MRS. BRENDA BLUNT


Address: 5900 S Lake Dr, Cudahy, WI 53110-3171
Phone: 4144899000

MRS. BRENDA BLUNT (NPI# 1174878839) 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) 1174878839
Entity Type Individual
Full Name MRS. BRENDA BLUNT
Credential APNP
Practice Address 5900 S Lake Dr
Cudahy
WI 53110-3171
Mailing Address 420 W Michigan St
Port Washington
WI 53074-2101
Practice Telephone 4144899000
Mailing Telephone 4147661044
Enumeration Date 2012-07-18
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 4877 WI Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
4877-33 WI Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2801 W Kinnickinnic River Pkwy Ste 1030, Milwaukee, WI 532155217 4149086500

Office Location

Street Address 5900 S LAKE DR
City CUDAHY
State WI
Zip Code 53110-3171

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073513974 Allan Richard Pasch Surgery 5900 S Lake Dr, Cudahy, WI 53110-3171 2005-07-21
1386268977 Dawn Sheffield Social Worker 5900 S Lake Dr, Cudahy, WI 53110-3171 2020-05-30
1114546470 Ally Marthaler-gerads Physical Therapist 5900 S Lake Dr, Cudahy, WI 53110-3171 2020-04-15
1689293219 Hilary Korb Physical Therapist 5900 S Lake Dr, Cudahy, WI 53110-3171 2020-04-14
1699394213 Cynthia Faulkner Cook Physical Therapist 5900 S Lake Dr, Cudahy, WI 53110-3171 2020-04-14
1437655438 Kimberly J Gehrig Nurse Practitioner 5900 S Lake Dr, Cudahy, WI 53110-3171 2018-03-30
1346792181 Kathryn Merkel Nurse Practitioner 5900 S Lake Dr, Cudahy, WI 53110-3171 2016-10-27
1487004172 Ben M Ramirez Nurse Practitioner 5900 S Lake Dr, Cudahy, WI 53110-3171 2016-06-14
1366838203 Cameron M Malone Hospitalist 5900 S Lake Dr, Cudahy, WI 53110-3171 2015-04-07
1174917199 Alyssa Kaleta Internal Medicine 5900 S Lake Dr, Cudahy, WI 53110 2015-03-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164059150 Access Mobility Vans, Inc. Durable Medical Equipment & Medical Supplies 1995 E. Norse Ave., Cudahy, WI 53110 2020-03-27
1497191357 Kristel Roebbeke Occupational Therapist 4157 W College Ave, Milwaukee, WI 53110 2013-05-20
1568684058 City of Cudahy Case Management 5050 South Lake Drive, Cudahy, WI 53110 2007-05-03
1104854363 Mathew George Mathai Internal Medicine 5900 S. Lake Dr., Cudahy, WI 53110 2006-06-28
1235355983 Aurora Health Care Metro, Inc. Clinic/Center 5900 S Lake Drive, Cudahy, WI 53110 2007-04-18
1386722817 Ami Prag Family Medicine 5900 S Lake Drive, #100, Cudahy, WI 53110 2006-11-01
1689780462 Jack Avak Tertadian Internal Medicine 5900 S. Lake Drive, Cudahy, WI 53110 2006-08-22
1326205162 Edward J Tomasik & Associate Optometrists Inc. Durable Medical Equipment & Medical Supplies 3552 E Layton Ave, Cudahy, WI 53110-0200 2008-05-20
1609171453 Stat Access Nursing Care 3429 E Allerton Ave, Cudahy, WI 53110-1017 2011-01-25
1790314599 John Hoehn Social Worker 3754 E Allerton Ave, Cudahy, WI 53110-1109 2020-04-03
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912053463 Elizabeth A Weindorfer Nurse Practitioner 3746 E Allerton Ave, Cudahy, WI 53110-1109 2007-01-26
1437655438 Kimberly J Gehrig Nurse Practitioner 5900 S Lake Dr, Cudahy, WI 53110-3171 2018-03-30
1346792181 Kathryn Merkel Nurse Practitioner 5900 S Lake Dr, Cudahy, WI 53110-3171 2016-10-27
1487004172 Ben M Ramirez Nurse Practitioner 5900 S Lake Dr, Cudahy, WI 53110-3171 2016-06-14
1710237078 Jaclynn Ann Lien-skubal Nurse Practitioner 5900 S Lake Dr, Cudahy, WI 53110-3171 2012-09-13
1669524013 Elizabeth A Tanton Nurse Practitioner 7825 Atlantic Ave, #238, Cudahy, CA 90201-5022 2007-01-17
1316900301 Lena G Podolsky Nurse Practitioner 5900 S Lake Dr, Advanced Pain Management, Cudahy, WI 53110 2006-04-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1225639024 Lyndsay Chapman Nurse Practitioner 836 W Badger Ln, West Bend, WI 53095-4502 2020-11-06
1346849510 Haley Gabrielle Robers Nurse Practitioner 1043 Dresser Ave, Waukesha, WI 53188-4980 2020-10-20
1306443460 Zhengqi Fan Nurse Practitioner 7850 Harwood Ave Unit 3, Wauwatosa, WI 53213-2561 2020-10-01
1700493566 Karen Heckel Nurse Practitioner N17w24100 Riverwood Dr Ste 150, Waukesha, WI 53188-1177 2020-09-25
1801401252 Jodi Lynn Tesch Nurse Practitioner N984 Glennview Dr, Greenville, WI 54942-8531 2020-09-12
1023623832 Serena Ashour Nurse Practitioner 1215 Wirtz Ave, Green Bay, WI 54304-2547 2020-09-09
1639782915 Ana Stoica Nurse Practitioner 4600 W Loomis Rd Ste 101, Greenfield, WI 53220-4858 2020-08-26
1235740556 Lucille Elizabeth Nathwani Nurse Practitioner Uw Medical Foundation 600 Highland Ave, Madison, WI 53792-0001 2020-08-11
1952910010 Dana Diane Broyles Nurse Practitioner 6500 W Ohio Ave, Milwaukee, WI 53219-4246 2020-07-24
1174149918 Nicole Leigh Heding Nurse Practitioner 10421 W Birch Ave, Milwaukee, WI 53225-3211 2020-06-17
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Competitor

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City CUDAHY
Zip Code 53110

Improve Information

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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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