ANGELA PETTIS (NPI# 1568079028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568079028 |
| Entity Type | Individual |
| Full Name | ANGELA PETTIS |
| Credential | RN |
| Practice Address |
3440 Oakwood Hills Pkwy Eau Claire WI 54701-7698 |
| Practice Telephone | 7152142525 |
| Practice Fax Number | 7152142512 |
| Mailing Telephone | 7152142525 |
| Mailing Fax Number | 7152142512 |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
97850 | WI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649457706 | Angela Patrice Pettis | Registered Nurse | 1050 W Perimeter Rd, Andrews Afb, MD 20762-6601 | 2008-01-30 |
| Street Address |
3440 OAKWOOD HILLS PKWY |
| City | EAU CLAIRE |
| State | WI |
| Zip Code | 54701-7698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760440242 | Kirk V. Dahl | Emergency Medicine | 3440 Oakwood Hills Pkwy, Eau Claire, WI 54701-7698 | 2006-05-03 |
| 1891394862 | Melissa Maxwell | Counselor | 3440 Oakwood Hills Pkwy, Eau Claire, WI 54701-7698 | 2020-10-21 |
| 1174120240 | Jordan Ellifson | Registered Nurse | 3440 Oakwood Hills Pkwy, Eau Claire, WI 54701-7698 | 2020-10-02 |
| 1295343770 | Michaela Tessling | Registered Nurse | 3440 Oakwood Hills Pkwy, Eau Claire, WI 54701-7698 | 2020-07-21 |
| 1336778265 | Deborah Lynch | Registered Nurse | 3440 Oakwood Hills Pkwy, Eau Claire, WI 54701-7698 | 2020-04-03 |
| 1083248835 | Zachary Hasbrouck | Counselor | 3440 Oakwood Hills Pkwy, Eau Claire, WI 54701-7698 | 2020-03-02 |
| 1457991853 | Tanja Munguia | Counselor | 3440 Oakwood Hills Pkwy, Eau Claire, WI 54701-7698 | 2020-01-14 |
| 1437797214 | Madilyn Daino | Counselor | 3440 Oakwood Hills Pkwy, Eau Claire, WI 54701-7698 | 2019-12-12 |
| 1790322188 | Lisa L Martell | Registered Nurse | 3440 Oakwood Hills Pkwy, Eau Claire, WI 54701-7698 | 2019-12-04 |
| 1609412329 | Denise Hurless | Registered Nurse | 3440 Oakwood Hills Pkwy, Eau Claire, WI 54701-7698 | 2019-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887563 | Molly Amanda Haferman | Pharmacist | 3184 London Road, Eau Claire, WI 54701 | 2020-09-24 |
| 1194375915 | Moments Hospice of Eau Claire LLC | Hospice Care, Community Based | 2263 East Ridge Center, Eau Claire, WI 54701 | 2019-09-13 |
| 1043778228 | Rita Marie Acosta | Emergency Medical Technician, Basic | 509 University Dr, Mcphee Atr, Eau Claire, WI 54701 | 2019-03-07 |
| 1619450954 | Michael Brown | Case Manager/Care Coordinator | 102 S Barstow St, Eau Claire, WI 54701 | 2018-09-12 |
| 1417436569 | Valerie Jayne Both | Social Worker | 1000 Starr Avenue, Eau Claire, WI 54701 | 2018-08-09 |
| 1023519055 | Rachel Delanois | Specialist/Technologist | Kinesiology --mcphee Physical Education Center 208, 509 University Drive, Eau Claire, WI 54701 | 2018-02-25 |
| 1427564863 | Matayla Springstroh | Specialist/Technologist | 509 University Drive, Eau Claire, WI 54701 | 2017-12-21 |
| 1265981062 | Molly Hart | Student in an Organized Health Care Education/Training Program | 509 University Dr., Eau Claire, WI 54701 | 2016-09-22 |
| 1982051918 | Renee Teigen-stary | Registered Nurse | 3440 Oakwood Hills Parkway, Eau Claire, WI 54701 | 2016-05-19 |
| 1699104059 | Susan Marie Keller | Speech-Language Pathologist | 3656 Mull Dr., Dove Healthcare - South, Eau Claire, WI 54701 | 2013-11-06 |
| Find all providers in zip 54701 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982051918 | Renee Teigen-stary | Registered Nurse | 3440 Oakwood Hills Parkway, Eau Claire, WI 54701 | 2016-05-19 |
| 1174120240 | Jordan Ellifson | Registered Nurse | 3440 Oakwood Hills Pkwy, Eau Claire, WI 54701-7698 | 2020-10-02 |
| 1558849794 | Brenda Anderson | Registered Nurse | 3440 Oakwood Hills Pkwy, Eau Claire, WI 54701-7698 | 2018-07-31 |
| 1063946416 | Kimberly M Bowden | Registered Nurse | 3440 Oakwood Hills Pkwy, Eau Claire, WI 54701-7698 | 2017-04-12 |
| 1356649099 | Lori Biesecker | Registered Nurse | 3440 Oakwood Hills Pkwy, Eau Claire, WI 54701-7698 | 2011-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271801 | Jessica Seidel | Registered Nurse | 1015 Gammon Lane, Madison, WI 53719 | 2020-10-01 |
| 1801402755 | Marnie Meisner | Registered Nurse | 4004 Lake St, Burlington, WI 53105-9449 | 2020-09-16 |
| 1942772827 | Stacy Sprewell | Registered Nurse | 888 N Edge Trl, Verona, WI 53593-1947 | 2018-12-17 |
| 1093299455 | Mariela Ruiz | Registered Nurse | 151 E Badger Rd Unit A, Madison, WI 53713-2708 | 2018-09-21 |
| 1396222923 | Jessica Rouse-edmonds | Registered Nurse | 2240 Prairie Ave Ste 10, Beloit, WI 53511-2648 | 2018-07-26 |
| 1790271203 | Sarah M Veloskey | Registered Nurse | 4800 S 10th St # 310, Milwaukee, WI 53221-2412 | 2018-07-09 |
| 1689196255 | Kristen Ashley Haltom | Registered Nurse | 2979 Allied St Suite C, Green Bay, WI 54304 | 2017-07-14 |
| 1518342385 | Deanna Heller | Registered Nurse | 5808 Cedar Ct, Mc Farland, WI 53558-8909 | 2015-07-22 |
| 1871916890 | Mary Kathleen Ransom | Registered Nurse | 151 E Badger Rd Ste A, Madison, WI 53713-2708 | 2014-01-27 |
| 1376981811 | Mark Russell Schmitt | Registered Nurse | 1804 Dixie Dr., Waukesha, WI 53189 | 2013-06-06 |
| Find all providers with the same taxonomy | ||||
| City | EAU CLAIRE |
| Zip Code | 54701 |
Please comment or provide details below to improve the information on ANGELA PETTIS.
| 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.