MISS KYA LEE WELLNITZ (NPI# 1306369848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306369848 |
| Entity Type | Individual |
| Full Name | MISS KYA LEE WELLNITZ |
| Credential | LPN |
| Practice Address |
299 Sweet Grass Dr Sun Prairie WI 53590-3468 |
| Mailing Address |
N2860 Mode Ln Fort Atkinson WI 53538-8820 |
| Practice Telephone | 6088254474 |
| Mailing Telephone | 9203970791 |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2017-07-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 164W00000X | Licensed Practical Nurse | 32171431 | WI | Nursing Service Providers |
| Y | 164W00000X | Licensed Practical Nurse | 321714-31 | WI | Nursing Service Providers |
| Street Address |
299 SWEET GRASS DR |
| City | SUN PRAIRIE |
| State | WI |
| Zip Code | 53590-3468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841252376 | Janet A Buzzell | Registered Nurse | 299 Sweet Grass Dr, Sun Prairie, WI 53590-3468 | 2006-04-02 |
| 1023526779 | Aimee Jill Schroeder | Registered Nurse | 299 Sweet Grass Dr, Sun Prairie, WI 53590-3468 | 2018-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194280529 | Kasi Lucas Schroeder | Chiropractor | 110 N Grand Ave, Suite 4, Sun Prairie, WI 53590 | 2019-02-11 |
| 1770053712 | Jamie Engstrom | Psychologist | 3061 Pleasant St, 216, Sun Prairie, WI 53590 | 2018-12-03 |
| 1154837433 | Wisconsin Dental Health, LLC | Dentist | 390 S. Grand Ave, Suite#110, Sun Prairie, WI 53590 | 2017-12-21 |
| 1669981676 | Elizabeth M Gregg | Counselor | 1170 N Bird St, Sun Prairie, WI 53590 | 2017-09-21 |
| 1609298595 | Prairie Lakes Dental | Dentist | 2804 Prairie Lakes Drive, Sun Prairie, WI 53590 | 2014-01-10 |
| 1407297559 | Quality Medical Rides LLC | Non-emergency Medical Transport (VAN) | 2907 Vang Rd, Sun Prairie, WI 53590 | 2013-07-17 |
| 1376892851 | Costco Wholesale Corporation | Pharmacy | 2850 Hoepker Rd, Sun Prairie, WI 53590 | 2012-08-30 |
| 1043454234 | Dean Lewis Drake | Registered Nurse | 7281 County Rd V. V., Sun Prairie, WI 53590 | 2009-05-01 |
| 1679728992 | Dianne Mary Mayr | Registered Nurse | 3181 Nature Dr, Conservancy States Ln, Sun Prairie, WI 53590 | 2008-12-01 |
| 1043462021 | Crown Point Village, LLC | Assisted Living Facility | 881 Liberty Boulevard, Sun Prairie, WI 53590 | 2008-10-21 |
| Find all providers in zip 53590 | ||||
| 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 |
|---|---|---|---|---|
| 1861019952 | Tasha Harris | Licensed Practical Nurse | 1238 Sunfield St, Sun Prairie, WI 53590-2740 | 2020-07-06 |
| 1386146223 | Tamara Lynn Hull | Licensed Practical Nurse | 3072 Providence St, Sun Prairie, WI 53590-4585 | 2018-03-07 |
| 1790104776 | Beatrice Nyamusi Zok Sr. | Licensed Practical Nurse | 340 Concord Dr, Sun Prairie, WI 53590-1704 | 2014-04-07 |
| 1205268828 | April Marie Stalsberg | Licensed Practical Nurse | 1012 Park Cir, Sun Prairie, WI 53590-3162 | 2013-08-06 |
| 1467759787 | Victoria Lachapelle | Licensed Practical Nurse | 3052 Providence St, Sun Prairie, WI 53590-4585 | 2011-02-23 |
| 1114242773 | Christeena Wave Rita Evans | Licensed Practical Nurse | 1135 Liberty Blvd, Sun Prairie, WI 53590-4407 | 2010-04-06 |
| 1053636696 | Karen J Krueger | Licensed Practical Nurse | 2857 Happy Valley Rd, Sun Prairie, WI 53590-9432 | 2010-04-06 |
| 1750556247 | Lamin Kolley | Licensed Practical Nurse | 310 Park Cir, Sun Prairie, WI 53590-3136 | 2008-04-25 |
| 1851581904 | Sharon L. Leonard | Licensed Practical Nurse | 6790 Moon Light Cir, Sun Prairie, WI 53590-9112 | 2007-07-25 |
| 1689714396 | Kathleen Lousie Packard | Licensed Practical Nurse | 2780 Torbleau Rd, Sun Prairie, WI 53590-9700 | 2007-02-08 |
| Find all providers in SUN PRAIRIE | ||||
| City | SUN PRAIRIE |
| Zip Code | 53590 |
Please comment or provide details below to improve the information on MISS KYA LEE WELLNITZ.
| 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.