MRS. JENNIFER L LANGE (NPI# 1417400490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417400490 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER L LANGE |
| Credential | APN, FNP-BC |
| Practice Address |
2205 N Calhoun Rd Brookfield WI 53005 |
| Mailing Address |
2205 N Calhoun Rd Brookfield WI 53005-5062 |
| Practice Telephone | 2627842131 |
| Mailing Telephone | 2627842131 |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2018-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 8411 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790806982 | Jennifer Marie Lange | Physical Therapy Assistant | 615 Hampshire Rd, Apt. #6, Dayton, OH 45419-4200 | 2007-04-03 |
| 1205492873 | Jennifer Susan Lange | Occupational Therapist | 5301 Creedmoor Rd, Raleigh, NC 27612-3822 | 2019-05-19 |
| 1457831133 | Jennifer Elizabeth Lange | Speech-Language Pathologist | 1700 Thomas Paine Pkwy, Centerville, OH 45459-2541 | 2018-08-21 |
| 1194198887 | Jennifer Lange | Pharmacist | 1751 Rock Prairie Rd, College Station, TX 77845-5917 | 2015-11-04 |
| 1811398985 | Jennifer Lange | Social Worker | 447 W Bearcat Dr, Salt Lake City, UT 84115-2519 | 2014-09-09 |
| 1649618745 | Jennifer L Lange | Physical Therapist | 400 S Randall Rd, Suite G, Elgin, IL 60123-4607 | 2013-06-11 |
| 1841317674 | Jennifer Nicole Lange | Marriage & Family Therapist | 609 Oak St, Roseville, CA 95678-3245 | 2007-03-25 |
| 1811052160 | Jennifer Travis Lange | Psychiatry & Neurology | Blanchfield Army Community Hospital, 650 Joel Drie, Fort Campbell, KY 42223-5349 | 2006-12-27 |
| Street Address |
2205 N CALHOUN RD |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245220441 | Charles G Niebler | Optometrist | 2205 N Calhoun Rd, Brookfield, WI 53005-5062 | 2005-10-27 |
| 1497352751 | Jacquelyn M Madson | Nurse Practitioner | 2205 N Calhoun Rd, Brookfield, WI 53005-5062 | 2020-10-08 |
| 1598177099 | Stephenie Duelge | Nurse Practitioner | 2205 N Calhoun Rd, Brookfield, WI 53005-5062 | 2014-06-02 |
| 1689945917 | Orusa M Mozaffar | Pharmacist | 2205 N Calhoun Rd, Brookfield, WI 53005-5062 | 2012-01-18 |
| 1811265192 | Youa Xiong-lee | Pharmacist | 2205 N Calhoun Rd, Brookfield, WI 53005-5062 | 2011-12-01 |
| 1659658870 | Michael Jon Phillips | Pharmacist | 2205 N Calhoun Rd, Brookfield, WI 53005-5062 | 2011-11-16 |
| 1043597222 | Steven John Goll | Pharmacist | 2205 N Calhoun Rd, Brookfield, WI 53005-5062 | 2011-11-15 |
| 1497815237 | Rebecca Massart | Nurse Practitioner | 2205 N Calhoun Rd, Brookfield, WI 53005-5062 | 2006-12-11 |
| 1265449219 | Walgreen Co | Pharmacy | 2205 N Calhoun Rd, Brookfield, WI 53005-5062 | 2006-08-02 |
| 1912937673 | Tanya M Lechmaier | Nurse Practitioner | 2205 N Calhoun Rd, Brookfield, WI 53005-5062 | 2006-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154937621 | Nsk Precision Healing & Wellness | Acupuncturist | 17040 W. Greenfield Ave #6, Brookfield, WI 53005 | 2020-09-21 |
| 1033772124 | Dbt Consultants LLC | Social Worker | 200 S. Executive Drive, Ste. 101, Brookfield, WI 53005 | 2019-04-15 |
| 1780142588 | Ashley Wing | Registered Nurse | 405 Bishops Way, Apt 555, Brookfield, WI 53005 | 2019-03-11 |
| 1407370398 | Tombolo, LLC | Clinic/Center | 12545 W. Burleigh Rd., Suite 10, Brookfield, WI 53005 | 2017-08-01 |
| 1720509045 | Rss William Conner LLC | Dentist | 15455 W Bluemound Rd Ste 250, Brookfield, WI 53005 | 2017-06-28 |
| 1669926598 | Mackenzie Rondeau | Physical Therapist | 1905 N Calhoun Rd Ste 105, Brookfield, WI 53005 | 2016-08-09 |
| 1699159319 | Charles Alan Kass | Dentist | 12720 W. North Avenue, Brookfield, WI 53005 | 2015-07-13 |
| 1164804274 | Mary-catherine Nimphius | Counselor | 250 S. Sunny Slope Rd, #128, Brookfield, WI 53005 | 2015-06-25 |
| 1528447034 | Weighless Md, LLC | Dietitian, Registered | 14960 W. Greenfield Ave Suite 104, Brookfield, WI 53005 | 2015-05-29 |
| 1366837346 | Maegan Michelle Cook | Dentist | 13780 W Greenfield Ave Ste 780, Brookfield, WI 53005 | 2015-04-06 |
| Find all providers in zip 53005 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881206555 | Suzanne Gleichauf | Nurse Practitioner | 7 Fleetwood Ln, Brookfield, CT 06804-3204 | 2020-08-23 |
| 1598132896 | Aimee Schmitt | Nurse Practitioner | 13255 W Bluemound Rd Ste 103, Brookfield, WI 53005-6245 | 2015-08-21 |
| 1083960843 | Lauren T Sullivan | Nurse Practitioner | 2995 N River Birch Dr, Unit H, Brookfield, WI 53045-3493 | 2012-07-31 |
| 1699007278 | Catherine Frances Smith | Nurse Practitioner | 4329 Arthur Ave, Brookfield, IL 60513-2307 | 2010-02-05 |
| 1043548365 | Lisa M Spannbauer | Nurse Practitioner | 2085 N Calhoun Road, Second Floor, Brookfield, WI 53005 | 2009-11-24 |
| 1336112952 | Mary K Burke | Nurse Practitioner | 95 N Moorland Rd, Brookfield, WI 53005-6020 | 2006-02-13 |
| 1376537548 | Michaela M Unrein | Nurse Practitioner | 1350 S Sunny Slope Rd, Sunnyslope Primary Care Clinic, Brookfield, WI 53005-7060 | 2005-09-02 |
| 1497352751 | Jacquelyn M Madson | Nurse Practitioner | 2205 N Calhoun Rd, Brookfield, WI 53005-5062 | 2020-10-08 |
| 1194338145 | Kristin Elatkin | Nurse Practitioner | 9139 Broadway Ave, Brookfield, IL 60513-1303 | 2020-08-28 |
| 1336798677 | Camlinh Nguyen Roska | Nurse Practitioner | 9139 Broadway Ave, Brookfield, IL 60513-1303 | 2019-09-09 |
| Find all providers in BROOKFIELD | ||||
| City | BROOKFIELD |
| Zip Code | 53005 |
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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.