JESSICA M BRAATZ (NPI# 1194708156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194708156 |
| Entity Type | Individual |
| Full Name | JESSICA M BRAATZ |
| Credential | RN |
| Practice Address |
430 E Division St Fond Du Lac WI 54935-4560 |
| Mailing Address |
420 E Division St Fond Du Lac WI 54935-4560 |
| Practice Telephone | 9209292300 |
| Mailing Telephone | 9209268340 |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
148355 | WI | Nursing Service Providers |
| Street Address |
430 E DIVISION ST |
| City | FOND DU LAC |
| State | WI |
| Zip Code | 54935-4560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437157831 | Gilberto Cantu | Nurse Anesthetist, Certified Registered | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2005-07-09 |
| 1992306310 | Leah Timm | Nurse Practitioner | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2020-11-03 |
| 1982212312 | Tiffany M Parker | Counselor | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2020-07-22 |
| 1619594355 | Brynn Sytsma | Student in an Organized Health Care Education/Training Program | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2020-06-29 |
| 1891312633 | Joshua Mckinney | Counselor | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2020-06-27 |
| 1275153264 | Jacalyn Lucille Wendt Coleman | Dietitian, Registered | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2020-04-20 |
| 1568090884 | Jaclyn R Monteverde | Physician Assistant | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2020-03-31 |
| 1235766718 | Emily Jean Thiel | Dietitian, Registered | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2020-03-25 |
| 1326674136 | Alexandria Lynn Hefter | Nurse Practitioner | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2020-03-13 |
| 1952933046 | Gina Paveglio | Registered Nurse | 430 E Division St, Surgery Dept, Fond Du Lac, WI 54935 | 2020-02-07 |
| Find all providers in the same location | ||||
| 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 | 163WM0705X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912212598 | Melanie Goeckerman | Registered Nurse | 435 N Country Ln, Fond Du Lac, WI 54935-9728 | 2010-08-08 |
| 1306480850 | Sarah Katherine Davis | Registered Nurse | 430 E Division St, Fond Du Lac, WI 54935-4597 | 2019-10-28 |
| 1558604298 | Lori L Jurgensmier | Registered Nurse | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2013-04-01 |
| 1083983217 | Mark J. Miller | Registered Nurse | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2011-12-16 |
| 1912967407 | Lynn Zehren | Registered Nurse | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2006-03-27 |
| 1407839699 | David A Uerkwitz | Registered Nurse | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2005-11-22 |
| 1205817582 | Carrie L Krohn | Registered Nurse | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2005-11-14 |
| 1972594679 | Jan Andrews | Registered Nurse | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2005-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564103 | Abigail Stroud | Registered Nurse | 1990 104th St, New Richmond, WI 54017-6038 | 2020-10-06 |
| 1033730346 | Roderick Brian Dela Cruz | Registered Nurse | 9428 69th St, Kenosha, WI 53142-8111 | 2020-04-28 |
| 1770096539 | Daniel Steve Huber | Registered Nurse | 6643 County Highway Bc, Sparta, WI 54656-3593 | 2017-11-14 |
| 1508389768 | Henrietta C. Nwankwo | Registered Nurse | 5425 Katie Ln, Madison, WI 53704-8951 | 2017-07-19 |
| 1295141943 | Brittany K Romans | Registered Nurse | 1230 Commonwealth Dr, 1, Fort Atkinson, WI 53538 | 2014-07-02 |
| 1780007013 | Roberta Fosbinder-bittorf | Registered Nurse | 101 Femrite Dr Apt 227, Monona, WI 53716-3745 | 2014-01-22 |
| 1811320666 | Angela M Isotalo | Registered Nurse | 6312 Schoolway, Greendale, WI 53129-1822 | 2013-08-15 |
| 1447503610 | Anissa Chenon Laganiere | Registered Nurse | 28883 Rustic Village Ln, Richland Center, WI 53581-6711 | 2012-10-24 |
| 1972862472 | Erin Marie Schwarm | Registered Nurse | 5592 S Jennie Webber Lake Rd, Rhinelander, WI 54501-9629 | 2012-05-04 |
| 1568794634 | Rebecca Lynn Straub | Registered Nurse | 1468 Liberty St, Green Bay, WI 54304-3118 | 2010-02-01 |
| Find all providers with the same taxonomy | ||||
| City | FOND DU LAC |
| Zip Code | 54935 |
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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.