MS. ALEXANDRA DARE SPELLMAN (NPI# 1144547654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144547654 |
| Entity Type | Individual |
| Full Name | MS. ALEXANDRA DARE SPELLMAN |
| Credential | RN |
| Practice Address |
160 Hamilton Pl Apt 2 Fond Du Lac WI 54935-4062 |
| Practice Telephone | 9209240120 |
| Practice Fax Number | 9209240120 |
| Mailing Telephone | 9209240120 |
| Mailing Fax Number | 9209240120 |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2010-04-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
156123-30 | WI | Nursing Service Providers |
| Street Address |
160 HAMILTON PL APT 2 |
| City | FOND DU LAC |
| State | WI |
| Zip Code | 54935-4062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482249 | Keziah Sherri Love | Counselor | W390 Wi-23, Fond Du Lac, WI 54935 | 2020-09-18 |
| 1891341988 | Cynthia Louise Singleton | Nurse Practitioner | 16 E 13th St., Fond Du Lac, WI 54935 | 2019-08-14 |
| 1083183297 | Elena Alexandra Giese | Nurse Practitioner | 430 E. Division St, Fond Du Lac, WI 54935 | 2018-11-16 |
| 1669963740 | Elizabeth Anne Machi | Student in an Organized Health Care Education/Training Program | 885 Western Ave Ste 300, Fond Du Lac, WI 54935 | 2018-05-23 |
| 1184150021 | Jordan Moehn | Specialist/Technologist | 633 Prairie Pkwy, Fond Du Lac, WI 54935 | 2017-05-11 |
| 1467856336 | Chuentao Ho | Specialist/Technologist | 45 South National Ave., Fond Du Lac, WI 54935 | 2014-10-21 |
| 1437587961 | Paula Seeley | Nurse Practitioner | 63 West Pioneer Rd, Fond Du Lac, WI 54935 | 2013-10-18 |
| 1144516030 | Bonnie Kay Mallon | Registered Nurse | 118 E 9th St, Fond Du Lac, WI 54935 | 2011-06-20 |
| 1770885600 | Holly Shepard | Counselor | 23 W Scott St., Fond Du Lac, WI 54935 | 2010-11-29 |
| 1437479110 | Ruth Marie Bohn | Occupational Therapy Assistant | 244 North Macy Street, Fond Du Lac, WI 54935 | 2010-06-04 |
| Find all providers in zip 54935 | ||||
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847300 | Diane Lynn Ryan-pete | Registered Nurse | E8965 State Road 60, Sauk City, WI 53583-9649 | 2020-09-23 |
| 1356956932 | Timothy J Reichert | Registered Nurse | 227 Kleine St, Deerfield, WI 53531-9596 | 2020-09-10 |
| 1235749003 | Jason David King | Registered Nurse | 3121 3rd St S, Wisconsin Rapids, WI 54494-1008 | 2020-08-05 |
| 1083242440 | Lisa C Sperle | Registered Nurse | 228 A Main Street, Cambridge, WI 53523 | 2020-03-31 |
| 1245896471 | Ann Elizabeth Riddle | Registered Nurse | 1332 Kellner St, Manitowoc, WI 54220-1515 | 2019-05-14 |
| 1770054934 | Pamela Faye Van Mol | Registered Nurse | 6 Abilene Ct, Madison, WI 53719-2455 | 2018-12-16 |
| 1043786742 | Daniecce Marie Ward | Registered Nurse | 3376 N 36th St, Milwaukee, WI 53216-3718 | 2018-10-19 |
| 1548746076 | Amy Ann Schiedermayer | Registered Nurse | 215 Sunny Meadows Dr, Kaukauna, WI 54130-4301 | 2018-07-18 |
| 1962991620 | Timothy J Schmitt | Registered Nurse | 2509 County Highway I Ste 500, Chippewa Falls, WI 54729-2786 | 2018-05-08 |
| 1740716224 | Lisa Hartjes | Registered Nurse | 332 Cherry Ln, Little Chute, WI 54140-1107 | 2017-05-03 |
| Find all providers with the same taxonomy | ||||
| City | FOND DU LAC |
| Zip Code | 54935 |
Please comment or provide details below to improve the information on MS. ALEXANDRA DARE SPELLMAN.
| 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.