KATHLEEN MARY NIEZGODA (NPI# 1386049492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386049492 |
| Entity Type | Individual |
| Full Name | KATHLEEN MARY NIEZGODA |
| Credential | RN, MSN, CPNP, PMHS |
| Practice Address |
2500 W Layton Ave Suite 30 Milwaukee WI 53221-5420 |
| Practice Telephone | 4142695336 |
| Practice Fax Number | 4142695437 |
| Mailing Telephone | 4142695336 |
| Mailing Fax Number | 4142695437 |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2016-08-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
5744-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2500 W LAYTON AVE SUITE 30 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53221-5420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063405751 | Constance M. Ganapes | Internal Medicine | 2500 W Layton Ave, Suite 250, Milwaukee, WI 53221-5420 | 2005-08-26 |
| 1669911277 | Garland W. Yarborough M.d S,c | Clinic/Center | 2500 W Layton Ave, Suite250, Milwaukee, WI 53221-5420 | 2017-02-15 |
| 1376087247 | Eric Everson | Occupational Therapist | 2500 W Layton Ave, Suite 160, Milwaukee, WI 53221-5420 | 2016-12-13 |
| 1508312570 | Azh Vascular Center Mke LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2500 W Layton Ave, Suite 40, Milwaukee, WI 53221-5420 | 2016-08-30 |
| 1497105837 | Jill Bergersen | Physical Therapist | 2500 W Layton Ave, Suite 160, Milwaukee, WI 53221-5420 | 2016-06-16 |
| 1780032219 | Azh Wound Center Mke LLC | Emergency Medicine | 2500 W Layton Ave, Suite 30, Milwaukee, WI 53221-5420 | 2016-05-25 |
| 1528412798 | Kurt P Hackbarth | Physical Therapist | 2500 W Layton Ave, Milwaukee, WI 53221-5420 | 2016-04-14 |
| 1700249992 | Jennifer Zomchek | Nurse Practitioner | 2500 W Layton Ave, Suite 30, Milwaukee, WI 53221-5420 | 2016-04-04 |
| 1588046890 | Rebecca Rudella | Occupational Therapist | 2500 W Layton Ave, Milwaukee, WI 53221-5420 | 2015-06-23 |
| 1154702975 | Stephanie M Mcdonald | Physical Therapist | 2500 W Layton Ave, Suite 160, Milwaukee, WI 53221-5420 | 2015-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487205944 | Hayat Pharmacy 20 LLC | Pharmacy | 805 W. Layton Ave., Suite B, Milwaukee, WI 53221 | 2019-09-26 |
| 1962053421 | Hayat Pharmacy 19 LLC | Pharmacy | 805 W. Layton Ave. Suite A, Milwaukee, WI 53221 | 2019-09-26 |
| 1407343965 | Informe Healthcare LLC | Counselor | 2741 W Layton Ave., Suite 106, Milwaukee, WI 53221 | 2018-04-19 |
| 1447781992 | Itamar Yaakov Gnatt | Emergency Medicine | 2900 W Oklahoma Ave, St Lukes Medical Center, Milwaukee, WI 53221 | 2017-03-27 |
| 1194277160 | Suzanne Derosier | Licensed Practical Nurse | 3910 W Bridge, Greenfield, WI 53221 | 2016-10-26 |
| 1265988117 | Obi Home Care | Clinic/Center | 4439 S 20th St, Milwaukee, WI 53221 | 2016-08-31 |
| 1427430602 | Zezenya Health Care S.c. | Pain Medicine | 5114 S 27th St # 763, Milwaukee, WI 53221 | 2015-06-24 |
| 1851771091 | Feisal J Salahadyn | Counselor | 4800 South 10th Street, Milwaukee, WI 53221 | 2015-06-03 |
| 1114312386 | Holistic Home Health Care Incorporated | Adult Companion | 3422 West Howard Ave, Greenfield, WI 53221 | 2015-04-03 |
| 1841698834 | Srt Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 5220 S 27th St., Milwaukee, WI 53221 | 2014-12-08 |
| Find all providers in zip 53221 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639704166 | Angelica Shanahan | Nurse Practitioner | 8733 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2020-03-04 |
| 1689192775 | Brigid Mary Costello | Nurse Practitioner | 9000 W Wisconsin Ave Ste 620, Milwaukee, WI 53226-4874 | 2017-09-08 |
| 1134389513 | Sharon Kay Schroeder | Nurse Practitioner | 9000 W Wisconsin Ave # Ms 782-a, Milwaukee, WI 53226-4874 | 2008-06-10 |
| 1689833634 | Elizabeth A Cleek | Nurse Practitioner | 999 N 92nd Street, Childrens Hospital of Wisconsin, Milwaukee, WI 53201-1997 | 2008-06-05 |
| 1770623589 | Cheryl Wendt | Nurse Practitioner | 1350 W North Ave, Milwaukee, WI 53205-1257 | 2007-02-08 |
| 1750460994 | Laura B. Rohowetz | Nurse Practitioner | 9000 W Wisconsin Ave # Ms 666, Milwaukee, WI 53226-4874 | 2006-11-06 |
| 1033203948 | Deborah Bretl | Nurse Practitioner | 999 N 92nd St Suite 615, Milwaukee, WI 53201 | 2006-10-03 |
| 1063420446 | Sara J Siedenburg | Nurse Practitioner | 3239 N 9th St, Milwaukee, WI 53206-3251 | 2006-08-03 |
| 1831140664 | Carlethia Harris | Nurse Practitioner | 8200 W Silver Spring Dr, Milwaukee, WI 53218-2552 | 2006-05-15 |
| 1528019361 | Carol G Klingbeil | Nurse Practitioner | Hospital Based @ Chw Hosp., 9000 West Wisconsin Avenue, Milwaukee, WI 53226 | 2006-05-15 |
| Find all providers in MILWAUKEE | ||||
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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.