JACKLYN JUSTUS (NPI# 1134435035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134435035 |
| Entity Type | Individual |
| Full Name | JACKLYN JUSTUS |
| Credential | RN |
| Practice Address |
5000 W National Ave Milwaukee WI 53295-0001 |
| Practice Telephone | 4143842000 |
| Practice Fax Number | 4143825293 |
| Mailing Telephone | 4143842000 |
| Mailing Fax Number | 4143825293 |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2010-08-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
11111-030 | WI | Nursing Service Providers |
| Street Address |
5000 W NATIONAL AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53295-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790787943 | Laura Tobon | Registered Nurse | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2005-06-01 |
| 1356942445 | John F Rose | Recreation Therapist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-11-04 |
| 1306447487 | Alan Newell Hoenk | Recreation Therapist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-11-04 |
| 1659972008 | David Escamilla | Pharmacist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-11-03 |
| 1720689086 | Inez Elizabeth Pabian | Pharmacist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-11-03 |
| 1043810302 | Kristine Kulas | Art Therapist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-10-27 |
| 1336749753 | Marisa Ann Straub | Art Therapist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-10-26 |
| 1720687221 | Courtney Zeller | Recreation Therapist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-10-26 |
| 1174122964 | Kari Slawson | Dietitian, Registered | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-10-22 |
| 1245839356 | Makenzie Kojis | Music Therapist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457858573 | Nina Sathasivam-rueckert | Psychologist | Zablocki Va Medical Center 5000 West National Avenue, Milwaukee, WI 53295 | 2018-04-06 |
| 1306350269 | Nicole Marien Van Horn | Clinical Nurse Specialist | Milwaukee Va Medical Center (zablocki), 5000 W. National Ave, Milwaukee, WI 53295 | 2017-11-29 |
| 1275829582 | Emily Rose Allred | Registered Nurse | 500 National Ave, Milwaukee, WI 53295 | 2011-06-24 |
| 1104912666 | Steve Eigen | Social Worker | 5000 W. National, Milwaukee, WI 53295 | 2006-10-04 |
| 1225121700 | Vicki L Nelson | Social Worker | 5000 W.national Ave, Milwaukee, WI 53295 | 2006-10-02 |
| 1003908617 | Beth Ayers | Physical Therapist | 5000 W National Ave., Milwaukee, WI 53295 | 2006-09-29 |
| 1730286295 | Regina Robin Anderson-spann | Social Worker | 5000 W. National Avenue, Milwaukee, WI 53295 | 2006-09-19 |
| 1891723904 | Allyn J Coleman | Dentist | Clement J. Zablocki Va Medical Center, 5000 W National Avenue, Milwaukee, WI 53295 | 2006-06-29 |
| 1356347686 | Wendy R. Janssen | Nurse Practitioner | 5000 W. National Ave, Milwaukee, WI 53295 | 2005-06-22 |
| 1629073507 | Susan Kathlenn Kartes | Nurse Practitioner | 5000 West National Avenue, Milwaukee, WI 53295 | 2005-06-16 |
| Find all providers in zip 53295 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265078513 | Stephanie Soto | Registered Nurse | 3632 S 77th St, Milwaukee, WI 53220-1146 | 2019-11-21 |
| 1710463419 | Joyce R Jackson | Registered Nurse | 3533 N 76th St Apt 3, Milwaukee, WI 53222-3057 | 2018-07-16 |
| 1902183064 | Malissa L Washington | Registered Nurse | 7748 West Grantosa Drive, Milwaukee, WI 53218 | 2011-11-03 |
| 1407010762 | Janet Christine Ast | Registered Nurse | 3001 S Clement Ave, Milwaukee, WI 53207-2458 | 2008-07-16 |
| 1962681064 | Lashung Denise Webb | Registered Nurse | 2124 W Vine St, Milwaukee, WI 53205-1530 | 2007-10-25 |
| 1659340842 | Francisca Atabong Kadia | Registered Nurse | 10501 W Bradley Rd, Milwaukee, WI 53224-2673 | 2006-03-17 |
| 1205467172 | Lola's New Beginnings | Registered Nurse | 3632 S 77th St, Milwaukee, WI 53220-1146 | 2020-01-30 |
| 1457911265 | Barbara Hughes | Registered Nurse | 9200 W Wisconsin Ave, Physical Medicine and Rehabilitation, Milwaukee, WI 53226 | 2019-06-14 |
| 1457600611 | Tammera Lee Schneider | Registered Nurse | 1555 S Layton Blvd, Milwaukee, WI 53215-1924 | 2012-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538781885 | Camila Anderson-fernandez | Registered Nurse | 110 Corrina Blvd Apt 468, Waukesha, WI 53186-3709 | 2020-05-09 |
| 1073072187 | Sara Marie Mehring | Registered Nurse | 222 Lincolnshire Pl Apt 202, Wales, WI 53183-9106 | 2019-03-18 |
| 1740755628 | Shelly L Devant | Registered Nurse | N4912 County Road P # 1, Helenville, WI 53137-9763 | 2018-10-08 |
| 1437537511 | Eleanor Sobkowiak | Registered Nurse | W6019 County Rd S, Onalaska, WI 54650-8810 | 2015-05-11 |
| 1053662452 | Traci Hoch | Registered Nurse | W1445 Berkans Rd, Fremont, WI 54940-8648 | 2012-09-25 |
| 1164771499 | Sherry Louise Hildebrandt | Registered Nurse | N71w39757 Lang Rd, Oconomowoc, WI 53066-1552 | 2012-08-31 |
| 1417203910 | Cassandra Lee Jenkins | Registered Nurse | 1600 W Green Tree Rd, #301, Glendale, WI 53209-2955 | 2012-08-02 |
| 1922384460 | Rita Louise Griffin | Registered Nurse | 5440 N 24th St, Glendale, WI 53209-5034 | 2011-10-28 |
| 1396976254 | Mark Andrew Prescott | Registered Nurse | E13616 Idlewild Rd, Merrimac, WI 53561-9556 | 2009-07-27 |
| 1790910248 | Karen J Fitzgerald | Registered Nurse | 220 E. Lacrosse St., Juneau County Human Services, Mauston, WI 53948-2101 | 2009-05-27 |
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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.