KATRINA WELLNITZ (NPI# 1548714462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548714462 |
| Entity Type | Individual |
| Full Name | KATRINA WELLNITZ |
| Credential | CPHT |
| Practice Address |
160 Business Park Cir Stoughton WI 53589-3392 |
| Practice Telephone | 6088731342 |
| Practice Fax Number | 6088734009 |
| Mailing Telephone | 6088731342 |
| Mailing Fax Number | 6088734009 |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2016-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | 580107010255420 | WI | Pharmacy Service Providers |
| Street Address |
160 BUSINESS PARK CIR |
| City | STOUGHTON |
| State | WI |
| Zip Code | 53589-3392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114092640 | Jason Douglas Walker-crawford | Pharmacist | 160 Business Park Cir, Stoughton, WI 53589-3392 | 2006-11-21 |
| 1649669482 | Alix Sauld | Pharmacy Technician | 160 Business Park Cir, Stoughton, WI 53589-3392 | 2015-01-16 |
| 1316349681 | Jessica Kaltenberg | Pharmacy Technician | 160 Business Park Cir, Stoughton, WI 53589-3392 | 2014-09-18 |
| 1932548286 | Crystal A Chavous | Pharmacy Technician | 160 Business Park Cir, Stoughton, WI 53589-3392 | 2013-06-20 |
| 1689967044 | Eric Hartkopf | Pharmacist | 160 Business Park Cir, Stoughton, WI 53589-3392 | 2011-05-18 |
| 1861634743 | Lori Julson | Pharmacy Technician | 160 Business Park Cir, Stoughton, WI 53589-3392 | 2009-03-24 |
| 1922261015 | Tiera Wagner | Pharmacist | 160 Business Park Cir, Stoughton, WI 53589-3392 | 2008-07-08 |
| 1619189685 | H Edward Heckman | Pharmacist | 160 Business Park Cir, Stoughton, WI 53589-3392 | 2007-05-04 |
| 1518098029 | Tim G Hensch | Pharmacy Technician | 160 Business Park Cir, Stoughton, WI 53589-3392 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467971507 | Linda Kay Balthazor | Registered Nurse | 900 Truman, Stoughton, WI 53589 | 2017-09-10 |
| 1801342464 | Lorchid Lanoway | Licensed Practical Nurse | 1817 Cedarbrook Ln, Unit 9, Stoughton, WI 53589 | 2016-09-01 |
| 1114203296 | Marilyn Mary Mackinnon | Pharmacist | 1705 Highway Fifty One, Stoughton, WI 53589 | 2011-11-02 |
| 1053693028 | Alfred Bennin | Pharmacist | 1705 Us Hwy 51/138, Stoughton, WI 53589 | 2011-09-15 |
| 1447531892 | Tina Ann Ferguson | Pharmacist | 1705 Us Highway 51, Stoughton, WI 53589 | 2011-08-30 |
| 1285926972 | Jenifer Lee Stokstad | Registered Nurse | 3496 Hwy 138, Stoughton, WI 53589 | 2011-05-12 |
| 1447583018 | Stephanie Marie Kind | Licensed Practical Nurse | 608 W South St, Stoughton, WI 53589 | 2009-09-14 |
| 1386885721 | Scott Tauferner | Physical Therapist | 2300 Us Hwy 51-138, Stoughton, WI 53589 | 2009-03-16 |
| 1245495480 | Roundy's Supermarkets Inc | Pharmacy | 1750 Hwy 51 W, Stoughton, WI 53589 | 2008-07-28 |
| 1720278005 | Judith Davis | Clinical Neuropsychologist | 716 Roby Rd, Stoughton, WI 53589 | 2007-08-01 |
| Find all providers in zip 53589 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649669482 | Alix Sauld | Pharmacy Technician | 160 Business Park Cir, Stoughton, WI 53589-3392 | 2015-01-16 |
| 1316349681 | Jessica Kaltenberg | Pharmacy Technician | 160 Business Park Cir, Stoughton, WI 53589-3392 | 2014-09-18 |
| 1932548286 | Crystal A Chavous | Pharmacy Technician | 160 Business Park Cir, Stoughton, WI 53589-3392 | 2013-06-20 |
| 1861634743 | Lori Julson | Pharmacy Technician | 160 Business Park Cir, Stoughton, WI 53589-3392 | 2009-03-24 |
| 1518098029 | Tim G Hensch | Pharmacy Technician | 160 Business Park Cir, Stoughton, WI 53589-3392 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578109062 | Jamie Ann Ver Hagen | Pharmacy Technician | 218800 Fawn Rd Lot 81, Mosinee, WI 54455-4352 | 2019-11-20 |
| 1861831810 | James Robert Mccormick | Pharmacy Technician | 2720 S 163rd St, New Berlin, WI 53151-3610 | 2013-06-21 |
| 1265777999 | Linda Joyce Lundberg | Pharmacy Technician | 11134n Hwy 77, Essentia Health Hayward Pharmacy, Hayward, WI 54843-5325 | 2012-12-06 |
| 1952335515 | Nicole L Halvorson | Pharmacy Technician | 1800 Robin Ave, S207, Oshkosh, WI 54902-8765 | 2006-07-10 |
| 1295356020 | Matthew Parish | Pharmacy Technician | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2020-05-04 |
| 1255951448 | Hossam Ali | Pharmacy Technician | 2700 S 60th St, Milwaukee, WI 53219-3151 | 2020-04-17 |
| 1649816026 | James Allen Worthey | Pharmacy Technician | 2001 N Central Ave, Marshfield, WI 54449-8337 | 2019-11-20 |
| 1821651563 | Leighton A Becher | Pharmacy Technician | 1900 South Ave, La Crosse, WI 54601-5496 | 2019-04-18 |
| 1861902751 | Brandon Tyra | Pharmacy Technician | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2017-10-05 |
| 1598126088 | Ian Stewart Hamilton | Pharmacy Technician | 341 State St, Suite G, Madison, WI 53703-2057 | 2016-03-11 |
| Find all providers with the same taxonomy | ||||
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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.