PENINNAH M KAKO


Address: 12601 W Hampton Avenue, Suite 100a, Butler, WI 53007
Phone: 2623731869

PENINNAH M KAKO (NPI# 1720172745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720172745
Entity Type Individual
Full Name PENINNAH M KAKO
Credential APNP
Practice Address 12601 W Hampton Avenue
Suite 100a
Butler
WI 53007
Mailing Address 9619 Beachwood Avenue
Milwaukee
WI 53224
Practice Telephone 2623731869
Mailing Telephone 4143538788
Enumeration Date 2006-10-03
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 1806-033 WI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 43930800 05

Office Location

Street Address 12601 W HAMPTON AVENUE
SUITE 100A
City BUTLER
State WI
Zip Code 53007

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649713033 Teresa Taylor Home Health Aide 5145 N 124th St, Butler, WI 53007-1334 2016-12-02
1013060136 Donald E Dlouhy Optometrist 12728 W Hampton Ave, Butler, WI 53007-1602 2007-01-20
1215177167 Donald E. Dlouhy LLC Clinic/Center 12728 W Hampton Ave, Butler, WI 53007-1602 2009-03-04
1598862633 Cynthia L Solliday Psychologist 12802 W Hampton Ave, Butler, WI 53007-1606 2006-09-20
1124325410 Lauren N Solliday-mcroy Specialist 12802 W Hampton Ave, Butler, WI 53007-1606 2011-02-22
1932419413 Mind Body Soulutions Psychologist 12802 W Hampton Ave, Butler, WI 53007-1606 2010-10-18
1770686362 Louis C Boryc Dentist 13195 W Hampton Ave, Butler, WI 53007-1609 2006-09-07
1003327511 New Leaf Home Care, LLC Home Health 12714 W Hampton Ave Ste E, Butler, WI 53007-1640 2017-10-24
1245764588 Pang Vue Technician 12714 W Hampton Ave, Ste E, Butler, WI 53007-1640 2017-04-13
1881925261 Midland Health Testing Services, Inc. Contractor 12523 W Hampton Ave, Butler, WI 53007-1703 2010-01-25
Find all providers in zip 53007

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255850251 Kristin Michelle Mohler Nurse Practitioner 353 N. Duffy Rd, Butler, PA 16001 2017-09-12
1154761740 Tammy Albritton Duncan-singleton Nurse Practitioner 56 Mcdowell St, Butler, GA 31006-5337 2013-06-27
1316215064 Cory R Wilhite Nurse Practitioner 109 Technology Dr, Suite A, Butler, PA 16001-1785 2011-12-09
1811152085 Theresa Michelle Ramella Nurse Practitioner 104 Technology Dr Ste 202, Butler, PA 16001-1801 2008-07-27
1912033994 Sheri L Rolewski Nurse Practitioner 1022b North Main Street, Lower Level, Butler, PA 16001-1954 2007-02-26
1942263686 Denise M Kuhaupt Nurse Practitioner 12601 W Hampton Ave Ste 100a, Aurora Quickcare, Butler, WI 53007-1705 2006-04-11
1184626566 Allen M Jones Nurse Practitioner 160 Hollywood Dr Fl 2, Butler, PA 16001-5600 2005-08-15
1144829664 Kristen Cress Nurse Practitioner 102 Technology Dr Ste 110, Butler, PA 16001-1784 2020-10-26
1356940076 Katelyn R Straynick Nurse Practitioner 389 New Castle Rd, Butler, PA 16001-1743 2020-10-23
1043823784 Jason Matthew Dorich Nurse Practitioner 353 N Duffy Rd, Butler, PA 16001-1138 2020-08-24
Find all providers in BUTLER

Competitor

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City BUTLER
Zip Code 53007

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Dataset Information

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.

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