MS. KIMBERLY SHAFFNER (NPI# 1275003394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275003394 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY SHAFFNER |
| Other Name | MRS. KIMBERLY REIGLE |
| Credential | FNP-BC |
| Practice Address |
4536 22nd Avenue Kenosha WI 53140 |
| Mailing Address |
4536 22nd Ave Kenosha WI 53140-5917 |
| Practice Telephone | 2626560044 |
| Mailing Telephone | 2626560044 |
| Enumeration Date | 2018-12-01 |
| Last Update Date | 2018-12-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 8726-33 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
4536 22ND AVENUE |
| City | KENOSHA |
| State | WI |
| Zip Code | 53140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225663396 | Lydia Zopf | Counselor | 2001 Alford Park Dr., Carthage College, Kenosha, WI 53140 | 2020-03-09 |
| 1952949406 | Rotate Rehabilitation and Performance | Physical Therapist | 5606 6th Avenue Suite Ll9, Kenosha, WI 53140 | 2019-12-16 |
| 1134778590 | Brenda Chiapetta | Registered Nurse | 3233 23rd Ave, Kenosha, WI 53140 | 2019-09-09 |
| 1659863389 | Bart L Mengo | Contractor | 1715 60th Street, Kenosha, WI 53140 | 2018-05-30 |
| 1093182941 | Guided Wellness Counseling | Community/Behavioral Health | 1112 56th St, Kenosha, WI 53140 | 2015-08-26 |
| 1376970764 | Stacey L Andersen | Acupuncturist | 5603 7th Ave, Kenosha, WI 53140 | 2013-10-01 |
| 1841467438 | Deborah Schwerdtfeger | Occupational Therapy Assistant | 3415 Sheridan Road, Woodstock Rehab Dept, Kenosha, WI 53140 | 2008-05-13 |
| 1942492020 | Rebecca Ann Burdette | Counselor | 920 60th Street, Renosha, WI 53140 | 2007-08-13 |
| 1851598619 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 2707 15th Place, Kenosha, WI 53140 | 2007-06-27 |
| 1740326370 | Paul Michael Defazio | Social Worker | 3734 7th Avenue, Suite 24, Kenosha, WI 53140 | 2007-01-30 |
| Find all providers in zip 53140 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770789489 | Kenosha Community Health Center, Inc | Family Medicine | 6226 14th Ave, Kenosha, WI 53143 | 2007-06-21 |
| 1578611703 | Anita I. Inveiss, M.d., S.c. | Family Medicine | 3618 8th Ave, Suite 12, Kenosha, WI 53140-2576 | 2007-01-05 |
| 1568523389 | Timothy Michael Hubbard | Family Medicine | 4400 Sheridan Rd, Kenosha, WI 53140-5747 | 2006-12-13 |
| 1417018656 | Alan Bart Cameron Sr. | Family Medicine | 5012 4th Ave, Kenosha, WI 53140-2902 | 2006-12-12 |
| 1477660744 | James M Santarelli | Family Medicine | 2707 15th Pl, Kenosha, WI 53140-4947 | 2006-08-24 |
| 1689620072 | Leonardo Montemurro Sr. | Family Medicine | 6121 Green Bay Rd Ste 100, Kenosha, WI 53142-2931 | 2006-05-26 |
| 1386608677 | Stephen P Feuerbach | Family Medicine | 5923 Green Bay Rd, Kenosha, WI 53144-3737 | 2006-04-13 |
| 1306833686 | Abdul Ghaffar Durrani | Family Medicine | 4824 Green Bay Road, Kenosha, WI 53144-1789 | 2005-10-03 |
| 1386631661 | Jawaid Quddus | Family Medicine | 6123 Green Bay Road, Suite 120, Kenosha, WI 53142-2927 | 2005-10-03 |
| 1275527285 | Kimberly A Shoenbill | Family Medicine | 7322 7th Ave, Kenosha, WI 53143-5556 | 2005-09-06 |
| Find all providers in KENOSHA | ||||
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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.