MR. CHRIS EDWIN ANIBAL (NPI# 1316263569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316263569 |
| Entity Type | Individual |
| Full Name | MR. CHRIS EDWIN ANIBAL |
| Credential | RN FNP |
| Practice Address |
744 South Webster Avenue Green Bay WI 54305-3500 |
| Mailing Address |
Po Box 22487 Green Bay WI 54305-2487 |
| Practice Telephone | 9204333500 |
| Mailing Telephone | 9204457226 |
| Mailing Fax Number | 9204457229 |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2018-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4931-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
R 186591-4 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MN LICENSE | R 186591-4 | 01 |
| Street Address |
744 SOUTH WEBSTER AVENUE |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54305-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326213976 | Sheila K Gohr | Counselor | 2945 Shawano Avenue, Green Bay, WI 54305 | 2008-04-24 |
| 1609203504 | Claire Mary Spahn | Pharmacist | 300 Pasteur Dr, Rm H0301, M/c 5616, Stanford, CA 54305 | 2013-10-09 |
| 1679667109 | Bel-regional Home Medical Inc | Pharmacy | 744 S Webster Ave, Green Bay, WI 54305 | 2006-10-02 |
| 1417006370 | Lori Warchol | Social Worker | 300 Crooks Street, Green Bay, WI 54305-2308 | 2007-01-09 |
| 1952487183 | Mary Meier | Case Manager/Care Coordinator | 300 Crooks Street, Green Bay, WI 54305-2308 | 2006-10-31 |
| 1245326172 | James V Drake | Social Worker | 300 Crooks Street, Green Bay, WI 54305-2308 | 2006-10-05 |
| 1194811034 | Susan L Jungen | Psychologist | 300 Crooks Street, Green Bay, WI 54305-2308 | 2006-10-05 |
| 1942396866 | John Peter Nemick | Social Worker | 300 Crooks Street, Green Bay, WI 54305-2308 | 2006-10-05 |
| 1891881728 | Susan Lockwood | Social Worker | 300 Crooks Street, Green Bay, WI 54305-2308 | 2006-10-05 |
| 1053406256 | Murray D Johnson | Social Worker | 300 Crooks Street, Green Bay, WI 54305-2308 | 2006-10-04 |
| Find all providers in zip 54305 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194353763 | Tiffany Dahlke | Nurse Practitioner | 2427 Bluestone Pl, Green Bay, WI 54311-6433 | 2020-03-30 |
| 1285121707 | Deanna Danelle Olk | Nurse Practitioner | 917 Lincoln St, Green Bay, WI 54303-3625 | 2018-04-19 |
| 1306221619 | Karen M Kroll | Nurse Practitioner | 1630 Commanche Ave Ste 102, Green Bay, WI 54313-5753 | 2015-07-28 |
| 1770968760 | Esmaeil Ben Kamali | Nurse Practitioner | 725 S Webster Ave Ste 201, Green Bay, WI 54301-3500 | 2015-07-20 |
| 1427338730 | Natasha M Koehler | Nurse Practitioner | 2749 E Carrera Ct, Green Bay, WI 54311-7278 | 2011-08-18 |
| 1780982397 | Seth Patrick Moore | Nurse Practitioner | 879 Mather St, Green Bay, WI 54303-3651 | 2011-03-06 |
| 1184956864 | Douglas A Bartelt | Nurse Practitioner | 464 Cardinal Lane, Green Bay, WI 54313-9569 | 2010-02-05 |
| 1750504916 | Heather Mary Weber | Nurse Practitioner | 622 Bodart St, Green Bay, WI 54301 | 2007-04-10 |
| 1346314937 | Denise Mary Brilliant | Nurse Practitioner | 2340 E Mason St, Green Bay, WI 54302-3746 | 2006-11-17 |
| 1710902887 | Kara Jean Rottier | Nurse Practitioner | 923 Eliza St, Green Bay, WI 54301-3234 | 2006-07-12 |
| Find all providers in GREEN BAY | ||||
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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.