MS. LAURIE ANN MEDIATE (NPI# 1548579139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548579139 |
| Entity Type | Individual |
| Full Name | MS. LAURIE ANN MEDIATE |
| Credential | L.P.N. |
| Practice Address |
1019 N Church St Apt. 102 Elkhorn WI 53121-1185 |
| Practice Telephone | 2622156947 |
| Mailing Telephone | 2622156947 |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2010-09-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 312419-031 | WI | Nursing Service Providers |
| Street Address |
1019 N CHURCH ST APT. 102 |
| City | ELKHORN |
| State | WI |
| Zip Code | 53121-1185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851857601 | All Encompassing Counseling LLC | Clinic/Center | 209 O'connor Drive, Elkhorn, WI 53121 | 2019-02-18 |
| 1689023848 | Jill Bestul | Occupational Therapist | 1532 N. Fairway Lane, Elkhorn, WI 53121 | 2016-06-08 |
| 1578984571 | Aurora Pharmacy Inc. | Pharmacy | 201 E. Morrissey Dr, Suite 100, Elkhorn, WI 53121 | 2013-12-18 |
| 1467894394 | Stephanie Lynn Coates | Counselor | 1 1/2 West Geneva Street, Credence Therapy Associates, Elkhorn, WI 53121 | 2013-07-19 |
| 1871853846 | Roger Dwight Petersen | Family Medicine | 20 South Washington St, Elkhorn, WI 53121 | 2012-05-23 |
| 1184993792 | Adam D Lewis | Pharmacist | 939 N. Wisconsin St., Elkhorn, WI 53121 | 2011-12-28 |
| 1609035328 | Paul V Kreul | Dentist | 715 W Walworth St, Elkhorn, WI 53121 | 2008-06-06 |
| 1548482508 | Mary Brauer | Physical Therapist | W3930 Co Rd Nn, Elkhorn, WI 53121 | 2007-05-02 |
| 1245458140 | Tammie Eileen Demicco | Occupational Therapy Assistant | 1922 County Rd. Nn, Elkhorn, WI 53121 | 2007-04-23 |
| 1215150198 | Laura L Barnes | Physical Therapy Assistant | 1922 County Road Nn, Elkhorn, WI 53121 | 2007-04-10 |
| Find all providers in zip 53121 | ||||
| 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 |
|---|---|---|---|---|
| 1639572191 | Kristy Klein | Licensed Practical Nurse | 118 Eastown Mnr, Elkhorn, WI 53121-2102 | 2014-09-29 |
| 1740413350 | Roberta Cummings | Licensed Practical Nurse | 4448 Cobblestone Rd, Elkhorn, WI 53121-4246 | 2009-08-29 |
| 1740413335 | Terra Marie Olsen | Licensed Practical Nurse | 13 Wright St, Elkhorn, WI 53121-1932 | 2009-08-28 |
| 1598902066 | Karen Elizabeth West | Licensed Practical Nurse | 601 N Wisconsin St, Elkhorn, WI 53121-1120 | 2009-01-20 |
| 1922296375 | Robin Lee Gosh | Licensed Practical Nurse | 1029 Robincrest Ln, Elkhorn, WI 53121-9494 | 2007-10-11 |
| 1619046794 | John Franklin Brensinger Iv | Licensed Practical Nurse | W2147 State Road 11, Elkhorn, WI 53121-4156 | 2006-11-06 |
| 1053480160 | Karen Ann Babcock | Licensed Practical Nurse | W6736 Lakeshore Cir, Elkhorn, WI 53121-2854 | 2006-11-06 |
| 1245316520 | Shirley Reynolds | Licensed Practical Nurse | W2923 State Road 11, Elkhorn, WI 53121-4118 | 2006-10-28 |
| 1013092915 | Joanne Marie Rehard | Licensed Practical Nurse | W. 5567 Plantation Rd., Elkhorn, WI 53121 | 2006-10-26 |
| 1144251513 | Cynthia L Gasparino | Licensed Practical Nurse | 207 Haystack Ln., Elkhorn, WI 53121 | 2006-07-05 |
| Find all providers in ELKHORN | ||||
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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.