CASSIDY SEA MCGLOTHLEN (NPI# 1700262938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700262938 |
| Entity Type | Individual |
| Full Name | CASSIDY SEA MCGLOTHLEN |
| Other Name | CASSIDY SEA PHILLIPS |
| Credential | NP |
| Practice Address |
403 Stageline Rd Hudson WI 54016-7848 |
| Practice Telephone | 7155316800 |
| Practice Fax Number | 7155316801 |
| Mailing Telephone | 7155316800 |
| Mailing Fax Number | 7155316801 |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2015-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 6551-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | LICENSE | 6551-33 | 01 |
| Street Address |
403 STAGELINE RD |
| City | HUDSON |
| State | WI |
| Zip Code | 54016-7848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528064227 | Melanie L Berg | Podiatrist | 403 Stageline Rd, Hudson, WI 54016-7848 | 2005-06-27 |
| 1437700242 | Stephanie Marie Reneau | Nurse Practitioner | 403 Stageline Rd, Hudson, WI 54016-1789 | 2019-09-23 |
| 1912562612 | Taylor Ann Mueller | Nurse Practitioner | 403 Stageline Rd, Hudson, WI 54016-1789 | 2019-05-08 |
| 1770051062 | Pamela Stoutenburg | Registered Nurse | 403 Stageline Rd, Hudson, WI 54016-1789 | 2018-11-05 |
| 1326592502 | Laura Beeson | Nurse Practitioner | 403 Stageline Rd, Hudson, WI 54016-1789 | 2016-08-05 |
| 1346624319 | Jessica Blackford | Nurse Practitioner | 403 Stageline Rd, Hudson, WI 54016-7848 | 2015-07-19 |
| 1932513173 | Sarah Burke | Pediatrics | 403 Stageline Rd, Hudson, WI 54016-1789 | 2014-06-16 |
| 1720404890 | Robyn Cox | Advanced Practice Midwife | 403 Stageline Rd, Hudson, WI 54016-7848 | 2014-03-12 |
| 1467876433 | Ann Marie Crump | Advanced Practice Midwife | 403 Stageline Rd, Hudson, WI 54016-7848 | 2014-02-12 |
| 1801217559 | Gregory Barlow | Physician Assistant | 403 Stageline Rd, Hudson, WI 54016-7848 | 2013-12-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164921128 | Sara Lynn Henry | Occupational Therapy Assistant | 1320 Wisconsin St., Husdon, WI 54016 | 2018-02-06 |
| 1689003436 | Serving Hands Inc | Home Health | 1419 Boulder Court, Hudson, WI 54016 | 2013-11-02 |
| 1275973042 | Lisa Renee Haverly | Occupational Therapist | 477 Perch Lake Rd, Hudson, WI 54016 | 2013-06-26 |
| 1710320213 | Emily Ann Stevenson | Counselor | 901 4th St Ste 165, Hudson, WI 54016 | 2013-04-15 |
| 1083972954 | The Shurden Group | In Home Supportive Care | 2424 Monetary Blvd. #012, The Shurden Group Dba Comfort Keepers, Hudson, WI 54016 | 2012-04-30 |
| 1124305933 | Robert Michael Catlow-price | Massage Therapist | 131 Carmichael Road, Suite #202, Hudson, WI 54016 | 2011-11-08 |
| 1962780221 | Qin Chu | Acupuncturist | 1615 Maxwell Dr., Suite D, Hudson, WI 54016 | 2011-08-03 |
| 1124324231 | Hung Trieu Lieu | Acupuncturist | 1810 Crest View Dr Ste 4a, Hudson, WI 54016 | 2011-02-07 |
| 1912214966 | Sumac Residential LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 723 B Blue Jay Lane, Hudson, WI 54016 | 2010-09-10 |
| 1740593201 | Michelle Marie Young | Counselor | 2501 Hanley Road, Suite F, Eagle Valley Bank Building, Hudson, WI 54016 | 2010-07-26 |
| Find all providers in zip 54016 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548876949 | Li Wang | Nurse Practitioner | 2304 Leeway Dr, Hudson, OH 44236-1819 | 2020-09-21 |
| 1801360953 | Candace Marie Remington | Nurse Practitioner | 7614 Jacque Rd Ste A, Hudson, FL 34667-7195 | 2019-01-11 |
| 1801176987 | Ann Bute | Nurse Practitioner | 13235 State Road 52, Suite 102, Hudson, FL 34669-2968 | 2011-08-22 |
| 1538299979 | Elizabeth Ann Burcaw | Nurse Practitioner | 13906 Lakeshore Blvd Ste 340, Hudson, FL 34667-1487 | 2007-03-06 |
| 1487763231 | Beverly Chawk | Nurse Practitioner | 13908 Lakeshore Blvd Ste 240, Hudson, FL 34667-1492 | 2006-08-29 |
| 1528063914 | Adam Paul Murchie | Nurse Practitioner | 7544 Jacque Rd, Hudson, FL 34667-7162 | 2005-06-14 |
| 1710989967 | Catherine Bond | Nurse Practitioner | 14730 Cobra Way, Hudson, FL 34669-1083 | 2005-06-01 |
| 1518501428 | Jeffrey Earl Branham | Nurse Practitioner | 5700 Darrow Rd Ste 106, Hudson, OH 44236-5026 | 2019-11-04 |
| 1326510520 | Anna Maria House | Nurse Practitioner | 7651 Medical Dr, Hudson, FL 34667-6594 | 2018-12-28 |
| 1386123313 | Katherine Egan | Nurse Practitioner | 7545 Medical Dr, Hudson, FL 34667-6502 | 2018-08-10 |
| Find all providers in HUDSON | ||||
Please comment or provide details below to improve the information on CASSIDY SEA MCGLOTHLEN.
| 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.