MS. SANDRA JERADETTE KRIZEK (NPI# 1144416819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144416819 |
| Entity Type | Individual |
| Full Name | MS. SANDRA JERADETTE KRIZEK |
| Credential | R.N. |
| Practice Address |
4673 Mayflower Rd Black Creek WI 54106 |
| Mailing Address |
E8573 Seefeld Rd New London WI 54961-9060 |
| Practice Telephone | 9207575716 |
| Mailing Telephone | 9209823350 |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2007-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 87162030 | WI | Nursing Service Providers |
| Street Address |
4673 MAYFLOWER RD |
| City | BLACK CREEK |
| State | WI |
| Zip Code | 54106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659773323 | Zandy Moes | Registered Nurse | 502 Field Crest Lane, Black Creek, WI 54106 | 2014-09-24 |
| 1942233648 | Black Creek Rescue Service | Ambulance | W5200 County Rd B, Black Creek, WI 54106 | 2006-07-08 |
| 1396894127 | Thomas Emery Lornson | Dentist | 207 S. Main St, Black Creek, WI 54106-0255 | 2007-01-10 |
| 1760567218 | Pathways Family Chiropractic, Inc. | Chiropractor | 86 Coulee Rd, Suite 201, Hudson, WI 54106-2371 | 2006-10-25 |
| 1619521846 | Kayla Ann Ebben | Registered Nurse | N4673 Mayflower Rd, Black Creek, WI 54106-8025 | 2019-07-25 |
| 1629581756 | Caitlin Ebben | Registered Nurse | W5541 County Road A, Black Creek, WI 54106-8421 | 2017-11-11 |
| 1952929242 | Brianna Marie Karweick | Student in an Organized Health Care Education/Training Program | N5704 Cty Rd Pp, Black Creek, WI 54106-8518 | 2020-07-13 |
| 1972008704 | Midwest Legacy Capital LLC | Clinic/Center | W4233 State Rd 54, Black Creek, WI 54106-8633 | 2018-03-26 |
| 1679705909 | Traci Rae Bloedorn | Reflexologist | N8380 Old Highway 47, Black Creek, WI 54106-9152 | 2009-08-20 |
| 1528333788 | Community Eyecare Inc | Optometrist | 413 S Main St, Black Creek, WI 54106-9501 | 2012-03-20 |
| Find all providers in zip 54106 | ||||
| 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 |
|---|---|---|---|---|
| 1619521846 | Kayla Ann Ebben | Registered Nurse | N4673 Mayflower Rd, Black Creek, WI 54106-8025 | 2019-07-25 |
| 1629581756 | Caitlin Ebben | Registered Nurse | W5541 County Road A, Black Creek, WI 54106-8421 | 2017-11-11 |
| 1659773323 | Zandy Moes | Registered Nurse | 502 Field Crest Lane, Black Creek, WI 54106 | 2014-09-24 |
| 1689909178 | Michelle Leanne Draheim | Registered Nurse | 601 Field Crest Ln, Black Creek, WI 54106-9729 | 2009-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659119 | Taylor Burgart | Registered Nurse | 2332 Ferry St, La Crosse, WI 54601-5144 | 2020-11-08 |
| 1013518786 | Elizabeth Kay Anderson | Registered Nurse | 105 Birch St E, Frederic, WI 54837-8985 | 2020-11-08 |
| 1851992739 | Jennifer J. Rutkowski | Registered Nurse | 310 E Highway St, Mount Hope, WI 53816-9796 | 2020-11-05 |
| 1588265847 | Dylan Apuli | Registered Nurse | 420 N East Ave, Waukesha, WI 53186-5034 | 2020-11-03 |
| 1972104271 | Beata Aniela Kasia | Registered Nurse | 6100 W State St Apt 331, Wauwatosa, WI 53213-2991 | 2020-11-03 |
| 1033710652 | Shaffaq Zaveri | Registered Nurse | N7259 Meyer Ct, Holmen, WI 54636 | 2020-11-02 |
| 1043810898 | Courtney L Schumacher | Registered Nurse | 162 Custer Ct, Green Bay, WI 54301-1243 | 2020-10-30 |
| 1336749456 | Nancy Renae Reiland | Registered Nurse | 2112 Fred St, Marinette, WI 54143-1228 | 2020-10-28 |
| 1841890282 | Debra Harris | Registered Nurse | 816 Fulton St, Wausau, WI 54403-4969 | 2020-10-26 |
| 1548869167 | Amy Lee Kurth | Registered Nurse | 923 Scott St, Wausau, WI 54403-4952 | 2020-10-23 |
| Find all providers with the same taxonomy | ||||
| City | BLACK CREEK |
| Zip Code | 54106 |
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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.