STACY L VANDENPUT (NPI# 1316208044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316208044 |
| Entity Type | Individual |
| Full Name | STACY L VANDENPUT |
| Credential | CPM LICENSED MIDWIFE |
| Practice Address |
1638 Deckner Ave Apartment One Green Bay WI 54302-2640 |
| Practice Telephone | 9205629058 |
| Mailing Telephone | 9205629058 |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2016-10-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers | ||
| Y | 176B00000X | Midwife | 31-049 | WI | Other Service Providers |
| N | 174N00000X | Lactation Consultant, Non-RN | Other Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| N | 174H00000X | Health Educator | Other Service Providers | ||
| N | 374J00000X | Doula | Nursing Service Related Providers |
| Street Address |
1638 DECKNER AVE APARTMENT ONE |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54302-2640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255505525 | Country Midwife LLC | Registered Nurse | 1638 Deckner Ave, Suite A, Green Bay, WI 54302-2640 | 2008-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659721371 | Carissa Marie Sawicki | Counselor | 1234 Main Street, Suite 21, 3rd Floor, Green Bay, WI 54302 | 2016-06-14 |
| 1891181459 | Shannon Rae Mullins | Registered Nurse | 2254 Imperial Ln, Green Bay, WI 54302 | 2015-04-10 |
| 1346667045 | David Howard Jadin | Dentist | 1245 Main St, Green Bay, WI 54302 | 2014-03-20 |
| 1407003577 | Abby Baumgart | Counselor | 1234-21 Main St, Green Bay, WI 54302 | 2008-08-20 |
| 1447441779 | Muller Eyecare Associates Ltd | Optometrist | 1776 E Mason St, Green Bay, WI 54302 | 2007-08-01 |
| 1851385231 | Bornemann Nursing Home Inc | Skilled Nursing Facility | 226 Bornemann St, Green Bay, WI 54302 | 2005-08-31 |
| 1194188706 | Familia Dental Green Bay LLC | Dentist | 1931 Main St., Green Bay, WI 54302 | 2016-03-31 |
| 1255710125 | Kim Lawrence | Social Worker | 1234 Main St., St 21, 3rd Floor, Green Bay, WI 54302 | 2015-05-26 |
| 1255464533 | John Muller | Optometrist | 1776 E Mason St, Green Bay, WI 54302 | 2007-03-14 |
| 1851622005 | Michael Andrew Larkey | Social Worker | 815 Reber St, Green Bay, WI 54302-1116 | 2010-01-27 |
| Find all providers in zip 54302 | ||||
| Taxonomy Code | 176B00000X |
| Grouping | Other Service Providers |
| Classification | Midwife |
| A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization. |
| Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851909832 | Gina Jimenez | Midwife | 1002 S Fisk St Ste 150, Green Bay, WI 54304-2277 | 2020-07-16 |
| 1881155463 | Amber Micolichek | Midwife | 823 Elmore St, Green Bay, WI 54303-3571 | 2019-03-27 |
| 1487012464 | Makayla Jean Giesler-dagwer | Midwife | 2190 Daly Dr, Green Bay, WI 54311-4411 | 2016-02-04 |
| 1407189285 | Kathryn M. Stam | Midwife | 2605 S Oneida St Ste 107, Green Bay, WI 54304-5331 | 2009-09-11 |
| 1871011569 | Molly Beth Hohol | Midwife | 720 S Van Buren St, Green Bay, WI 54301-3538 | 2017-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457969461 | Miranda Welch | Midwife | 2414 E Mifflin St, Madison, WI 53704-4965 | 2020-07-15 |
| 1528697638 | Sara A Stites | Midwife | 1285 21 3/4 St, Cameron, WI 54822-9714 | 2020-04-02 |
| 1780216945 | Peggy M Hammond | Midwife | N11541 Kratzke Rd, Clintonville, WI 54929-9070 | 2020-02-06 |
| 1225668635 | Lucky J Tomaszek | Midwife | 1815 Hogeboom Ave, Eau Claire, WI 54701-4354 | 2020-01-24 |
| 1578114385 | Nichole Baumbach | Midwife | 1114 Pauline Ave, Madison, WI 53705-1353 | 2019-09-23 |
| 1366007080 | Emily Allen | Midwife | 817 Well St, Onalaska, WI 54650-2651 | 2019-05-08 |
| 1861965451 | Stateline Midwives, LLC | Midwife | 8009 Antioch Rd, Salem, WI 53168-9525 | 2019-01-07 |
| 1780150284 | Whitney Sanchez | Midwife | 2754 N Stowell Ave, Milwaukee, WI 53211-3772 | 2018-10-23 |
| 1891282752 | Valerie Oliver | Midwife | 211 W Capital Dr, Milwaukee, WI 53206 | 2018-04-17 |
| 1386148088 | Katherine Michelle Breitenmoser | Midwife | W6982 Joe Snow Rd, Merrill, WI 54452-9710 | 2018-03-19 |
| 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.