STEPHANIE KENNEDY (NPI# 1619393659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619393659 |
| Entity Type | Individual |
| Full Name | STEPHANIE KENNEDY |
| Other Name | STEPHANIE S STASZAK |
| Credential | RN |
| Practice Address |
2845 Greenbrier Rd Ste 330 Green Bay WI 54308-8900 |
| Mailing Address |
164 N Broadway Green Bay WI 54303-2728 |
| Practice Telephone | 9202888350 |
| Practice Fax Number | 9202888355 |
| Mailing Telephone | 9209654055 |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2014-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 120176 | WI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062867 | Stephanie Kennedy | Nutritionist | 207 E Baltimore St, Detroit, MI 48202-3278 | 2020-10-27 |
| 1760080014 | Stephanie Kennedy | Internal Medicine | 503 E Sonterra Blvd, San Antonio, TX 78258-4058 | 2020-10-09 |
| 1063967339 | Stephanie Kennedy | Contractor | 5890 Kennerly Ave, Saint Louis, MO 63112-3822 | 2016-08-16 |
| 1548461262 | Stephanie Dawn Kennedy | Speech-Language Pathologist | 4626 Preston Woods Dr, Valrico, FL 33594-7872 | 2007-05-30 |
| 1831799923 | Stephanie J Kennedy | Occupational Therapy Assistant | 21630 Merchants Way, Katy, TX 77449-2514 | 2020-10-28 |
| 1073149142 | Stephanie Kennedy | Case Manager/Care Coordinator | 5041 Oaklawn Dr, Cincinnati, OH 45227-1433 | 2020-03-20 |
| 1912551441 | Stephanie M Kennedy | Obstetrics & Gynecology | 1701 South Blvd E Ste 200, Rochester Hills, MI 48307-6116 | 2019-08-01 |
| 1467918441 | Stephanie Kennedy | Technician | 1123 Baldwin St, Salinas, CA 93906-3681 | 2019-02-14 |
| 1700340981 | Stephanie Kennedy | Licensed Practical Nurse | 524 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2019-01-22 |
| 1144708306 | Stephanie Lisa Kennedy | Speech-Language Pathologist | 3391 Richmond Ave, Staten Island, NY 10312-2025 | 2018-07-31 |
| Street Address |
2845 GREENBRIER RD STE 330 |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54308-8900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265435853 | Cynthia L Geocaris | Surgery | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2005-05-27 |
| 1659978872 | Molly Linzmeier | Registered Nurse | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2020-10-01 |
| 1588279756 | Toni M Pullen | Massage Therapist | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2020-09-14 |
| 1700413283 | Michelle Yvonne Degrave | Registered Nurse | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2020-03-25 |
| 1588299697 | Amanda Marie Steinfeldt | Nurse Practitioner | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2020-03-09 |
| 1659906113 | Kelly Jane Delzer | Nurse Practitioner | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2020-03-05 |
| 1750915815 | Jennifer Maronek | Occupational Therapist | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2020-02-27 |
| 1538792379 | Sierra R Milosch | Occupational Therapist | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2020-02-20 |
| 1205473584 | Mackenzie L Zuleger | Nurse Practitioner | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2019-12-05 |
| 1588214860 | Jessica S Thompson | Nurse Practitioner | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2019-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417178443 | Todd Harold Bruss | Specialist/Technologist | 1160 Kepler Dr, Green Bay, WI 54308-8970 | 2007-05-01 |
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and 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 |
|---|---|---|---|---|
| 1043810898 | Courtney L Schumacher | Registered Nurse | 162 Custer Ct, Green Bay, WI 54301-1243 | 2020-10-30 |
| 1720601297 | Kelly Flack | Registered Nurse | 2428 Pinehurst Cir, Green Bay, WI 54302-4215 | 2020-05-19 |
| 1205475597 | Laura A Wilz | Registered Nurse | 2815 University Ave, Green Bay, WI 54311-5946 | 2020-01-03 |
| 1598229478 | Shaina Marie Conner | Registered Nurse | 835 S Vanburen St, Green Bay, WI 54301 | 2019-01-25 |
| 1326525049 | Brittany Walczyk | Registered Nurse | 2710 Executive Drive, Green Bay, WI 54307 | 2018-07-25 |
| 1114448040 | Kimberly J Hoffman | Registered Nurse | Po Box 22425, Green Bay, WI 54305-2425 | 2017-06-30 |
| 1962944819 | Rebecca Lucille Reinbold | Registered Nurse | 917 Catherine Street, Green Bay, WI 54301 | 2016-11-09 |
| 1427505486 | Tomi Schmidt | Registered Nurse | 800 Liebman Ct, Apt 7, Green Bay, WI 54302-5089 | 2016-09-07 |
| 1891242178 | Melissa Roubal | Registered Nurse | 3024 Greenview Dr, Green Bay, WI 54311-5715 | 2016-09-05 |
| 1881051100 | Tara Rysewyk | Registered Nurse | 2020 W Point Ter, Green Bay, WI 54304-1764 | 2016-01-16 |
| Find all providers in GREEN BAY | ||||
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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.