MISS MACKENZIE RYAN SARBACKER (NPI# 1447859699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447859699 |
| Entity Type | Individual |
| Full Name | MISS MACKENZIE RYAN SARBACKER |
| Other Name | MISS MACKENZIE RYAN KAROW |
| Credential | LPN |
| Practice Address |
5735 Durand Ave Mount Pleasant WI 53406-5011 |
| Mailing Address |
1362 Vine St Union Grove WI 53182-1507 |
| Practice Telephone | 2629779488 |
| Mailing Telephone | 2622210924 |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 325707 | WI | Nursing Service Providers |
| Street Address |
5735 DURAND AVE |
| City | MOUNT PLEASANT |
| State | WI |
| Zip Code | 53406-5011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674330 | Alicia S Balistreri | Counselor | 5735 Durand Ave, Mount Pleasant, WI 53406-5011 | 2020-09-17 |
| 1639702228 | Maria-gretchen Fabroa Wagner-richardson | Registered Nurse | 5735 Durand Ave, Mount Pleasant, WI 53406-5011 | 2020-02-21 |
| 1164066916 | Danielle L James | Licensed Practical Nurse | 5735 Durand Ave, Mount Pleasant, WI 53406-5011 | 2019-11-05 |
| 1568023943 | Terri Lee Wallow | Counselor | 5735 Durand Ave, Mount Pleasant, WI 53406-5011 | 2019-06-26 |
| 1316505480 | Michelle Brown | Registered Nurse | 5735 Durand Ave, Mount Pleasant, WI 53406-5011 | 2019-06-03 |
| 1487110110 | Dana C Clark | Licensed Practical Nurse | 5735 Durand Ave, Mount Pleasant, WI 53406-5011 | 2019-02-19 |
| 1972074672 | Doreen Jane Uick | Registered Nurse | 5735 Durand Ave, Mount Pleasant, WI 53406-5011 | 2018-12-07 |
| 1649745340 | Miriam E Corona | Counselor | 5735 Durand Ave, Mount Pleasant, WI 53406-5011 | 2018-10-09 |
| 1275034514 | Karen Novak | Registered Nurse | 5735 Durand Ave, Mount Pleasant, WI 53406-5011 | 2018-02-22 |
| 1619480571 | Sarah Marie Jaeck | Counselor | 5735 Durand Ave, Mount Pleasant, WI 53406-5011 | 2017-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164349 | Lynn Huynh | Pharmacist | 5695 Washington Ave, Racine, WI 53406 | 2020-11-06 |
| 1659920049 | Carol Jean Cornejo | Technician | 6528 Heritage Avenue, Mt Pleasant, WI 53406 | 2019-09-09 |
| 1265913958 | Mary Goldbeck | Social Worker | 1775 Newman Rd, Mt Pleasant, WI 53406 | 2018-08-22 |
| 1669963344 | Kelly Nicole Nelson | Registered Nurse | 8800 Washington Ave Ste 200, Mount Pleasant, WI 53406 | 2018-05-29 |
| 1891212163 | Ilona Agata Pryomski | Nurse Practitioner | 9201 Washington Ave, Racine, WI 53406 | 2017-08-27 |
| 1386185106 | Margaret M. Abaogye Dds | Dentist | 4340 Newman Rd., Racine, WI 53406 | 2017-03-13 |
| 1508309212 | Rebecca Koeppen | Dietitian, Registered | 8400 Washington Ave., Racine, WI 53406 | 2016-11-29 |
| 1386194371 | Forefront Dermatology, S.c. | Dermatology | 7200 Washington Ave, Suite 100, Mount Pleasant, WI 53406 | 2016-10-13 |
| 1356891402 | Forefront Dermatology, S.c. | Dermatology | 1515 S Green Bay Rd, Racine, WI 53406 | 2016-10-12 |
| 1861841470 | Leah Marie Johnson | Dentist | 1101 South Airline Road, Racine, WI 53406 | 2016-06-06 |
| Find all providers in zip 53406 | ||||
| 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 |
|---|---|---|---|---|
| 1801269915 | Alberta Bauer | Licensed Practical Nurse | 3798 W Remus Rd, Mount Pleasant, MI 48858-9619 | 2015-11-11 |
| 1477944338 | Heather Ann Yohn | Licensed Practical Nurse | 4225 Northwestern Ave, Mount Pleasant, WI 53405-1315 | 2015-02-13 |
| 1588918494 | Vanessa Lea Hetchler | Licensed Practical Nurse | 1422 Plainfield Ave, Mount Pleasant, WI 53403-3616 | 2012-10-30 |
| 1447509096 | Angela Taylor | Licensed Practical Nurse | 7925 Whitetail Dr, Mount Pleasant, WI 53406-1750 | 2012-08-29 |
| 1164066916 | Danielle L James | Licensed Practical Nurse | 5735 Durand Ave, Mount Pleasant, WI 53406-5011 | 2019-11-05 |
| 1487110110 | Dana C Clark | Licensed Practical Nurse | 5735 Durand Ave, Mount Pleasant, WI 53406-5011 | 2019-02-19 |
| 1245794031 | Shanita Shantay Johnson | Licensed Practical Nurse | 210 Clayton Ave, Mount Pleasant, TX 75455-3732 | 2019-01-25 |
| 1508339706 | Joseph T Makowka | Licensed Practical Nurse | 5735 Durand Ave Ste A, Mount Pleasant, WI 53406-5011 | 2019-01-10 |
| 1861960460 | Shawn M Fuller | Licensed Practical Nurse | 508 S Church St Ste 201, Mount Pleasant, PA 15666-1702 | 2018-11-13 |
| 1538634332 | Tricia L Crozier | Licensed Practical Nurse | 508 S Church St Ste 201, Mount Pleasant, PA 15666-1702 | 2018-10-08 |
| Find all providers in MOUNT PLEASANT | ||||
| City | MOUNT PLEASANT |
| Zip Code | 53406 |
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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.