KHAMAL MISRA (NPI# 1356816201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356816201 |
| Entity Type | Individual |
| Full Name | KHAMAL MISRA |
| Credential | RN, BSN MSN FNP-C |
| Practice Address |
3501 Cranberry Blvd Weston WI 54476-5213 |
| Mailing Address |
3052 Cates Ln Sw Rochester MN 55902-1655 |
| Practice Telephone | 7153931000 |
| Mailing Telephone | 5073583366 |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2018-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
03180726 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
F03180726 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3501 CRANBERRY BLVD |
| City | WESTON |
| State | WI |
| Zip Code | 54476-5213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972500718 | William J Moran | Otolaryngology | 3501 Cranberry Blvd, Weston, WI 54476-5213 | 2005-07-07 |
| 1356956015 | Stacey Lee Meyer | Nurse Practitioner | 3501 Cranberry Blvd, Weston, WI 54476-5213 | 2020-09-10 |
| 1992336655 | Mchs Hospitals, Inc. | Clinic/Center | 3501 Cranberry Blvd, Weston, WI 54476-5213 | 2020-01-31 |
| 1548804511 | Alyssa Anne Hovda | Dietitian, Registered | 3501 Cranberry Blvd, Weston, WI 54476-5213 | 2019-11-03 |
| 1144875824 | Rebecca Ann Kollross | Physician Assistant | 3501 Cranberry Blvd, Weston, WI 54476 | 2019-08-08 |
| 1891266060 | Laura Lauer | Nurse Practitioner | 3501 Cranberry Blvd, Weston, WI 54476-5213 | 2018-12-16 |
| 1164915971 | Crystal Farrand | Physician Assistant | 3501 Cranberry Blvd, Weston, WI 54476-5213 | 2018-06-07 |
| 1336663863 | Elijah Blair | Physician Assistant | 3501 Cranberry Blvd, Weston, WI 54476-5213 | 2017-07-26 |
| 1275915597 | Kari Mizgalski | Dietitian, Registered | 3501 Cranberry Blvd, Weston, WI 54476-5213 | 2015-06-23 |
| 1235569237 | Jenell Bushong | Nurse Practitioner | 3501 Cranberry Blvd, Weston, WI 54476-5213 | 2013-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407406309 | Kelly Hodge | Technician | 118 Marguerite St, Schofield, WI 54476 | 2019-09-13 |
| 1427557529 | Brandon David Parmer | Licensed Practical Nurse | 134 Kurth St, Schofield, WI 54476 | 2018-02-05 |
| 1558880583 | Kellie Cares Medical, LLC | Non-emergency Medical Transport (VAN) | 4311 Schofield Ave, #97, Weston, WI 54476 | 2017-09-11 |
| 1679018022 | Alexis Legenza | Behavioral Analyst | 4601 Camp Phillips Rd, Weston, WI 54476 | 2016-12-21 |
| 1699176487 | Reenu Mathew | Pharmacist | 5305 U.S. Hwy Business 51, Weston, WI 54476 | 2014-09-11 |
| 1063812246 | Brian Weiland | Psychologist | 2405 Schofield Ave Ste 220, Weston, WI 54476 | 2014-08-25 |
| 1194087759 | Susan C Coady | Physical Therapist | 4605 Valres Springs Court, Weston, WI 54476 | 2012-06-11 |
| 1053437467 | Emmie Jo Kasat | Speech-Language Pathologist | 4605 Valdres Springs Court, Weston, WI 54476 | 2007-03-21 |
| 1326181322 | Lisa Marie Skutak | Dentist | 700 Eagle Nest Boulevard, Suite E, Rothschild, WI 54476 | 2007-02-15 |
| 1205976776 | Quirt Family Dentistry Sc | Dentist | 3417 Schofield Avenue, Schofield, WI 54476 | 2007-02-07 |
| Find all providers in zip 54476 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093251076 | Jessica Ann Smith | Nurse Practitioner | 107 Staunton Dr # 9, Weston, WV 26452-5604 | 2017-01-13 |
| 1538693932 | Katherine Flint | Nurse Practitioner | 149 Staunton Dr, Weston, WV 26452-5604 | 2017-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205436821 | Elizabeth Stevenson | Nurse Practitioner | 1021 Gilson St, Madison, WI 53715-1721 | 2020-11-01 |
| 1427678176 | Cody Cameron Brunet | Nurse Practitioner | 1002 Bultman Rd, Madison, WI 53704-8933 | 2020-04-23 |
| 1023643434 | Rochelle Allexia Codlyn | Nurse Practitioner | 2268 Manley Dr, Sun Prairie, WI 53590-9688 | 2020-03-05 |
| 1861953960 | Youa Thao | Nurse Practitioner | 132 Devonshire Ct Apt 2, Plover, WI 54467-4194 | 2019-03-29 |
| 1053886465 | Elizabeth A Jarecki | Nurse Practitioner | 3115 Lilly Rd Unit 209, Brookfield, WI 53005-7612 | 2018-10-11 |
| 1669862868 | Jami Marie Lyons | Nurse Practitioner | 234 Cashman Dr, Chippewa Falls, WI 54729-3543 | 2015-01-27 |
| 1619374816 | Melissa Kaye Miller | Nurse Practitioner | 710 W Starin Rd, Whitewater, WI 53190-1121 | 2014-12-03 |
| 1275703233 | Mary Ellen Devine Touhey | Nurse Practitioner | N79w28630 Appaloosa Ln, Hartland, WI 53029-9038 | 2008-03-06 |
| 1366636797 | Karen R. Sinnett | Nurse Practitioner | 125 W Nebraska St, Muscoda, WI 53573 | 2007-08-29 |
| 1508851239 | Rita Marie Thomas | Nurse Practitioner | 910 Fremont St, 217 Delzell Hall, Uwsp, Stevens Point, WI 54481-3105 | 2005-09-19 |
| 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.