KATELYN WENDT (NPI# 1346848132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346848132 |
Entity Type | Individual |
Full Name | KATELYN WENDT |
Credential | DNP, FNP-BC |
Practice Address |
105 S Madison St Evansville WI 53536-1365 |
Practice Telephone | 6082909356 |
Mailing Telephone | 6082909356 |
Enumeration Date | 2020-10-13 |
Last Update Date | 2020-10-13 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 224428 | WI | Nursing Service Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
10278 | WI | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | REGISTERED NURSE LICENSE | 224428 | 01 |
WI | ADVANCED PRACTICE NURSE PRESCRIBER LICENSE | 10278 | 01 |
Street Address |
105 S MADISON ST |
City | EVANSVILLE |
State | WI |
Zip Code | 53536-1365 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851817787 | Tammy Ann Reed | Physical Therapy Assistant | 470 Garfield Avenue, Evansville, WI 53536 | 2017-08-22 |
1396291522 | Quadmed LLC | Clinic/Center | 101 County Highway M, Evansville, WI 53536 | 2016-08-28 |
1821221649 | Jeff Richards | Chiropractor | 825 Brown School Road, Evansville, WI 53536 | 2009-08-27 |
1336278522 | Emily Peterson | Physical Therapist | 811 Brown School Road, Evansville, WI 53536 | 2007-03-05 |
1609863794 | Evansville Manor, Inc. | Skilled Nursing Facility | 470 Garfield Ave, Evansville, WI 53536-1014 | 2005-10-04 |
1356852958 | Evm Operations LLC | Skilled Nursing Facility | 470 Garfield Ave, Evansville, WI 53536-1014 | 2017-10-23 |
1487172193 | Samantha Rae Arnold | Occupational Therapist | 470 Garfield Ave, Evansville, WI 53536-1014 | 2017-09-01 |
1730605247 | Karmen Lee Maag | Occupational Therapy Assistant | 470 Garfield Ave, Evansville, WI 53536-1014 | 2017-08-16 |
1700218724 | Kim Ellen Kline | Physical Therapy Assistant | 470 Garfield Ave, Evansville, WI 53536-1014 | 2013-08-01 |
1497029995 | Kathryn Ann Dauwalter | Occupational Therapist | 470 Garfield Ave, Evansville, WI 53536-1014 | 2012-02-29 |
Find all providers in zip 53536 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235763079 | Kandi M Weber | Nurse Practitioner | 4972 Lincoln Ave # Suits101, Evansville, IN 47715-7909 | 2020-03-02 |
1376195578 | Brittany Martin | Nurse Practitioner | 801 Saint Marys Dr Ste 505, Evansville, IN 47714-0511 | 2019-07-09 |
1306316633 | Peighton's Place LLC | Nurse Practitioner | 12100 Highway 41 N Ste 1, Evansville, IN 47725-7032 | 2018-11-29 |
1629558481 | Lyndsey Hansen | Nurse Practitioner | 710 S Green River Rd Ste 1, Evansville, IN 47715-4104 | 2018-08-20 |
1609363852 | Megan Ann Armstrong | Nurse Practitioner | 100 S Rosenberger Ave Ste B400, Evansville, IN 47712 | 2018-04-13 |
1689171589 | Sara Gayle Fergus | Nurse Practitioner | 2330 Lynch Rd Ste 200, Evansville, IN 47711-2909 | 2018-04-09 |
1295243236 | Marina Lee Melton Mcwilliams | Nurse Practitioner | 3700 Washington Ave Ste 1100, Evansville, IN 47714-0541 | 2018-01-11 |
1043688187 | Ashly Williams | Nurse Practitioner | 727 John St, Evansville, IN 47713-2754 | 2015-09-06 |
1952704439 | Pennie Bell | Nurse Practitioner | 100 S Rosenberger Ave Ste A200, Evansville, IN 47712-6505 | 2014-09-29 |
1427483999 | Deanna Lynne Plummer | Nurse Practitioner | 4480 First Avenue, Evansville, IN 47710 | 2013-09-03 |
Find all providers in EVANSVILLE |
City | EVANSVILLE |
Zip Code | 53536 |
Please comment or provide details below to improve the information on KATELYN WENDT.
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.