STACEY VAN SCHYNDEL (NPI# 1417512435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417512435 |
| Entity Type | Individual |
| Full Name | STACEY VAN SCHYNDEL |
| Credential | LPN |
| Practice Address |
2357 W Mason St Green Bay WI 54303-4708 |
| Practice Telephone | 9203376740 |
| Practice Fax Number | 9203376741 |
| Mailing Telephone | 9203376740 |
| Mailing Fax Number | 9203376741 |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2019-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 313658-31 | WI | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 42030700 | 05 |
| Street Address |
2357 W MASON ST |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54303-4708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629282470 | Quality Addiction Management, Inc. | Counselor | 2357 W Mason St, Green Bay, WI 54303-4708 | 2007-05-10 |
| 1902423528 | Jenna Price | Registered Nurse | 2357 W Mason St, Green Bay, WI 54303-4708 | 2020-06-30 |
| 1366069973 | Nicole Luchterhand | Counselor | 2357 W Mason St, Green Bay, WI 54303-4708 | 2020-06-30 |
| 1295361566 | Tyler Webb | Counselor | 2357 W Mason St, Green Bay, WI 54303-4708 | 2020-03-19 |
| 1285274688 | Jaden Hendzel | Counselor | 2357 W Mason St, Green Bay, WI 54303-4708 | 2020-01-14 |
| 1588218093 | Angel Anderson | Counselor | 2357 W Mason St, Green Bay, WI 54303-4708 | 2019-08-01 |
| 1861957714 | Jillian Scott | Counselor | 2357 W Mason St, Green Bay, WI 54303-4708 | 2019-02-05 |
| 1588133698 | Cortlee Plass | Counselor | 2357 W Mason St, Green Bay, WI 54303-4708 | 2018-11-19 |
| 1669940730 | Carrie Quinnell | Licensed Practical Nurse | 2357 W Mason St, Green Bay, WI 54303-4708 | 2018-11-07 |
| 1871075630 | Carrie Dominiczak | Counselor | 2357 W Mason St, Green Bay, WI 54303-4708 | 2018-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952921033 | Ashley Marie Vandermoss | Social Worker | 1601 W Mason Street, Green Bay, WI 54303 | 2020-04-20 |
| 1598307423 | Jean Marie Castaneda | Case Manager/Care Coordinator | 2517 N. Court, Green Bay, WI 54303 | 2019-10-11 |
| 1215579552 | Integrated Treatment Centers, LLC | Clinic/Center | 2311 W Mason Street, Green Bay, WI 54303 | 2019-10-08 |
| 1003460551 | Affordable Dentures & Implants - Green Bay, S.c. | Dentist | 1800-c W. Mason Street, Green Bay, WI 54303 | 2019-08-01 |
| 1164940375 | Kaeley Rae Blaney | Student in an Organized Health Care Education/Training Program | 2088 Memorial Drive #208, Green Bay, WI 54303 | 2017-09-07 |
| 1518498047 | Treatment Providers LLC | Clinic/Center | 2731 N Packerland Dr Ste A, Green Bay, WI 54303 | 2017-03-26 |
| 1851840565 | Back To Balance Chiropractic, LLC | Chiropractor | 110 Packerland Drive, Suite B, Green Bay, WI 54303 | 2016-09-23 |
| 1710361001 | Matthew Lemay | Acupuncturist | 727 E Walnut, Suite B2, Green Bay, WI 54303 | 2015-07-16 |
| 1144600149 | Carrie Jean Banaszak | Counselor | 1039 Mason Street, Green Bay, WI 54303 | 2015-06-04 |
| 1174921993 | Kensey Meyer | Occupational Therapy Assistant | 1555 Dousman Road, Seymour, WI 54303 | 2014-12-10 |
| Find all providers in zip 54303 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407412125 | Melinda Sue Trinkner | Licensed Practical Nurse | 1012 Forest Hill Dr, Green Bay, WI 54311-5930 | 2019-05-17 |
| 1295295483 | Anna Lee Kolb | Licensed Practical Nurse | 1061 Kellogg St, Green Bay, WI 54303-2968 | 2019-03-22 |
| 1124515861 | Celia M Diehl | Licensed Practical Nurse | 2124 Orrie Ln, Green Bay, WI 54304-4345 | 2018-04-18 |
| 1366980583 | Peggy Stewart | Licensed Practical Nurse | 1547 Russell St, Green Bay, WI 54304-3013 | 2017-02-08 |
| 1114475712 | Amy Mueller | Licensed Practical Nurse | 1525 Rosalie Ln, Green Bay, WI 54304-2926 | 2016-09-13 |
| 1285021592 | Bobbi Schaetz | Licensed Practical Nurse | 2610 Gemini Rd, Green Bay, WI 54311-4610 | 2015-04-24 |
| 1790173698 | Susan Johnson | Licensed Practical Nurse | 2697 Hillside Heights Dr, Green Bay, WI 54311-6774 | 2014-12-30 |
| 1619370178 | Paula Jean Boehm | Licensed Practical Nurse | 1663 Birchwood Dr, Green Bay, WI 54304-2936 | 2014-09-29 |
| 1518398999 | Rexann Hammons | Licensed Practical Nurse | 605 W Briar Ln, Apt 223, Green Bay, WI 54301-1367 | 2013-12-10 |
| 1700212255 | Jessica Barszcz | Licensed Practical Nurse | 3066 W Point Rd, Green Bay, WI 54313-5442 | 2013-09-16 |
| Find all providers in GREEN BAY | ||||
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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.