BRIANNA LYNN BAETEN (NPI# 1194358648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194358648 |
| Entity Type | Individual |
| Full Name | BRIANNA LYNN BAETEN |
| Credential | PA |
| Practice Address |
4840 N Latitude Ln Unit H Appleton WI 54913-9431 |
| Practice Telephone | 9206762105 |
| Mailing Telephone | 9206762105 |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
4840 N LATITUDE LN UNIT H |
| City | APPLETON |
| State | WI |
| Zip Code | 54913-9431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457994584 | Pamela J Andersen | Music Therapist | 245 N. Metro Drive, Appleton, WI 54913 | 2019-10-22 |
| 1396387510 | Nancy Sibley | Technician | N4423 County Road Ee, Appleton, WI 54913 | 2019-10-09 |
| 1659872240 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 3801 N. Richmond Street, Grand Chute, WI 54913 | 2018-02-28 |
| 1780116244 | Alison Pelger | Physician Assistant | 3916 North Intertech Court, Appleton, WI 54913 | 2017-04-03 |
| 1316311905 | Lucy Bouressa | Specialist/Technologist | 2105 E. Enterprise Ave, 113, Appleton, WI 54913 | 2015-11-19 |
| 1992189989 | Brittany Reinke | Physical Therapist | Walking and Wheeling, LLC, W4652 Glenn Street, Appleton, WI 54913 | 2015-07-20 |
| 1902280092 | Costco Wholesale Corporation | Pharmacy | 5401 W Integrity Way, Grand Chute, WI 54913 | 2015-07-17 |
| 1942646849 | Richard Anthony Mauthe | Pharmacist | 5401 W. Integrity Way, Neenah, WI 54913 | 2013-05-17 |
| 1750622163 | Tonya Janelle Wilderman | Pharmacist | 1400 N Mccarthy Rd, Apt 2, Grand Chute, WI 54913 | 2013-03-10 |
| 1295938777 | Jenna Marie Kadlec | Physical Therapist | 3916 N. Intertech Court, Appleton, WI 54913 | 2007-06-11 |
| Find all providers in zip 54913 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225653678 | Collin Carl Kandler | Student in an Organized Health Care Education/Training Program | W2577 Oakmeadow Ct, Appleton, WI 54915-8749 | 2020-06-11 |
| 1093211211 | Bonnie Anne Korytkowski | Student in an Organized Health Care Education/Training Program | 229 S. Morrison Street, Appleton, WI 54911 | 2018-04-05 |
| 1831483593 | Christopher William Ludden | Student in an Organized Health Care Education/Training Program | 400 E Haddonstone Dr, Appleton, WI 54913-6312 | 2011-05-30 |
| 1619297199 | Shalini Achanti | Student in an Organized Health Care Education/Training Program | 1585 N Mccarthy Rd, Apt#4, Appleton, WI 54913-8448 | 2010-06-07 |
| 1184249773 | Allison Nierode | Student in an Organized Health Care Education/Training Program | 1506 S Oneida St, Appleton, WI 54915-1305 | 2020-06-10 |
| 1013536887 | Kurtis Michael Lawton | Student in an Organized Health Care Education/Training Program | 229 S Morrison St, Appleton, WI 54911-5725 | 2020-04-13 |
| 1003445735 | Michael John Van Abel | Student in an Organized Health Care Education/Training Program | 229 S Morrison St, Appleton, WI 54911-5725 | 2020-04-04 |
| 1275162190 | Kiara Lashae Dillard | Student in an Organized Health Care Education/Training Program | 229 S Morrison St, Appleton, WI 54911-5725 | 2020-04-02 |
| 1912535311 | Michelle Raabe | Student in an Organized Health Care Education/Training Program | 229 S Morrison St, Appleton, WI 54911-5725 | 2020-03-31 |
| 1295363554 | Angela Kaye Amos | Student in an Organized Health Care Education/Training Program | 229 S Morrison St, Appleton, WI 54911-5725 | 2020-03-31 |
| 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.