MISS JESSICA DEGROOT (NPI# 1376918136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376918136 |
| Entity Type | Individual |
| Full Name | MISS JESSICA DEGROOT |
| Practice Address |
2640 W Point Rd Green Bay WI 54304-1344 |
| Mailing Address |
Po Box 365 Oneida WI 54155-0365 |
| Practice Telephone | 9204903790 |
| Practice Fax Number | 9204903845 |
| Mailing Telephone | 9204903790 |
| Mailing Fax Number | 9204903845 |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2020-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
3315-226 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1689908527 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952838534 | Jessica Marie Degroot | Occupational Therapist | 614 Memorial Dr, Chilton, WI 53014-1568 | 2017-05-15 |
| Street Address |
2640 W POINT RD |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54304-1344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205825130 | Oneida Tribe of Indians of Wisconsin | Clinic/Center | 2640 W Point Rd, Green Bay, WI 54304-1344 | 2005-10-13 |
| 1639735582 | Belinda L Mclester | Health Educator | 2640 W Point Rd, Green Bay, WI 54304-1344 | 2019-05-16 |
| 1750803920 | Emma Corrine White | Counselor | 2640 W Point Rd, Green Bay, WI 54304-1344 | 2017-07-10 |
| 1306231683 | Susan Exworthy | Counselor | 2640 W Point Rd, Green Bay, WI 54304-1344 | 2015-04-02 |
| 1790182921 | Christina Courtney | Social Worker | 2640 W Point Rd, Green Bay, WI 54304-1344 | 2014-12-03 |
| 1801217708 | Heidi Blanks | Counselor | 2640 W Point Rd, Green Bay, WI 54304-1344 | 2013-12-18 |
| 1083906580 | Rebecca M Krueger | Counselor | 2640 W Point Rd, Oneida Behavioral Health, Green Bay, WI 54304 | 2011-05-03 |
| 1609167816 | Martha Brito | Counselor | 2640 W Point Rd, Green Bay, WI 54304-1344 | 2011-04-21 |
| 1326377359 | Mary Beth King | Counselor | 2640 W Point Rd, Green Bay, WI 54304-1344 | 2009-12-22 |
| 1689908527 | Oneida Tribe of Indians of Wisconsin | Case Management | 2640 W Point Rd, Green Bay, WI 54304-1344 | 2009-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689196255 | Kristen Ashley Haltom | Registered Nurse | 2979 Allied St Suite C, Green Bay, WI 54304 | 2017-07-14 |
| 1649671421 | Heather Marie Novak | Counselor | 2979 Allied St Unit C, Green Bay, WI 54304 | 2014-09-11 |
| 1356777684 | Nathan Weir | Specialist/Technologist | 1265 Lombardi Avenue, Green Bay, WI 54304 | 2013-09-18 |
| 1922349927 | John W Hartman | Internal Medicine | 916 Willard Dr, Suite 200, Green Bay, WI 54304 | 2013-03-15 |
| 1447551379 | Citralina M Haruo | Community Health Worker | 1110 11th Avenue, Green Bay, WI 54304 | 2010-11-09 |
| 1497061352 | Daniel James Gustin | Pharmacist | 1109 Lombardi Ave, Green Bay, WI 54304 | 2010-08-28 |
| 1316259898 | Karen A Detrick | Occupational Therapy Assistant | 1040 Pilgram Way, Woodside Senior Communities, Green Bay, WI 54304 | 2010-07-13 |
| 1861667362 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 2605 S. Oneida St. Suite 107, Green Bay, WI 54304 | 2008-04-25 |
| 1891967303 | Kimberley M Welk | Marriage & Family Therapist | 926 Willard Dr Ste 136, Green Bay, WI 54304 | 2008-03-25 |
| 1750563698 | Richard Lawrence Beyer | Hearing Instrument Specialist | 2154 S Ridge Rd, Green Bay, WI 54304 | 2007-12-03 |
| Find all providers in zip 54304 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099329 | Spencer Rea Hansen Thomas | Counselor | 3340 Lineville Rd, Green Bay, WI 54313-7237 | 2020-09-28 |
| 1952914780 | Michelle Lee Barth | Counselor | 208 Longview Ave, Green Bay, WI 54301-1034 | 2020-08-31 |
| 1811412521 | Karlye Krien | Counselor | 1061 W Mason St, Green Bay, WI 54303-1858 | 2017-08-03 |
| 1992242606 | Charmaine Rimple | Counselor | 526 South Monroe Avenue, Green Bay, WI 54301 | 2017-01-20 |
| 1205387271 | Anne Karjala-dobbins | Counselor | 1985 E Telemark Cir, Green Bay, WI 54313-4335 | 2016-10-14 |
| 1689026650 | Catherine Calo | Counselor | 529 Greene Ave, Green Bay, WI 54301-2819 | 2016-07-01 |
| 1225498983 | Michael Sherman Fentress | Counselor | 2711 Humboldt Rd Apt 2, Green Bay, WI 54311-8463 | 2016-02-24 |
| 1831566363 | Stephanie Birmingham | Counselor | 1900 Morrow St, #106, Green Bay, WI 54302-3479 | 2015-09-01 |
| 1144600149 | Carrie Jean Banaszak | Counselor | 1039 Mason Street, Green Bay, WI 54303 | 2015-06-04 |
| 1700272929 | Kerri Schmidt | Counselor | 916 Willard Drive, Suite #136, Green Bay, WI 54304-6223 | 2015-04-14 |
| 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.