JENNIFER LYNN BRUBAKER (NPI# 1417461401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417461401 |
| Entity Type | Individual |
| Full Name | JENNIFER LYNN BRUBAKER |
| Credential | LPN |
| Practice Address |
2842 S Business Dr Sheboygan WI 53081-6518 |
| Mailing Address |
3719 Limestone Ct Sheboygan WI 53083-2666 |
| Practice Telephone | 9202640390 |
| Mailing Telephone | 9202541775 |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2018-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
322232-31 | WI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659993996 | Jennifer R. Brubaker | Student in an Organized Health Care Education/Training Program | 759 Chestnut St, Springfield, MA 01199-0001 | 2020-05-09 |
| 1417314113 | Jennifer Brubaker | Registered Nurse | 3001 W Mlk Blvd, Tampa, FL 33607-6307 | 2016-01-26 |
| 1851555494 | Jennifer Ann Brubaker | Nurse Practitioner | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2008-07-14 |
| 1487781126 | Jennifer M. Brubaker | Speech-Language Pathologist | 1829 E Franklin St, Bldg. # 600, Chapel Hill, NC 27514-5861 | 2007-02-28 |
| 1205940681 | Jennifer K Brubaker | Dentist | 1099 Belt Line Rd, Suite A, Collinsville, IL 62234-4380 | 2006-08-19 |
| 1912927179 | Jennifer E Brubaker | Pediatrics | 304 N Water St, Lancaster, PA 17603-3374 | 2006-07-20 |
| Street Address |
2842 S BUSINESS DR |
| City | SHEBOYGAN |
| State | WI |
| Zip Code | 53081-6518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245487602 | Lori L Baril | Counselor | 2842 S Business Dr, B107, Sheboygan, WI 53081-6518 | 2008-08-27 |
| 1043844103 | Autumn Brooke Wendlandt | Registered Nurse | 2842 S Business Dr, Sheboygan, WI 53081-6518 | 2020-02-27 |
| 1861022022 | Angelique Netzband-fischer | Counselor | 2842 S Business Dr, Sheboygan, WI 53081-6518 | 2020-01-16 |
| 1841831880 | Todd Allen Juhl | Registered Nurse | 2842 S Business Dr, Sheboygan, WI 53081-6518 | 2019-10-01 |
| 1750942157 | Mary Joanne Goodman | Counselor | 2842 S Business Dr, Sheboygan, WI 53081-6518 | 2019-06-26 |
| 1417515834 | Linda Lou Fickett | Licensed Practical Nurse | 2842 S Business Dr, Sheboygan, WI 53081-6518 | 2019-05-31 |
| 1588147862 | Leah Ann Mullens | Registered Nurse | 2842 S Business Dr, Sheboygan, WI 53081-6518 | 2018-09-12 |
| 1801395348 | Katherine Mary Conto | Registered Nurse | 2842 S Business Dr, Sheboygan, WI 53081-6518 | 2018-02-11 |
| 1467961532 | Carol Emerick | Licensed Practical Nurse | 2842 S Business Dr, Sheboygan, WI 53081-6518 | 2017-09-21 |
| 1366972788 | Laura Renee Maki | Counselor | 2842 S Business Dr, Sheboygan, WI 53081-6518 | 2017-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770053696 | Kathy Hughes Counseling, LLC | Community/Behavioral Health | 630 Riverfront Dr Ste 203, Sheboygan, WI 53081 | 2018-12-04 |
| 1780159004 | Great Lakes Clinic and Consultants, LLC | Clinic/Center | 1407 North 8th Street, Suite 203, Sheboygan, WI 53081 | 2018-10-13 |
| 1174032106 | Laura Elizabeth Manning | Registered Nurse | 325 Linocln Ave, Sheboygan, WI 53081 | 2017-09-21 |
| 1043733686 | Chasidy D Wilke | Behavioral Analyst | 2223 Terrace View Dr Apt 3a, Sheboygan, WI 53081 | 2017-07-25 |
| 1700320074 | Darlene Wilken | Counselor | 2842 S. Business Dr, Sheboygan, WI 53081 | 2016-12-06 |
| 1942652185 | Jacob Steven Son | Dentist | 3555 Wasington Ave., Sheboygan, WI 53081 | 2016-07-12 |
| 1225491749 | Cassandra Lea Loehndorf | Social Worker | 3321 S. 12th St., Sheboygan, WI 53081 | 2016-04-01 |
| 1003201112 | Jason Meinhardt | Dentist | 2115 S Memorial Pl, Sheboygan, WI 53081 | 2015-04-06 |
| 1346634110 | Christopher Lenz | Specialist/Technologist | 2920 Superior Ave., Prevea Orthopedics, Sheboygan, WI 53081 | 2015-03-19 |
| 1780008060 | James Simac | Counselor | 503 Wisconsin Ave., Sheboygan, WI 53081 | 2014-02-07 |
| Find all providers in zip 53081 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538352323 | Stephen B Hull | Psychiatry & Neurology | 8315 Steeple Hill Dr, Larsen, WI 54947-9538 | 2007-08-24 |
| 1124148747 | Ivars Gailans | Psychiatry & Neurology | 180 N Milwaukee St, Milwaukee, WI 53202-6013 | 2007-03-29 |
| 1780730515 | Sheila W. Sorkin, M.d. LLC | Psychiatry & Neurology | 11430 W Bluemound Rd, Suite 109, Wauwatosa, WI 53226-4050 | 2007-01-26 |
| 1568577534 | Sheila W Sorkin | Psychiatry & Neurology | 11430 W. Bluemound Road Suite 109, Wauwatosa, WI 53226 | 2006-08-20 |
| 1548206360 | William Carlin Bucknam | Psychiatry & Neurology | 1018 Gammon Ln, Madison, WI 53719-2256 | 2006-06-21 |
| 1205873882 | Paul W Harris | Psychiatry & Neurology | 3267 S 16tj Street, Room 200, Milwaukee, WI 53215-4500 | 2006-06-01 |
| 1417322868 | Prevail Psychiatry LLC | Psychiatry & Neurology | 2222 N Mayfair Rd, Wauwatosa, WI 53226-2208 | 2015-12-10 |
| 1184868598 | Richard K Wagner | Psychiatry & Neurology | 903 Mineral Point Ave, Janesville, WI 53548-2970 | 2009-04-29 |
| 1740469873 | Raymond W. Moy Md Sc | Psychiatry & Neurology | 6917 W Oklahoma Ave, Milwaukee, WI 53219-2973 | 2007-10-25 |
| 1487709200 | Matthew A Felgus | Psychiatry & Neurology | 6333 Odana Rd, Suite 3, Madison, WI 53719-1170 | 2007-01-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JENNIFER LYNN BRUBAKER.
| 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.