KAREN KOMORNICKA (NPI# 1235126822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235126822 |
| Entity Type | Individual |
| Full Name | KAREN KOMORNICKA |
| Credential | RN, NP |
| Practice Address |
8520 W Oklahoma Ave Milwaukee WI 53227-4604 |
| Mailing Address |
3023 S 84th St Milwaukee WI 53227-3703 |
| Practice Telephone | 4146074100 |
| Practice Fax Number | 4146074502 |
| Mailing Telephone | 4146074100 |
| Mailing Fax Number | 4146074502 |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2015-12-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 102451 | WI | Nursing Service Providers |
| N | 163WC1600X |
Registered Nurse Specialization: Continuing Education/Staff Development |
102451 | WI | Nursing Service Providers |
| N | 163WC2100X |
Registered Nurse Specialization: Continence Care |
102451 | WI | Nursing Service Providers |
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
102451 | WI | Nursing Service Providers |
| N | 163WG0600X |
Registered Nurse Specialization: Gerontology |
102451 | WI | Nursing Service Providers |
| N | 163WW0000X |
Registered Nurse Specialization: Wound Care |
102451 | WI | Nursing Service Providers |
| N | 163WX1500X |
Registered Nurse Specialization: Ostomy Care |
102451 | WI | Nursing Service Providers |
| N | 363L00000X | Nurse Practitioner | 799 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
799 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
799 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
799 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SL0600X |
Clinical Nurse Specialist Specialization: Long-Term Care |
799 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | STATE LICENSE RN | 102451 | 01 |
| WI | STATE LICENSE NP | 799 | 01 |
| WI | DEA NUMBER | MK0271926 | 01 |
| Street Address |
8520 W OKLAHOMA AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53227-4604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548257124 | Paul Hankwitz | Family Medicine | 8520 W Oklahoma Ave, Milwaukee, WI 53227-4604 | 2005-09-29 |
| 1518261510 | Zaw Moe Aung | Internal Medicine | 8520 W Oklahoma Ave, Milwaukee, WI 53227-4604 | 2011-01-05 |
| 1720305758 | Ashley Scholtz | Physical Therapist | 8520 W Oklahoma Ave, Milwaukee, WI 53227-4604 | 2010-04-30 |
| 1346472255 | Gretchen Knight | Physical Therapist | 8520 W Oklahoma Ave, Milwaukee, WI 53227-4604 | 2009-08-12 |
| 1215169180 | Nicole Lynn Zganjar | Occupational Therapy Assistant | 8520 W Oklahoma Ave, Milwaukee, WI 53227-4604 | 2009-08-11 |
| 1336399880 | John F Kuglitsch | Internal Medicine | 8520 W Oklahoma Ave, Milwaukee, WI 53227-4604 | 2008-09-22 |
| 1972762979 | Alina M Petculescu | Internal Medicine | 8520 W Oklahoma Ave, Milwaukee, WI 53227-4604 | 2008-06-04 |
| 1124291653 | Dean Freeland | Physical Therapist | 8520 W Oklahoma Ave, Milwaukee, WI 53227-4604 | 2008-04-04 |
| 1962672436 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 8520 W Oklahoma Ave, Milwaukee, WI 53227-4604 | 2008-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205451564 | Ginger Renee Bland | Nurse Practitioner | 11133 W. National Avenue, West Allis, WI 53227 | 2020-06-12 |
| 1003312141 | Dynamic Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 10236 W National Ave, West Allis, WI 53227 | 2018-04-05 |
| 1932572641 | Alissa Kristine Walker | Specialist/Technologist | 11601 W Lincoln Ave, West Allis, WI 53227 | 2015-11-03 |
| 1396155990 | Bradly Earl Helinski | Physical Therapy Assistant | 3023 S 84th St., Milwaukee, WI 53227 | 2014-05-05 |
| 1609299783 | Amy Renee Rozumalski | Occupational Therapy Assistant | 10150 W. National Ave, Suite 150, Premiere Medical Staffing Services, LLC, Milwaukee, WI 53227 | 2014-01-27 |
| 1497098438 | Kathleen Marie Schneider | Physical Therapy Assistant | 3023 S. 84th Street, Milwaukee, WI 53227 | 2013-03-28 |
| 1760723373 | Lee Ann Schraith | Physical Therapy Assistant | 3023 S. 84th St, Milwaukee, WI 53227 | 2013-03-06 |
| 1740520725 | Samantha Lynn Wozniak | Physical Therapist | 3023 S. 84th St., Milwaukee, WI 53227 | 2013-02-27 |
| 1831434901 | Andrew Paul Roeder | Physical Therapy Assistant | 3023 S. 89th Street, Milwaukee, WI 53227 | 2012-11-30 |
| 1538418116 | Christine Wilford | Social Worker | 2044 S 96th Street, West Allis, WI 53227 | 2012-08-29 |
| Find all providers in zip 53227 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203857 | Tiera Manuel | Nurse Practitioner | 3956 N 28th St, Milwaukee, WI 53216-2637 | 2020-10-22 |
| 1801494778 | Tajana Jovicic | Nurse Practitioner | 3157 S 66th St, Milwaukee, WI 53219-4105 | 2020-10-13 |
| 1093320459 | Tyronda T Gray | Nurse Practitioner | 5833 N 117th St, Milwaukee, WI 53225-2207 | 2020-09-12 |
| 1861005837 | Clair Roser Rivera | Nurse Practitioner | 3734 W Ohio Ave, Milwaukee, WI 53215-4047 | 2020-08-28 |
| 1760003909 | Mary Esson | Nurse Practitioner | 100 N 75th St, Milwaukee, WI 53213-3516 | 2020-04-28 |
| 1487297271 | Mackenna Leslie Hill | Nurse Practitioner | 11002 W Park Pl, Milwaukee, WI 53224-3615 | 2019-10-24 |
| 1093276040 | Danielle L Laczniak | Nurse Practitioner | 3070 N 51st St Fl 6, Milwaukee, WI 53210-1645 | 2019-03-30 |
| 1871066506 | Lisa Ann Parker | Nurse Practitioner | 3237 S 16th St # 208, Milwaukee, WI 53215-4526 | 2019-01-04 |
| 1467922948 | Gretchen Louise Grencer-liegel | Nurse Practitioner | 1555 N Rivercenter Dr Ste 205, Milwaukee, WI 53212-3958 | 2018-11-28 |
| 1871074385 | Mary Teresa Falk | Nurse Practitioner | 2350 N Lake Dr Ste 306, Milwaukee, WI 53211-4528 | 2018-08-23 |
| Find all providers in MILWAUKEE | ||||
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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.