kroll Nurse Practitioner 1630 Commanche Ave Ste 102, Green Bay, WI 54313-5753 2015-07-28
1770968760 Esmaeil Ben Kamali Nurse Practitioner 725 S Webster Ave Ste 201, Green Bay, WI 54301-3500 2015-07-20
1427338730 Natasha M Koehler Nurse Practitioner 2749 E Carrera Ct, Green Bay, WI 54311-7278 2011-08-18
1780982397 Seth Patrick Moore Nurse Practitioner 879 Mather St, Green Bay, WI 54303-3651 2011-03-06
1316263569 Chris Edwin Anibal Nurse Practitioner 744 South Webster Avenue, Green Bay, WI 54305-3500 2010-04-13
1184956864 Douglas A Bartelt Nurse Practitioner 464 Cardinal Lane, Green Bay, WI 54313-9569 2010-02-05
1750504916 Heather Mary Weber Nurse Practitioner 622 Bodart St, Green Bay, WI 54301 2007-04-10
1346314937 Denise Mary Brilliant Nurse Practitioner 2340 E Mason St, Green Bay, WI 54302-3746 2006-11-17
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Competitor

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City GREEN BAY
Zip Code 54301

Improve Information

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Dataset Information

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.

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