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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
123478-30 | WI | Nursing Service Providers |
Street Address |
128 NORTHBREEZE DR |
City | APPLETON |
State | WI |
Zip Code | 54911-1225 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912545633 | Brotherly Love, LLC | Day Training, Developmentally Disabled Services | 1513 E Frances St, Appleton, WI 54911 | 2019-12-12 |
1952952129 | Eagle Point Senior Living Inc | Assisted Living Facility | 995 East John Street, Appleton, WI 54911 | 2019-09-27 |
1619524766 | University Rx LLC | Pharmacy | 133 E College Ave, Appleton, WI 54911 | 2019-08-23 |
1174080063 | Shayla Russell | Counselor | Outagamie County Health and Human Services, 320 S. Walnut St., Appleton, WI 54911 | 2019-02-27 |
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 |
1639673940 | Brett Follett | Psychologist | 401 S. Elm St., Appleton, WI 54911 | 2018-03-21 |
1700202892 | Brian Withrow | Counselor | 607 West 7th St., Appleton, WI 54911 | 2014-03-13 |
Find all providers in zip 54911 |
Taxonomy Code | 163WC1500X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Community Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689739351 | Rosann Geiser | Registered Nurse | N161 Kamkes St, Appleton, WI 54915-9437 | 2006-12-23 |
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 |
Find all providers with the same taxonomy |
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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.