MS. BONNIE L GROESSL (NPI# 1528170982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528170982 |
| Entity Type | Individual |
| Full Name | MS. BONNIE L GROESSL |
| Credential | MSN |
| Practice Address |
2149 Velp Ave Suite 205 Green Bay WI 54303-5424 |
| Mailing Address |
2987 Durham Rd Green Bay WI 54311-7296 |
| Practice Telephone | 9204348500 |
| Practice Fax Number | 9204689791 |
| Mailing Telephone | 9204689315 |
| Mailing Fax Number | 9204689791 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2009-06-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0000X |
Registered Nurse Specialization: Pain Management |
79614 | WI | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43845200 | 05 |
| Street Address |
2149 VELP AVE SUITE 205 |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54303-5424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780958637 | Advanced Chiropractic of Green Bay LLC | Chiropractor | 2149 Velp Ave, Suite 300, Green Bay, WI 54303-5424 | 2012-02-23 |
| 1912200965 | Essential Chiropractic LLC | Chiropractor | 2149 Velp Ave, Suite #300, Green Bay, WI 54303-5424 | 2010-12-14 |
| 1760618458 | Bridge To Health, LLC | Registered Nurse | 2149 Velp Ave, Suite 205, Green Bay, WI 54303-5424 | 2009-06-08 |
| 1760649529 | Melanie Ann Stimpson | Optometrist | 2149 Velp Ave, Ste 100, Green Bay, WI 54303-5424 | 2008-05-20 |
| 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 | 163WP0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pain Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760618458 | Bridge To Health, LLC | Registered Nurse | 2149 Velp Ave, Suite 205, Green Bay, WI 54303-5424 | 2009-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205098605 | Marilou L Cicero | Registered Nurse | 600 Highland Ave, Compliance Mail Code 2433, Madison, WI 53792-0001 | 2008-06-26 |
| 1740399500 | Anesthetists Inc. of Wisconsin | Registered Nurse | 2302 Highway 46, Deer Park, WI 54007-7501 | 2006-08-29 |
Please comment or provide details below to improve the information on MS. BONNIE L GROESSL.
| 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.