KATHRYN M. STAM (NPI# 1407189285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407189285 |
| Entity Type | Individual |
| Full Name | KATHRYN M. STAM |
| Credential | CNM |
| Practice Address |
2605 S Oneida St Ste 107 Green Bay WI 54304-5331 |
| Practice Telephone | 9204320031 |
| Practice Fax Number | 9204322260 |
| Mailing Telephone | 9204320031 |
| Mailing Fax Number | 9204322260 |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 176B00000X | Midwife | Other Service Providers | ||
| Y | 176B00000X | Midwife | 148857 | WI | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | DEAN HEALTH INSURANCE | 61363 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 701 S Nicolet Rd, Appleton, WI 549148273 | 9208862299 | 9208861039 |
| Street Address |
2605 S ONEIDA ST STE 107 |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54304-5331 |
| 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 | 176B00000X |
| Grouping | Other Service Providers |
| Classification | Midwife |
| A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization. |
| Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851909832 | Gina Jimenez | Midwife | 1002 S Fisk St Ste 150, Green Bay, WI 54304-2277 | 2020-07-16 |
| 1881155463 | Amber Micolichek | Midwife | 823 Elmore St, Green Bay, WI 54303-3571 | 2019-03-27 |
| 1487012464 | Makayla Jean Giesler-dagwer | Midwife | 2190 Daly Dr, Green Bay, WI 54311-4411 | 2016-02-04 |
| 1871011569 | Molly Beth Hohol | Midwife | 720 S Van Buren St, Green Bay, WI 54301-3538 | 2017-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457969461 | Miranda Welch | Midwife | 2414 E Mifflin St, Madison, WI 53704-4965 | 2020-07-15 |
| 1528697638 | Sara A Stites | Midwife | 1285 21 3/4 St, Cameron, WI 54822-9714 | 2020-04-02 |
| 1780216945 | Peggy M Hammond | Midwife | N11541 Kratzke Rd, Clintonville, WI 54929-9070 | 2020-02-06 |
| 1225668635 | Lucky J Tomaszek | Midwife | 1815 Hogeboom Ave, Eau Claire, WI 54701-4354 | 2020-01-24 |
| 1578114385 | Nichole Baumbach | Midwife | 1114 Pauline Ave, Madison, WI 53705-1353 | 2019-09-23 |
| 1366007080 | Emily Allen | Midwife | 817 Well St, Onalaska, WI 54650-2651 | 2019-05-08 |
| 1861965451 | Stateline Midwives, LLC | Midwife | 8009 Antioch Rd, Salem, WI 53168-9525 | 2019-01-07 |
| 1780150284 | Whitney Sanchez | Midwife | 2754 N Stowell Ave, Milwaukee, WI 53211-3772 | 2018-10-23 |
| 1891282752 | Valerie Oliver | Midwife | 211 W Capital Dr, Milwaukee, WI 53206 | 2018-04-17 |
| 1386148088 | Katherine Michelle Breitenmoser | Midwife | W6982 Joe Snow Rd, Merrill, WI 54452-9710 | 2018-03-19 |
| 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.