DEBRA KNISBECK


Address: 626 Foxtail Dr, Hartford, WI 53027-2743
Phone: 2622244649

DEBRA KNISBECK (NPI# 1285083139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285083139
Entity Type Individual
Full Name DEBRA KNISBECK
Credential NURSE PRACTITONER
Practice Address 626 Foxtail Dr
Hartford
WI 53027-2743
Practice Telephone 2622244649
Mailing Telephone 2622244649
Enumeration Date 2016-06-10
Last Update Date 2016-06-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 6991-33 WI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI STATE OF WISCONSIN 6991-33 01

Office Location

Street Address 626 FOXTAIL DR
City HARTFORD
State WI
Zip Code 53027-2743

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1881927713 Ross Timothy Koehler Specialist/Technologist 1900 W Sumner St, Hartford, WI 53027 2009-09-10
1518130004 Kamalpreet Dulai Family Medicine 110 Lone Oak Lane, Hartford, WI 53027 2008-04-07
1679775688 Kelly M Schroeder Physical Therapist 1640 E. Sumner Street, Hartford, WI 53027 2007-06-01
1871794453 Sandra Ann Weber Registered Nurse 4815 North Merton Drive, Hartford, WI 53027 2007-05-30
1306051743 Agnes P Dietenberger Physical Therapy Assistant 1640 E. Sumner St., Hartford, WI 53027 2007-05-11
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275168478 Laverne Sharisse Watts Nurse Practitioner 37 Alden St Apt L, Hartford, CT 06114-1018 2020-03-08
1285164111 Sarah Elaine Yiznitsky Nurse Practitioner 2550 Main St Ste 205, Hartford, CT 06120-1936 2017-06-13
1821327958 Susan Chmael Nurse Practitioner Gray Cancer Ctr, 85 Retreat Ave, Hartford, CT 06160-0001 2009-12-21
1861726291 Anne N Ntate Nurse Practitioner 410 Capitol Ave, Hartford, CT 06106-1367 2009-10-02
1669649588 Elizabeth H Anderson Nurse Practitioner 67 Brownell Ave, Hartford, CT 06106-3302 2008-05-09
1417135195 Ling Li Nurse Practitioner 3580 Main Street, Hartford, CT 06120 2008-02-05
1558429944 Jean B Stielau Nurse Practitioner 85 Seymour St Ste 409, Hartford, CT 06106-5523 2006-12-05
1750315610 Marie D'onofrio Nurse Practitioner 450 Columbus Blvd, Hartford, CT 06103-1801 2006-07-10
1487690418 Karrie L Ellis Nurse Practitioner 1680 Albany Ave, Hartford, CT 06105 2006-06-20
1083220362 Laurie Jean Deciantis Nurse Practitioner 114 Woodland Ave, Hartford, CT 06105 2020-09-22
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Competitor

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City HARTFORD
Zip Code 53027

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Dataset Information

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.

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