MRS. JODY LUECK (NPI# 1306286612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306286612 |
| Entity Type | Individual |
| Full Name | MRS. JODY LUECK |
| Credential | LPN |
| Practice Address |
520 N Hickory St Fond Du Lac WI 54937-1846 |
| Practice Telephone | 9209794154 |
| Mailing Telephone | 9209794154 |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2013-07-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 304384-31 | WI | Nursing Service Providers |
| Street Address |
520 N HICKORY ST |
| City | FOND DU LAC |
| State | WI |
| Zip Code | 54937-1846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710523774 | Lisa Diane Brown | Social Worker | W3950 Wi-23 Trunk, Fond Du Lac, WI 54937 | 2019-11-25 |
| 1538700083 | Kristine Karpen | Technician | 1812 Thurke Ave, North Fond Du Lac, WI 54937 | 2019-10-07 |
| 1962719245 | James Hugh Rupple | Ophthalmology | W4410 Mary Hill Park, Fond Du Lac, WI 54937 | 2010-09-08 |
| 1467591131 | Rosonna Sue Comers | Social Worker | N6687 Wrightway Dr, Ste D, Fond Du Lac, WI 54937 | 2007-02-06 |
| 1487731741 | Daniel James Kierstead | Optometrist | 377 N Rollings Meadows Dr, Fond Du Lac, WI 54937 | 2006-11-01 |
| 1528519758 | Betty Xiong | Physician Assistant | 210 Wisconsin American Dr, Fond Du Lac, WI 54937 | 2016-10-24 |
| 1598112963 | Jennifer M Halbach | Nurse Practitioner | 210 Wisconsin American Dr, Fond Du Lac, WI 54937 | 2016-05-16 |
| 1548667231 | Tanya Watry | Physician Assistant | 210 Wisconsin American Dr, Fond Du Lac, WI 54937 | 2014-11-25 |
| 1578813606 | Joline Brotzman | Nurse Practitioner | 700 Park Ridge Ln, North Fond Du Lac, WI 54937 | 2012-09-17 |
| 1306085998 | Forefront Dermatology, S.c. | Dermatology | 111 Wisconsin American Dr, Fond Du Lac, WI 54937 | 2009-02-05 |
| Find all providers in zip 54937 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841798170 | Lonie Louise Dahl | Licensed Practical Nurse | 472 Bragg St, Fond Du Lac, WI 54935-3979 | 2018-02-01 |
| 1598272809 | Ellen Wendlandt | Licensed Practical Nurse | 557 Drury Pl, Fond Du Lac, WI 54935-4721 | 2018-01-08 |
| 1427576149 | Karla K Teetzen | Licensed Practical Nurse | N6335 Colonial Dr, Fond Du Lac, WI 54937-7383 | 2017-09-01 |
| 1497296784 | Kristi Murphy | Licensed Practical Nurse | 567 Prairie Ave, Fond Du Lac, WI 54935-4533 | 2017-03-20 |
| 1255773917 | Judy Carolyn Marschall | Licensed Practical Nurse | 89 Aurora Ln, Fond Du Lac, WI 54935-2855 | 2013-07-23 |
| 1639519226 | Yvette Marie Moore | Licensed Practical Nurse | 42 S Gould St, Fond Du Lac, WI 54935-4060 | 2013-06-27 |
| 1619143757 | Kathleen Ann Lorenz | Licensed Practical Nurse | 88 East 11th Street, Fond Du Lac, WI 54935-5059 | 2008-05-07 |
| 1922270636 | Vanessa Forqurean | Licensed Practical Nurse | 38 Algoma St, Fond Du Lac, WI 54935-3602 | 2008-04-02 |
| 1104953348 | Mary Kassel | Licensed Practical Nurse | 296 N Military Rd, Fond Du Lac, WI 54935-2264 | 2007-02-27 |
| 1124576855 | Valerie Turpin | Licensed Practical Nurse | 23 W Scott St, Fond Du Lac, WI 54935-2342 | 2016-09-12 |
| Find all providers in FOND DU LAC | ||||
| City | FOND DU LAC |
| Zip Code | 54937 |
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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.