KRISTIN N SCHULTZ (NPI# 1215932439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215932439 |
| Entity Type | Individual |
| Full Name | KRISTIN N SCHULTZ |
| Credential | PA-C |
| Practice Address |
1715 Dousman Street Green Bay WI 54307-9070 |
| Mailing Address |
2534 Northern Harrier Pass Green Bay WI 54313-3996 |
| Practice Telephone | 9204964740 |
| Practice Fax Number | 9204964747 |
| Mailing Telephone | 9205444467 |
| Mailing Fax Number | 9204964747 |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2010-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1886-023 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | DEA CERTIFICATE | ML0973001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518512532 | Kristin E. Schultz | Speech-Language Pathologist | 874 Upham Ct, Pensacola, FL 32508-1016 | 2019-08-06 |
| 1225445620 | Kristin L Schultz | Occupational Therapy Assistant | 65 Oriskany Blvd Ste 1, Whitesboro, NY 13492-1323 | 2014-07-17 |
| 1992060842 | Kristin Karin Schultz | Speech-Language Pathologist | 32404 Outrigger Way, Laguna Niguel, CA 92677-4222 | 2012-07-06 |
| 1174646384 | Kristin Mcallister Schultz | Psychologist | 1023 Front St, South Weymouth, MA 02190-1809 | 2007-04-10 |
| 1487999868 | Kristin M Schultz | Nurse Practitioner | 975 Port Washington Rd, Grafton, WI 53024-9201 | 2012-12-11 |
| 1861744005 | Kristin Michelle Schultz | Nurse Practitioner | 1700 Clinton St, Muskegon, MI 49442-5502 | 2012-10-12 |
| 1801039391 | Kristin Schultz | Occupational Therapist | 5000 S 5th Ave, Hines, IL 60141-3030 | 2009-04-13 |
| Street Address |
1715 DOUSMAN STREET |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54307-9070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326525049 | Brittany Walczyk | Registered Nurse | 2710 Executive Drive, Green Bay, WI 54307 | 2018-07-25 |
| 1295128239 | Amanda Bachman | Nurse Practitioner | 1821 S Webster Avenue, Green Bay, WI 54307 | 2015-03-16 |
| 1528259397 | Venkata Ravi Kiran Kadipi Reddy | Family Medicine | 2793 Lineville Road, Green Bay, WI 54307 | 2007-08-07 |
| 1255526455 | Tasha Joy Malvitz | Speech-Language Pathologist | 1673 Dousman Street, Green Bay, WI 54307-2770 | 2007-09-11 |
| 1649292772 | Sherri Claire Szczepanski | Registered Nurse | 1727 Shawano Ave., Prevea Health, Green Bay, WI 54307-3008 | 2006-07-25 |
| 1063423200 | Jonathan William Strom | Pharmacist | 744 South Webster Ave, Green Bay, WI 54307-3400 | 2006-08-11 |
| 1598743239 | Theresa Marie Shuck | Counselor | 835 South Vanburen Street, St. Vincent Hospital- Women's Services, Green Bay, WI 54307-3508 | 2006-01-04 |
| 1992122485 | Stephanie Julius | Nurse Practitioner | 835 S Van Buren St, Green Bay, WI 54307-3508 | 2014-03-24 |
| 1922271907 | Kelechi Ngozi Chiori-omotoso | Hospitalist | 835 S Van Buren St, Green Bay, WI 54307-3508 | 2008-04-10 |
| 1659467595 | Brenda J Chaet | Occupational Therapist | 835 South Vanburen Street, Green Bay, WI 54307-3508 | 2006-10-05 |
| Find all providers in zip 54307 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689167942 | Marissa Adrian | Physician Assistant | 1821 S Webster Ave, Green Bay, WI 54301-2253 | 2018-06-12 |
| 1740718105 | Kelly Elizabeth Halbach | Physician Assistant | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2017-05-30 |
| 1396284154 | Jerald Dietrich Charles | Physician Assistant | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2017-02-13 |
| 1831424118 | Angela Mk Brashears | Physician Assistant | 2502 S Ashland Ave, Green Bay, WI 54304-5252 | 2009-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821612045 | Cassidy Renee Thomas | Physician Assistant | 1111 Delafield St Ste 209, Waukesha, WI 53188-3403 | 2020-06-03 |
| 1982056768 | Luke Harbers | Physician Assistant | 6226 Bankers Rd Ste 11, Mount Pleasant, WI 53403-9799 | 2016-07-06 |
| 1093085664 | Abraham David Pacheco | Physician Assistant | 3246 S 35th St, Milwaukee, WI 53215-4156 | 2012-01-12 |
| 1346577954 | Darren Rosser | Physician Assistant | 2931 S 108th St, West Allis, WI 53227-3519 | 2009-11-03 |
| 1033359401 | Matthew S. Bay | Physician Assistant | 1818 N. Meade St Suite 240 West, Fox Valley Surgical Associates, Appleton, WI 54911-3496 | 2009-02-25 |
| 1265657068 | Surgical and Rehab Services Inc | Physician Assistant | E4051 Steven Way, Spring Green, WI 53588-9271 | 2007-04-16 |
| 1992844385 | Jill Ann Schumacher | Physician Assistant | 2265 90th St, Eau Claire, WI 54703-0181 | 2007-02-05 |
| 1609915073 | Brian Felix Robinson | Physician Assistant | S725 Turner Valley Rd, Mondovi, WI 54755-8331 | 2007-02-05 |
| 1124176383 | William Henry Price | Physician Assistant | 4819 5th Ave, Unit 2, Kenosha, WI 53140-2924 | 2007-01-06 |
| 1619032919 | Michael R Depew | Physician Assistant | 1650 S. 41st St., Lakeshore Orthopedics, Manitowoc, WI 54220 | 2006-12-27 |
| Find all providers with the same taxonomy | ||||
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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.