CONNIE JO DELONGCHAMP (NPI# 1710357934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710357934 |
| Entity Type | Individual |
| Full Name | CONNIE JO DELONGCHAMP |
| Practice Address |
3301 N Ballard Rd Suite B Appleton WI 54911-8980 |
| Mailing Address |
3301 N Ballard Rd Suite B Appleton WI 54911-8928 |
| Practice Telephone | 9207334443 |
| Practice Fax Number | 9207334796 |
| Mailing Telephone | 9207334443 |
| Mailing Fax Number | 9207334796 |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2015-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 319760 | WI | Nursing Service Providers |
| Street Address |
3301 N BALLARD RD SUITE B |
| City | APPLETON |
| State | WI |
| Zip Code | 54911-8980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144242363 | Herbert Martin Allen | Psychiatry & Neurology | 3301 N Ballard Rd, Suite C, Appleton, WI 54911-8988 | 2006-07-24 |
| 1790337178 | Melissa Lynette Wheeler | Counselor | 3301 N Ballard Rd, Appleton, WI 54911-8928 | 2019-07-15 |
| 1902399058 | Patricia Freeman | Registered Nurse | 3301 N Ballard Rd, Appleton, WI 54911-8928 | 2018-06-13 |
| 1568951796 | Kristine Nicole Blohowiak | Registered Nurse | 3301 N Ballard Rd, Appleton, WI 54911-8928 | 2018-05-03 |
| 1659895241 | Jasmine Knaus | Counselor | 3301 N Ballard Rd, Appleton, WI 54911-8928 | 2017-07-26 |
| 1467986224 | Sarah Kate Kaeser | Registered Nurse | 3301 N Ballard Rd, Suite B, Appleton, WI 54911-8928 | 2017-04-18 |
| 1447795190 | Lindalee Taylor | Registered Nurse | 3301 N Ballard Rd, Suite B, Appleton, WI 54911-8928 | 2017-01-04 |
| 1104277227 | Amy Putnam | Registered Nurse | 3301 N Ballard Rd, Suite B, Appleton, WI 54911-8928 | 2016-06-30 |
| 1639525421 | Danielle Witon | Counselor | 3301 N Ballard Rd, Suite B, Appleton, WI 54911-8928 | 2016-05-11 |
| 1417319047 | Jennifer Johnson | Licensed Practical Nurse | 3301 N Ballard Rd, Suite B, Appleton, WI 54911-8928 | 2016-03-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545633 | Brotherly Love, LLC | Day Training, Developmentally Disabled Services | 1513 E Frances St, Appleton, WI 54911 | 2019-12-12 |
| 1952952129 | Eagle Point Senior Living Inc | Assisted Living Facility | 995 East John Street, Appleton, WI 54911 | 2019-09-27 |
| 1619524766 | University Rx LLC | Pharmacy | 133 E College Ave, Appleton, WI 54911 | 2019-08-23 |
| 1174080063 | Shayla Russell | Counselor | Outagamie County Health and Human Services, 320 S. Walnut St., Appleton, WI 54911 | 2019-02-27 |
| 1871086645 | Megan Kilsdonk | Health Educator | 1604 N Meade St, Appleton, WI 54911 | 2018-06-07 |
| 1871085480 | Tanya Lynn Vickery | Social Worker | 410 S. Elm St., Appleton, WI 54911 | 2018-05-31 |
| 1013407501 | Teri G Metropulos | Counselor | 229 S. Morrison, Appleton, WI 54911 | 2018-05-10 |
| 1093211211 | Bonnie Anne Korytkowski | Student in an Organized Health Care Education/Training Program | 229 S. Morrison Street, Appleton, WI 54911 | 2018-04-05 |
| 1639673940 | Brett Follett | Psychologist | 401 S. Elm St., Appleton, WI 54911 | 2018-03-21 |
| 1700202892 | Brian Withrow | Counselor | 607 West 7th St., Appleton, WI 54911 | 2014-03-13 |
| Find all providers in zip 54911 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: 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 |
|---|---|---|---|---|
| 1669935383 | Melissa M Becher | Licensed Practical Nurse | 44 Valerie Dr, Appleton, WI 54915-6217 | 2019-04-09 |
| 1912472242 | Nicholas Derkowski | Licensed Practical Nurse | 2255 W Pershing St, Appleton, WI 54914-6061 | 2018-10-13 |
| 1417444274 | Nikelle Gibson | Licensed Practical Nurse | 4524 N Clayhill Dr, Appleton, WI 54913-6847 | 2018-04-17 |
| 1558810416 | Lynn Lichterman | Licensed Practical Nurse | 4123 N Woodridge Dr, Appleton, WI 54913-6396 | 2016-10-03 |
| 1255784799 | Michelle Drexler | Licensed Practical Nurse | 2237 W Twin Willows Dr, Appleton, WI 54914-6867 | 2016-07-20 |
| 1013399062 | Kristina Rickert | Licensed Practical Nurse | 4500 N French Rd, Appleton, WI 54913-8363 | 2015-06-26 |
| 1235471939 | Catherine Cabilao Schrader | Licensed Practical Nurse | 1211 W Summer St, Appleton, WI 54914-3516 | 2013-03-20 |
| 1497045249 | Kelly Ann Schumacher | Licensed Practical Nurse | 1313 E Harriet St Apt 3, Appleton, WI 54915-2783 | 2011-04-13 |
| 1962712976 | Helen Catherine Belling | Licensed Practical Nurse | 1630 Holland Rd, #106, Appleton, WI 54911-8305 | 2010-10-13 |
| 1891933370 | Morgan J Kelley | Licensed Practical Nurse | 3301b N Ballard Rd, Appleton, WI 54911-8988 | 2009-01-22 |
| Find all providers in APPLETON | ||||
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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.