KRISTIN KNOTT (NPI# 1235634510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235634510 |
| Entity Type | Individual |
| Full Name | KRISTIN KNOTT |
| Practice Address |
5471 W Waterford Ln Appleton WI 54913-8510 |
| Mailing Address |
5337 W Grande Market Dr Appleton WI 54913-8442 |
| Practice Telephone | 9207317445 |
| Mailing Telephone | 9207317445 |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2018-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
5602142 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
5471 W WATERFORD LN |
| City | APPLETON |
| State | WI |
| Zip Code | 54913-8510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215921127 | Karen W Beutler | Family Medicine | 5471 W Waterford Ln, Appleton, WI 54913-8510 | 2005-09-07 |
| 1013362631 | Brittany Goodrich-braun | Family Medicine | 5471 W Waterford Ln, Appleton, WI 54913 | 2016-05-02 |
| 1750796488 | Kelly Thomack | Counselor | 5471 W Waterford Ln, Appleton, WI 54913-8510 | 2014-06-20 |
| 1730452400 | Susan Haydar | Psychologist | 5471 W Waterford Ln, Appleton, WI 54913-8510 | 2012-02-10 |
| 1902002371 | Kristal Kay Wichman | Social Worker | 5471 W Waterford Ln, Appleton, WI 54913-8510 | 2007-06-22 |
| 1558423517 | Joanne M Stephany | Nurse Practitioner | 5471 W Waterford Ln, Appleton, WI 54913-8510 | 2006-12-15 |
| 1558308577 | Iris N Torres | Family Medicine | 5471 W Waterford Ln, Appleton, WI 54913-8510 | 2006-05-31 |
| 1962496760 | Jose M Leiva | Family Medicine | 5471 W Waterford Ln, Appleton, WI 54913-8510 | 2005-09-07 |
| 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 | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295154144 | Anna Moreland | Radiology | 424 E Pacific St, Appleton, WI 54911-5069 | 2014-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184845133 | Meghan Galvin Lubner | Radiology | E3 342 Clinical Sciences Ctr, 600 Highland Ave, Madison, WI 53792-0001 | 2007-05-01 |
| 1073619623 | Philip Richard Albert | Radiology | 2705 Rib Mountain Way, Wausau, WI 54401-9291 | 2006-09-14 |
| 1003868811 | Mark Southard | Radiology | 900 W Clairmont Ave, Eau Claire, WI 54701 | 2006-05-17 |
| 1386601383 | Medical X-ray Consultants,ltd | Radiology | 900 West Clairemont Avenue, Eau Claire, WI 54701 | 2006-04-26 |
| 1386604346 | Albert Jerviss Alter Jr. | Radiology | 6701 Seybold Rd, Ste 204, Madison, WI 53719-1362 | 2006-03-24 |
| 1386264521 | Brian Joseph Eggener | Radiology | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-04-17 |
| 1033558143 | Sachin Shivaji Kumbhar | Radiology | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2013-06-21 |
| 1447697396 | Michael Tyler Babbitt | Radiology | 9200 W Wisconsin Ave, Milwaukee, WI 53226 | 2013-06-02 |
| 1245523216 | Elizabeth Vera Craig | Radiology | 2000 E Layton Ave, St Francis, WI 53235-6053 | 2011-05-24 |
| 1568769099 | Sharatchandra Subhaschandra Bidari | Radiology | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2011-02-18 |
| 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.