JESSICA WASSER (NPI# 1336546175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336546175 |
| Entity Type | Individual |
| Full Name | JESSICA WASSER |
| Practice Address |
942 Clover St Lake Geneva WI 53147-1014 |
| Mailing Address |
942 Clover Street Lake Geneva WI 53147 |
| Practice Telephone | 2629031138 |
| Mailing Telephone | 2629031138 |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2014-11-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
942 CLOVER ST |
| City | LAKE GENEVA |
| State | WI |
| Zip Code | 53147-1014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356951206 | Emily Tanis | Physical Therapist | 6722 Wi-50, Lake Geneva, WI 53147 | 2020-08-05 |
| 1588295653 | Baylee M Noe | Occupational Therapy Assistant | Sage Meadow of Lake Geneva 6722 Wi-50, Lake Geneva, WI 53147 | 2020-01-28 |
| 1124539556 | Roxanne Weber | Registered Nurse | 146 E. Geneva Square, Lake Geneva, WI 53147 | 2017-10-12 |
| 1386969400 | Emily Kathleen Wilczak | Surgery | N2950 Wi-67, Lake Geneva, WI 53147 | 2010-03-31 |
| 1538294020 | Dale Alan Miller | Pharmacist | 2950 St. Hwy. 67, Lake Geneva, WI 53147 | 2007-02-23 |
| 1689779902 | Balistreri & Associates Physical Therapy | Physical Therapist | 902 Wells Street, Lake Geneva, WI 53147 | 2006-09-13 |
| 1336157981 | Nestor C Alabarca | Internal Medicine | 146 E Geneva Square, Lake Geneva, WI 53147 | 2006-08-03 |
| 1144259375 | Kim M. Cuculi | Occupational Therapist | 800 Geneva Pkwy N Ste 3, Lake Geneva, WI 53147 | 2006-07-01 |
| 1396253571 | Amar Y. Patel | Family Medicine | 146 E Geneva Sq, Lake Geneva, WI 53147 | 2018-01-22 |
| 1679017925 | Christina L. Clancy | Nurse Practitioner | 146 E Geneva Sq, Lake Geneva, WI 53147 | 2016-12-06 |
| Find all providers in zip 53147 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447639802 | Advanced Movement Studio, LLC | Rehabilitation Practitioner | 101 W Edison Ave, Suite 110, Appleton, WI 54915-1367 | 2015-05-19 |
| 1417342726 | Ari Maxwell Stone | Rehabilitation Practitioner | 3615 N Humboldt Blvd, Apt. 2, Milwaukee, WI 53212-1740 | 2015-04-02 |
| 1932598497 | Katherine Schuller | Rehabilitation Practitioner | 3465 N Oakland Ave, Milwaukee, WI 53211-2824 | 2015-01-21 |
| 1548666498 | Samantha Marie Humphreys | Rehabilitation Practitioner | 3270 N Newhall St, Milwaukee, WI 53211-3042 | 2014-11-04 |
| 1356865836 | Emily Annette Lewis | Rehabilitation Practitioner | 7517 West Cold Spring Road, Greenfield Rehabilitation Agency, Greenfield, WI 53220-2814 | 2017-07-27 |
| 1255880035 | Nicole Heiliger | Rehabilitation Practitioner | 202 S Park St, Madison, WI 53715-1507 | 2016-09-22 |
| 1396104287 | Cecily Conard | Rehabilitation Practitioner | 2222 S 114th St, West Allis, WI 53227-1031 | 2016-02-19 |
| 1912366121 | Matthew Francisco Martinez | Rehabilitation Practitioner | 2222 S 114th St, West Allis, WI 53227-1031 | 2016-02-16 |
| 1700244225 | Ericka Hawke | Rehabilitation Practitioner | 2222 S 114th St, West Allis, WI 53227-1031 | 2016-01-29 |
| 1184099640 | Andrea Cappelli | Rehabilitation Practitioner | 2222 S 114th St, West Allis, WI 53227-1031 | 2015-12-09 |
| Find all providers with the same taxonomy | ||||
| City | LAKE GENEVA |
| Zip Code | 53147 |
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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.