KATIE L PRUCHA (NPI# 1376943803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376943803 |
| Entity Type | Individual |
| Full Name | KATIE L PRUCHA |
| Credential | APNP |
| Practice Address |
1855 S Koeller St Oshkosh WI 54902-6186 |
| Mailing Address |
W165n5595 Creekwood Xing Menomonee Falls WI 53051-0685 |
| Practice Telephone | 9202237010 |
| Mailing Telephone | 2622521050 |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2016-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
174355 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871018010 | Katie J Prucha | Counselor | 16535 W Bluemound Rd Ste 305, Brookfield, WI 53005-5936 | 2017-08-09 |
| Street Address |
1855 S KOELLER ST |
| City | OSHKOSH |
| State | WI |
| Zip Code | 54902-6186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639170301 | David Eugene Coleman | Personal Emergency Response Attendant | 1855 S Koeller St, Oshkosh, WI 54902-6186 | 2005-08-03 |
| 1154947851 | Kristian Noelle Bastress | Nurse Practitioner | 1855 S Koeller St, Oshkosh, WI 54902-6186 | 2020-06-19 |
| 1770050585 | Donna Jo Hawley | General Practice | 1855 S Koeller St, Oshkosh, WI 54902-6186 | 2018-10-30 |
| 1588155139 | Natasha Garbe | Nurse Practitioner | 1855 S Koeller St, Oshkosh, WI 54902-6186 | 2018-05-18 |
| 1336639202 | Kassondra K Korth | Family Medicine | 1855 S Koeller St, Oshkosh, WI 54902-6186 | 2018-05-15 |
| 1881197028 | Angela Marie Beach | Nurse Practitioner | 1855 S Koeller St, Oshkosh, WI 54902-6186 | 2018-03-14 |
| 1568994853 | Sarah Wypiszynski | Family Medicine | 1855 S Koeller St, Oshkosh, WI 54902-6186 | 2017-03-28 |
| 1942669049 | Mercy Medical Center of Oshkosh Inc | Clinic/Center | 1855 S Koeller St, Oshkosh, WI 54902-6186 | 2016-02-17 |
| 1245699321 | Tracy Rank | Nurse Practitioner | 1855 S Koeller St, Oshkosh, WI 54902-6186 | 2016-02-17 |
| 1295193282 | Jennifer Haen | Nurse Practitioner | 1855 S Koeller St, Oshkosh, WI 54902-6186 | 2016-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528688363 | Grandpa Ray's Home Care Partners LLC | In Home Supportive Care | 1755 W 7th Avenue, Oshkosh, WI 54902 | 2020-04-22 |
| 1942866314 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1212 S Koeller St, Oshkosh, WI 54902 | 2019-05-11 |
| 1508299926 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1736 W. 9th Ave., Oshkosh, WI 54902 | 2013-08-21 |
| 1881971513 | Eric D Jachthuber | Pharmacist | 950 Koeller Rd, Oshkosh, WI 54902 | 2011-11-09 |
| 1912158148 | Jennifer L Daly | Registered Nurse | 648 West 5th Avenue, Oshkosh, WI 54902 | 2008-10-07 |
| 1093873028 | Phyllis Ann Pieplow | Registered Nurse | 2307 Doty St, Oshkosh, WI 54902 | 2006-12-04 |
| 1336210939 | Juliette P M Sterkens | Audiologist | 1820 West Pointe Drive, Fox Valley Hearing Ctr Inc, Oshkosh, WI 54902 | 2006-11-13 |
| 1043266927 | Christopher S. Mcfarlane | Dentist | 1875 West Pointe Dr., Oshkosh, WI 54902 | 2006-05-25 |
| 1285688192 | Theresa Lynn Petrick Gatchell | Optometrist | 1300 S Koeller Road, Oshkosh, WI 54902 | 2006-05-22 |
| 1558329821 | Teresa M Vanaacken | Physical Therapist | 300 S Koeller Street, Suite B, Oshkosh, WI 54902 | 2006-05-03 |
| Find all providers in zip 54902 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629683065 | Yia Lor | Nurse Practitioner | 3750 Summerset Way Apt 1, Oshkosh, WI 54901-0501 | 2020-09-11 |
| 1033670088 | Jennifer Krueger | Nurse Practitioner | 1304 Tammy Rd, Oshkosh, WI 54904-9310 | 2019-03-30 |
| 1457822058 | John Concepcion | Nurse Practitioner | 4485 Ravine Way, Oshkosh, WI 54904-7150 | 2018-12-08 |
| 1750479820 | Mary K Friess | Nurse Practitioner | 500 Algoma Blvd, Uw Oshkosh - College of Nursing, Oshkosh, WI 54901 | 2006-10-11 |
| 1346335734 | Jill M Collier | Nurse Practitioner | 2310 Westowne Ave, Oshkosh, WI 54904-7778 | 2006-10-03 |
| 1154947851 | Kristian Noelle Bastress | Nurse Practitioner | 1855 S Koeller St, Oshkosh, WI 54902-6186 | 2020-06-19 |
| 1629547633 | Tosha Wright | Nurse Practitioner | 2700 W 9th Ave, Oshkosh, WI 54904-7247 | 2018-11-19 |
| 1881197028 | Angela Marie Beach | Nurse Practitioner | 1855 S Koeller St, Oshkosh, WI 54902-6186 | 2018-03-14 |
| 1518340090 | Ruth Staszak | Nurse Practitioner | 1855 S Koeller St, Oshkosh, WI 54902-6186 | 2015-07-02 |
| 1528460839 | Kristi Ziolkowski | Nurse Practitioner | 777 Algoma Blvd, Radford Hall, Student Health Center, Oshkosh, WI 54901-3534 | 2014-09-17 |
| Find all providers in OSHKOSH | ||||
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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.