BRIAN SCOTT SCAPARDINE (NPI# 1538720412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538720412 |
| Entity Type | Individual |
| Full Name | BRIAN SCOTT SCAPARDINE |
| Practice Address |
7530 County Road B Pittsville WI 54466-9759 |
| Practice Telephone | 7156762920 |
| Mailing Telephone | 7156762920 |
| Enumeration Date | 2019-06-22 |
| Last Update Date | 2019-06-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 130367 | WI | Nursing Service Providers |
| Y | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
130367 | WI | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | COMMERCIAL | 04041967 | 01 |
| WI | 04041967 | 05 |
| Street Address |
7530 COUNTY ROAD B |
| City | PITTSVILLE |
| State | WI |
| Zip Code | 54466-9759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861877466 | Jacqueline Scapardine | Registered Nurse | 7530 County Road B, Pittsville, WI 54466-9759 | 2015-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538613666 | Angela Kari Rutta | Licensed Practical Nurse | 5458 2nd Ave, Pittsville, WI 54466 | 2016-08-05 |
| 1578634101 | Norman C John | Dentist | 8243 Jackson Street, Pittsville, WI 54466 | 2006-11-13 |
| 1497780472 | Jan M Brockman | Physical Therapist | 5308 2nd Ave, Pittsville, WI 54466 | 2006-07-11 |
| 1700849288 | Kathleen Louise Nelson | Licensed Practical Nurse | 6783 Bethel Rd, Pittsville, WI 54466 | 2006-04-07 |
| 1104255082 | Lynda Lee Jones | Physical Therapy Assistant | 5308 2nd Ave., Pittsville, WI 54466 | 2013-11-01 |
| 1700050614 | Nicole L. Kremer | Physical Therapy Assistant | 5308 2nd Ave., Pittsville, WI 54466-0276 | 2008-04-22 |
| 1649200791 | Pittsville Therapy Services, Inc | Physical Therapist | 5308 Second Ave, Pittsville, WI 54466-0276 | 2006-07-04 |
| 1568811206 | Ashley J Robus | Physical Therapy Assistant | 5308 2nd Ave., Pittsville, WI 54466-0276 | 2016-06-03 |
| 1205445509 | Kelsey Tenpas | Licensed Practical Nurse | 8232 State Highway 73, Pittsville, WI 54466-9336 | 2020-07-23 |
| 1447201611 | Pittsville Vol Fire Dept Inc | Ambulance | 5388 4th Ave, Pittsville, WI 54466-9342 | 2006-05-13 |
| Find all providers in zip 54466 | ||||
| Taxonomy Code | 163WC0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740803303 | Todd Gray | Registered Nurse | 5400 W National Ave, Milwaukee, WI 53214-3461 | 2020-05-18 |
| 1407366701 | David Lacombe | Registered Nurse | 321 Juniper Ct, Delafield, WI 53018-1100 | 2017-10-02 |
| 1831548031 | Sarah Mccorkle | Registered Nurse | 1020 Vine Ave, Apt 106, Oshkosh, WI 54901-3537 | 2016-06-08 |
| 1467865535 | Ashley Lauren Busalacchi | Registered Nurse | 10303 W Wisconsin Ave, Wauwatosa, WI 53226-3542 | 2014-06-06 |
| 1235487612 | Tamela Sue Hazel | Registered Nurse | 2403 E Hill Dr, Fitchburg, WI 53711-5618 | 2012-08-16 |
| 1336421221 | Haley Meier | Registered Nurse | 2712 Northview Rd, #121, Waukesha, WI 53188-2009 | 2011-09-15 |
| 1316229503 | Lorena Reyes | Registered Nurse | 8710 S Wood Creek Dr Apt 6, Oak Creek, WI 53154-7500 | 2011-09-13 |
| 1689982043 | Benjamin Thiel | Registered Nurse | W147s6942 Durham Pl, Muskego, WI 53150-3138 | 2010-09-20 |
| 1710027313 | Hallie Elizabeth Wiertzema | Registered Nurse | 460 N Jefferson St, Richland Center, WI 53581-1833 | 2007-02-06 |
| 1689726945 | Scott Alfred Becker | Registered Nurse | 4828 W Silver Spring Dr, Milwaukee, WI 53218-3440 | 2007-01-17 |
| Find all providers with the same taxonomy | ||||
| City | PITTSVILLE |
| Zip Code | 54466 |
Please comment or provide details below to improve the information on BRIAN SCOTT SCAPARDINE.
| 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.