MILWAUKEE VA HOSPITAL (NPI# 1649364365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649364365 |
| Entity Type | Organization |
| Organization Name | MILWAUKEE VA HOSPITAL |
| Practice Address |
5000 West National Avenue Milwaukee WI 53295 |
| Practice Telephone | 4143842000 |
| Mailing Telephone | 4143842000 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ANTHONY WILBERT CARR (ADDICTION THERAPIST) |
| Authorized Official Telephone | 4143842000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | WI | Residential Treatment Facilities |
| Street Address |
5000 WEST NATIONAL AVENUE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629073507 | Susan Kathlenn Kartes | Nurse Practitioner | 5000 West National Avenue, Milwaukee, WI 53295 | 2005-06-16 |
| 1881059905 | Jamie Lee Heise | Social Worker | 5000 West National Avenue, Building 43 Room 206, Milwaukee, WI 53295 | 2015-12-16 |
| 1699931196 | Carrie Ann Capak | Pharmacist | 5000 West National Avenue, Milwaukee, WI 53295 | 2008-08-04 |
| 1629159355 | Myron Irving Hustad | Social Worker | 5000 West National Avenue, Milwaukee, WI 53295 | 2006-10-18 |
| 1306938196 | Diane Mary Komlodi | Dietitian, Registered | 5000 West National Avenue, Milwaukee, WI 53295 | 2006-09-29 |
| 1093819559 | Erin Nicole Forgy | Counselor | 5000 West National Avenue, Building 7, Milwaukee, WI 53295 | 2006-09-12 |
| 1982628061 | Marianne Elizabeth Miller | Pharmacist | 5000 West National Avenue, Pharmacy Department, Milwaukee, WI 53295 | 2006-07-26 |
| 1770502676 | Diane E. Roth | Registered Nurse | 5000 West National Avenue, Milwaukee, WI 53295-0001 | 2006-07-19 |
| 1962420034 | Raymond Paul Konz | Social Worker | 5000 West National Avenue, Milwaukee, WI 53215 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457858573 | Nina Sathasivam-rueckert | Psychologist | Zablocki Va Medical Center 5000 West National Avenue, Milwaukee, WI 53295 | 2018-04-06 |
| 1306350269 | Nicole Marien Van Horn | Clinical Nurse Specialist | Milwaukee Va Medical Center (zablocki), 5000 W. National Ave, Milwaukee, WI 53295 | 2017-11-29 |
| 1275829582 | Emily Rose Allred | Registered Nurse | 500 National Ave, Milwaukee, WI 53295 | 2011-06-24 |
| 1104912666 | Steve Eigen | Social Worker | 5000 W. National, Milwaukee, WI 53295 | 2006-10-04 |
| 1225121700 | Vicki L Nelson | Social Worker | 5000 W.national Ave, Milwaukee, WI 53295 | 2006-10-02 |
| 1003908617 | Beth Ayers | Physical Therapist | 5000 W National Ave., Milwaukee, WI 53295 | 2006-09-29 |
| 1730286295 | Regina Robin Anderson-spann | Social Worker | 5000 W. National Avenue, Milwaukee, WI 53295 | 2006-09-19 |
| 1891723904 | Allyn J Coleman | Dentist | Clement J. Zablocki Va Medical Center, 5000 W National Avenue, Milwaukee, WI 53295 | 2006-06-29 |
| 1356347686 | Wendy R. Janssen | Nurse Practitioner | 5000 W. National Ave, Milwaukee, WI 53295 | 2005-06-22 |
| 1598769911 | Ann Elizabeth Wittwer | Nurse Practitioner | 5000 West National Ave, Yellow Clinic, Milwaukee, WI 53295 | 2005-06-13 |
| Find all providers in zip 53295 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932699873 | Dominique Lindsey | Community Based Residential Treatment Facility, Mental Illness | 4031 N 86th St, Milwaukee, WI 53222-1701 | 2018-05-16 |
| 1629513775 | Vessels of God | Community Based Residential Treatment Facility, Mental Illness | 2821 N 4th St # 304, Milwaukee, WI 53212-2362 | 2016-12-28 |
| 1720415938 | Bell Therapy, Inc. | Community Based Residential Treatment Facility, Mental Illness | 7229-7231 W. Brentwood Ave., Milwaukee, WI 53223 | 2013-10-02 |
| 1427241645 | Bell Therapy - Kinnickinnic Group Home | Community Based Residential Treatment Facility, Mental Illness | 2558 South 68th Street, Milwaukee, WI 53219 | 2007-08-21 |
| 1730372186 | Bell Therapy - Martin Group Home | Community Based Residential Treatment Facility, Mental Illness | 1141 N 46th St, Milwaukee, WI 53208-2702 | 2007-08-20 |
| 1174716518 | Bell Therapy - Chambers Group Home | Community Based Residential Treatment Facility, Mental Illness | 6328 W Chambers St, Milwaukee, WI 53210-1456 | 2007-08-20 |
| 1255524690 | Bell Therapy - Congress Group Home | Community Based Residential Treatment Facility, Mental Illness | 6333 W Congress St, Milwaukee, WI 53218-5515 | 2007-08-20 |
| 1699968032 | Bell Therapy - Florist Group Home | Community Based Residential Treatment Facility, Mental Illness | 7401 W Florist Ave, Milwaukee, WI 53218-1850 | 2007-08-20 |
| 1326402538 | Aloria Health Milwaukee | Community Based Residential Treatment Facility, Mental Illness | 312 E Wisconsin Ave, Suite 220, Milwaukee, WI 53202-4310 | 2016-04-13 |
| 1801110002 | Bell Therapy, Inc. | Community Based Residential Treatment Facility, Mental Illness | 5151 W Silver Spring Dr, Milwaukee, WI 53218-3300 | 2010-03-17 |
| Find all providers in MILWAUKEE | ||||
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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.