THAD REGENOLD (NPI# 1578069522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578069522 |
| Entity Type | Individual |
| Full Name | THAD REGENOLD |
| Credential | RN, CDE |
| Practice Address |
74 Eclipse Ctr Beloit WI 53511-3550 |
| Practice Telephone | 6083610311 |
| Mailing Telephone | 6083610311 |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2018-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
152336-30 | WI | Nursing Service Providers |
| Street Address |
74 ECLIPSE CTR |
| City | BELOIT |
| State | WI |
| Zip Code | 53511-3550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215926324 | Galen Carlos Nelson | Physician Assistant | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2005-10-20 |
| 1841815594 | Lindsey Anderson | Social Worker | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2020-06-09 |
| 1639720980 | Tera Staffon | Dental Hygienist | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2019-09-26 |
| 1508322199 | Colleen Hogan | Dental Hygienist | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2019-02-19 |
| 1326512427 | Elizabeth Green | Dental Hygienist | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2019-01-11 |
| 1972076776 | Kimberly Bates | Dental Hygienist | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2019-01-04 |
| 1982170973 | Shanleigh Bechard | Counselor | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2018-10-17 |
| 1316443351 | John Tran | Dentist | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2018-03-30 |
| 1588194229 | Katie Wilson | Dentist | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2017-06-15 |
| 1609306752 | Naheed Ahmad | Dentist | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2017-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730738485 | Linda Lee Cook | Technician | 914 Cranston Rd., Beloit, WI 53511 | 2019-09-05 |
| 1033773734 | Holistic Counseling Services, LLC | Counselor | 1517 Huebbe Parkway, Ste A, Beloit, WI 53511 | 2019-04-28 |
| 1578073870 | Bonita May Cooke | Counselor | 838 Grant St., Beloit, WI 53511 | 2017-10-02 |
| 1679091219 | Stacy Lynn Gallagher | Licensed Practical Nurse | 1060 Bittel St, Beloit, WI 53511 | 2017-09-04 |
| 1629448824 | Brenda Jean Allen | Registered Nurse | 2907 E. Leona Drive, Beloit, WI 53511 | 2015-09-30 |
| 1033595038 | Amber Noel Slaybaugh | Physical Therapist | 838 E. Azalea Ter., Beloit, WI 53511 | 2015-08-03 |
| 1407260326 | Quirt Family Dentistry, Sc | Dentist | 2777 Milwaukee Rd, Beloit, WI 53511 | 2014-06-18 |
| 1821436973 | Raymond K Spade | Counselor | 2240 Prairie Ave., Beloit, WI 53511 | 2013-06-11 |
| 1629321658 | Sarah Ann Nelson | Physical Therapist | 1905 W. Hart Road, Beloit, WI 53511 | 2012-10-15 |
| 1235494212 | Mary Ann Hudson | Nurse Practitioner | 700 College Street, Beloit College, Beloit, WI 53511 | 2012-07-06 |
| Find all providers in zip 53511 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376016196 | Georgia Ann Horner | Registered Nurse | 3805a Spring St Ste 311, Mount Pleasant, WI 53405-1600 | 2019-01-03 |
| 1962970350 | Elizabeth Mowbray | Registered Nurse | 36500 Aurora Dr Ste 330, Summit, WI 53066-4899 | 2018-11-05 |
| 1972098697 | Courtney Fagan | Registered Nurse | 3805 Spring Street, Bldg A - Suite 311, Racine, WI 53405-1600 | 2018-06-25 |
| 1659882942 | Linda K Davis | Registered Nurse | 2323 N Lake Dr Rm W2039, Milwaukee, WI 53211-4508 | 2017-10-13 |
| 1124539556 | Roxanne Weber | Registered Nurse | 146 E. Geneva Square, Lake Geneva, WI 53147 | 2017-10-12 |
| 1255876462 | Rebecca Delain | Registered Nurse | 616 Aurora Dr, Green Bay, WI 54302-4871 | 2016-12-23 |
| 1558688713 | Patricia Jean Celek | Registered Nurse | 8901 W. Lincoln Avenue, Awamc, West Allis, WI 53227 | 2010-04-28 |
| 1952525529 | Sheryl H Ashby | Registered Nurse | 125 Old Abe Rd, Lac Du Flambeau, WI 54538-9386 | 2007-04-12 |
| 1700928850 | Leann Tilden | Registered Nurse | 1818 N. Meade St., Appleton Medical Center, Appleton, WI 54911 | 2007-02-13 |
| 1467078196 | Lynn J Estacio | Registered Nurse | 9000 W Sura Ln, Greenfield, WI 53228-3477 | 2020-06-18 |
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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.