NIKOLE LYNN LARKIN (NPI# 1467016899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467016899 |
| Entity Type | Individual |
| Full Name | NIKOLE LYNN LARKIN |
| Credential | NP |
| Practice Address |
112 E 5th Ave Antigo WI 54409-2710 |
| Mailing Address |
5002 Alderson St Apt 1 Schofield WI 54476-2305 |
| Practice Telephone | 7156232331 |
| Mailing Telephone | 7154701111 |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2019-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 9229-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
112 E 5TH AVE |
| City | ANTIGO |
| State | WI |
| Zip Code | 54409-2710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568465201 | Stephen Larson | Nurse Anesthetist, Certified Registered | 112 E 5th Ave, Antigo, WI 54409-2710 | 2005-05-26 |
| 1295381481 | Melissa Flannery | Nurse Practitioner | 112 E 5th Ave, Antigo, WI 54409-2710 | 2019-08-13 |
| 1285295105 | Samantha Jean Stimac | Physical Therapist | 112 E 5th Ave, Antigo, WI 54409-2710 | 2019-06-21 |
| 1487218400 | Rachael Elizabeth Miller | Physical Therapist | 112 E 5th Ave, Antigo, WI 54409-2710 | 2019-04-24 |
| 1366908790 | Hannah Elizabeth Wenzlick | Physician Assistant | 112 E 5th Ave, Antigo, WI 54409-2710 | 2019-02-11 |
| 1700359106 | Stephanie Krautkramer | Speech-Language Pathologist | 112 E 5th Ave, Antigo, WI 54409-2710 | 2019-01-08 |
| 1710467444 | Carolyn Kelk | Dietitian, Registered | 112 E 5th Ave, Antigo, WI 54409-2710 | 2018-08-21 |
| 1982181913 | Courtney Lynn Mattek | Nurse Practitioner | 112 E 5th Ave, Antigo, WI 54409-2710 | 2018-07-23 |
| 1922593805 | Dylan Michael Graff | Physician Assistant | 112 E 5th Ave, Antigo, WI 54409-2710 | 2018-06-25 |
| 1568911097 | Aaron Wright | Nurse Practitioner | 112 E 5th Ave, Antigo, WI 54409-2710 | 2016-09-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454036 | Jason Peter Cueny | Pharmacist | 200 E Highway 64, Antigo, WI 54409 | 2020-10-15 |
| 1770194524 | Christpher George Rowe | Technician | 825 Clermont S Apt 7, Antigo, WI 54409 | 2020-08-14 |
| 1033753512 | Joseph Gerger | Technician | 711 Badger Ave, Antigo, WI 54409 | 2019-10-29 |
| 1225368780 | Integrated Pain Solutions LLC | Clinic/Center | 2327 Neva Road, Antigo, WI 54409 | 2010-01-06 |
| 1558525212 | Jessica E Rosenberg | Social Worker | 310 South Superior Street, Antigo, WI 54409 | 2008-07-11 |
| 1053433292 | Raymond J Portman | Dentist | 705 Fifth Ave, Antigo, WI 54409 | 2007-04-06 |
| 1699801316 | Rick L Perkins | Obstetrics & Gynecology | Aspirus General Clinic, 110 East 5th Avenue, Antigo, WI 54409 | 2007-02-26 |
| 1205999646 | Earl J Roth | Chiropractor | 612 Century Ave, Antigo, WI 54409 | 2006-12-18 |
| 1811061187 | Rosanne Schermetzler | Occupational Therapist | 720 Ackley Street, Antigo, WI 54409 | 2006-11-20 |
| 1912084070 | Antigo Total Therapy & Sports Rehab Center Inc | Physical Therapist | 720 Askley Street, Antigo, WI 54409 | 2006-11-01 |
| Find all providers in zip 54409 | ||||
| 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 |
|---|---|---|---|---|
| 1528087830 | Susan Lyn Bowman | Nurse Practitioner | W 7349 Mayking Road, Antigo, WI 54409 | 2006-07-18 |
| 1538167077 | Gretchen L Tolsma | Nurse Practitioner | 2327 Neva Rd, Antigo, WI 54409-2912 | 2005-07-08 |
| 1982181913 | Courtney Lynn Mattek | Nurse Practitioner | 112 E 5th Ave, Antigo, WI 54409-2710 | 2018-07-23 |
| 1760621338 | Tolsma LLC | Nurse Practitioner | 1111 Langlade Rd, Antigo, WI 54409-2738 | 2009-02-05 |
| 1174548044 | Jolene M Kopplin | Nurse Practitioner | 110 E 5th Ave, Antigo, WI 54409-2710 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639024 | Lyndsay Chapman | Nurse Practitioner | 836 W Badger Ln, West Bend, WI 53095-4502 | 2020-11-06 |
| 1346849510 | Haley Gabrielle Robers | Nurse Practitioner | 1043 Dresser Ave, Waukesha, WI 53188-4980 | 2020-10-20 |
| 1306443460 | Zhengqi Fan | Nurse Practitioner | 7850 Harwood Ave Unit 3, Wauwatosa, WI 53213-2561 | 2020-10-01 |
| 1700493566 | Karen Heckel | Nurse Practitioner | N17w24100 Riverwood Dr Ste 150, Waukesha, WI 53188-1177 | 2020-09-25 |
| 1801401252 | Jodi Lynn Tesch | Nurse Practitioner | N984 Glennview Dr, Greenville, WI 54942-8531 | 2020-09-12 |
| 1023623832 | Serena Ashour | Nurse Practitioner | 1215 Wirtz Ave, Green Bay, WI 54304-2547 | 2020-09-09 |
| 1639782915 | Ana Stoica | Nurse Practitioner | 4600 W Loomis Rd Ste 101, Greenfield, WI 53220-4858 | 2020-08-26 |
| 1235740556 | Lucille Elizabeth Nathwani | Nurse Practitioner | Uw Medical Foundation 600 Highland Ave, Madison, WI 53792-0001 | 2020-08-11 |
| 1952910010 | Dana Diane Broyles | Nurse Practitioner | 6500 W Ohio Ave, Milwaukee, WI 53219-4246 | 2020-07-24 |
| 1174149918 | Nicole Leigh Heding | Nurse Practitioner | 10421 W Birch Ave, Milwaukee, WI 53225-3211 | 2020-06-17 |
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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.