AMY MARIE SACKMANN (NPI# 1174543128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174543128 |
| Entity Type | Individual |
| Full Name | AMY MARIE SACKMANN |
| Practice Address |
10 Tri Park Way Appleton WI 54914-1658 |
| Mailing Address |
W6014 Coral Ct Appleton WI 54915-7425 |
| Practice Telephone | 9208310070 |
| Mailing Telephone | 9209979710 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 21096 | WI | Nursing Service Providers |
| Street Address |
10 TRI PARK WAY |
| City | APPLETON |
| State | WI |
| Zip Code | 54914-1658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447256920 | Bonnie J Mccluskey | Registered Nurse | 10 Tri Park Way, Appleton, WI 54914-1658 | 2005-06-21 |
| 1003446089 | Mindee Juve | Psychologist | 10 Tri Park Way, Appleton, WI 54914-1658 | 2020-01-18 |
| 1366080590 | Tiffany Ramsey | Dietitian, Registered | 10 Tri Park Way, Appleton, WI 54914-1658 | 2019-12-18 |
| 1558843581 | Nichole Duchow | Social Worker | 10 Tri Park Way, Appleton, WI 54914-1658 | 2018-09-06 |
| 1922515378 | Sarah Corinne Martinez | Social Worker | 10 Tri Park Way, Appleton, WI 54914-1658 | 2018-01-08 |
| 1184147340 | Brenda Melnarik | Nurse Practitioner | 10 Tri Park Way, Appleton, WI 54914-1658 | 2017-07-19 |
| 1770018004 | Laura Gaworski | Psychologist | 10 Tri Park Way, Appleton, WI 54914-1658 | 2017-04-24 |
| 1811448731 | Stephanie Friedman | Nurse Practitioner | 10 Tri Park Way, Appleton, WI 54914-1658 | 2016-10-14 |
| 1174072789 | Cassandra Bandow | Clinic/Center | 10 Tri Park Way, Appleton, WI 54914-1658 | 2016-09-23 |
| 1215323985 | Wendy Antoine | Pharmacist | 10 Tri Park Way, Appleton, WI 54914-1658 | 2015-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572429 | Claire Schuh | Social Worker | 3416 Association Ln, Appleton, WI 54914 | 2020-09-09 |
| 1568099729 | Access Elevator, Inc. | Contractor | 1314 W. College Ave, Appleton, WI 54914 | 2020-03-26 |
| 1124677885 | Sharon Darla Cornell | Technician | 3117 N. Mistwood Lane, Appleton, WI 54914 | 2019-09-05 |
| 1235647793 | Midwest Monitoring, LLC | Psychiatry & Neurology | 4321 W College Ave Ste 200, Appleton, WI 54914 | 2018-01-18 |
| 1356863252 | Uvanta Pharmacy LLC | Pharmacy | 1050 S Grider St, Suite C, Appleton, WI 54914 | 2017-07-12 |
| 1255860912 | Appleton Counseling Management LLC | Counselor | 477 S Nicolet Rd., Appleton, WI 54914 | 2017-06-07 |
| 1609269489 | Shane Scott Urban | Social Worker | 444 N. Westhill Blvd., Appleton, WI 54914 | 2015-03-18 |
| 1699184580 | Michelle Becker | Nurse Practitioner | 4435 West Lawrence St., Appleton, WI 54914 | 2014-08-05 |
| 1972857514 | Jean Flesch | Pharmacist | 1000 W. Northland Ave., Appleton, WI 54914 | 2012-11-05 |
| 1477845147 | Mallory Barbara Herrin | Counselor | 820 W. College Ave, Appleton, WI 54914 | 2011-05-12 |
| Find all providers in zip 54914 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: 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 |
|---|---|---|---|---|
| 1669935383 | Melissa M Becher | Licensed Practical Nurse | 44 Valerie Dr, Appleton, WI 54915-6217 | 2019-04-09 |
| 1912472242 | Nicholas Derkowski | Licensed Practical Nurse | 2255 W Pershing St, Appleton, WI 54914-6061 | 2018-10-13 |
| 1417444274 | Nikelle Gibson | Licensed Practical Nurse | 4524 N Clayhill Dr, Appleton, WI 54913-6847 | 2018-04-17 |
| 1558810416 | Lynn Lichterman | Licensed Practical Nurse | 4123 N Woodridge Dr, Appleton, WI 54913-6396 | 2016-10-03 |
| 1255784799 | Michelle Drexler | Licensed Practical Nurse | 2237 W Twin Willows Dr, Appleton, WI 54914-6867 | 2016-07-20 |
| 1013399062 | Kristina Rickert | Licensed Practical Nurse | 4500 N French Rd, Appleton, WI 54913-8363 | 2015-06-26 |
| 1235471939 | Catherine Cabilao Schrader | Licensed Practical Nurse | 1211 W Summer St, Appleton, WI 54914-3516 | 2013-03-20 |
| 1497045249 | Kelly Ann Schumacher | Licensed Practical Nurse | 1313 E Harriet St Apt 3, Appleton, WI 54915-2783 | 2011-04-13 |
| 1962712976 | Helen Catherine Belling | Licensed Practical Nurse | 1630 Holland Rd, #106, Appleton, WI 54911-8305 | 2010-10-13 |
| 1891933370 | Morgan J Kelley | Licensed Practical Nurse | 3301b N Ballard Rd, Appleton, WI 54911-8988 | 2009-01-22 |
| Find all providers in APPLETON | ||||
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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.