MICHELLE A PEVONKA-THOMPSON


Address: 128 Northbreeze Dr, Appleton, WI 54911-1225
Phone: 9209444443

MICHELLE A PEVONKA-THOMPSON (NPI# 1134480379) 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) 1134480379
Entity Type Individual
Full Name MICHELLE A PEVONKA-THOMPSON
Other Name HAPPY FEET AT HOME FEET AT HOME, LLC
Credential BSN, RN
Practice Address 128 Northbreeze Dr
Appleton
WI 54911-1225
Practice Telephone 9209444443
Practice Fax Number 9209687707
Mailing Telephone 9209444443
Mailing Fax Number 9209687707
Enumeration Date 2012-06-05
Last Update Date 2017-03-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC1500X Registered Nurse
Specialization: Community Health
123478-30 WI Nursing Service Providers

Office Location

Street Address 128 NORTHBREEZE DR
City APPLETON
State WI
Zip Code 54911-1225

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1871086645 Megan Kilsdonk Health Educator 1604 N Meade St, Appleton, WI 54911 2018-06-07
1871085480 Tanya Lynn Vickery Social Worker 410 S. Elm St., Appleton, WI 54911 2018-05-31
1013407501 Teri G Metropulos Counselor 229 S. Morrison, Appleton, WI 54911 2018-05-10
1093211211 Bonnie Anne Korytkowski Student in an Organized Health Care Education/Training Program 229 S. Morrison Street, Appleton, WI 54911 2018-04-05
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Taxonomy Information

Taxonomy Code 163WC1500X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Community Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689739351 Rosann Geiser Registered Nurse N161 Kamkes St, Appleton, WI 54915-9437 2006-12-23

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NPI Name Taxonomy Address Enumeration
1205465408 Cindy Brosig Registered Nurse 1570 Traut Rd, Marshall, WI 53559-9600 2020-04-08
1124595731 Lana Berry Registered Nurse 3314 Miller St, Eau Claire, WI 54701-7646 2018-11-01
1093252512 Megan Lindemann Registered Nurse 4150 S Herman St, Milwaukee, WI 53207-5118 2017-01-22
1295137305 Jini L Ruplinger Registered Nurse 7203 Woodsmoke Rd, Wausau, WI 54401-9236 2014-09-19
1265778021 Debbie Jean Heitzer Registered Nurse W349n5900 Sunflower Ct, Oconomowoc, WI 53066-6724 2012-12-26
1619244779 Pamela Ann Evers Registered Nurse 1335 Market St, La Crosse, WI 54601-4846 2011-11-17
1639469760 Andrea K Manzer Registered Nurse 303 Elm Street, Communtiy Health, Odanah, WI 54861 2011-04-11
1215247432 Kirsten Elizabeth Dolan Drewlow Registered Nurse 1407 Saint Andrew Street, Suite 100, Lacrosse, WI 54603-2378 2010-10-21
1437468915 Vicki Lynn Freemore Dorn Registered Nurse 617 Farmer Ave, Tomah, WI 54660-2236 2010-09-30
1386875813 Teresa L Baird Registered Nurse 1047 St Andrew Street, Lacrosse, WI 54603-2378 2009-07-31
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Competitor

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City APPLETON
Zip Code 54911

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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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