SANDRA SCHAEFER (NPI# 1750606737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750606737 |
| Entity Type | Individual |
| Full Name | SANDRA SCHAEFER |
| Credential | APNP |
| Practice Address |
611 Veterans Ave Ste 106 West Bend WI 53090-2545 |
| Mailing Address |
9000 W Wisconsin Ave Ms 958 Milwaukee WI 53226-4874 |
| Practice Telephone | 2623534460 |
| Practice Fax Number | 2623534461 |
| Mailing Telephone | 4142667615 |
| Mailing Fax Number | 4142666238 |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2019-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
2706542 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1750606737 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7322 W Rawson Ave, Franklin, WI 531328117 | 4142284800 | 4144339007 |
| N168w22730 Prairie View Lane, Jackson, WI 530379002 | 2624234800 | 2624234899 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215971007 | Sandra Lee Schaefer | Emergency Medicine | 3000 West Cecil Avenue, Delano, CA 93215 | 2006-06-15 |
| 1124292362 | Sandra L Schaefer | Psychologist | 1382 S 3rd St, Louisville, KY 40208-2351 | 2008-04-18 |
| 1548235385 | Sandra Schaefer | Nurse Practitioner | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2006-02-22 |
| Street Address |
611 VETERANS AVE STE 106 |
| City | WEST BEND |
| State | WI |
| Zip Code | 53090-2545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912916891 | Lisa S Bosshard | Pediatrics | 611 Veterans Ave Ste 106, West Bend, WI 53090-2545 | 2006-08-07 |
| 1992171987 | Children's Medical Group | Pediatrics | 611 Veterans Ave Ste 106, West Bend, WI 53090-2545 | 2015-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891286043 | Rebekah Lynn Wolff | Counselor | 400 W River Road, West Bend, WI 53090 | 2018-05-23 |
| 1558746990 | Kristi Sheffield | Specialist/Technologist | 3235 Dubin Circle, West Bend, WI 53090 | 2015-07-28 |
| 1508110420 | Vicky Ellen Patten | Occupational Therapy Assistant | 2124 Northwestern Avenue, West Bend, WI 53090 | 2012-10-30 |
| 1801142732 | Andrew Russell Bordeaux | Speech-Language Pathologist | 1624 Barton Ave, West Bend, WI 53090 | 2012-07-30 |
| 1104150549 | Mary Davis | Registered Nurse | 6660 Eastwood Court, West Bend, WI 53090 | 2009-10-01 |
| 1457492282 | Barton Dental Clinic Sc | Dentist | 1542 Barton Ave, West Bend, WI 53090 | 2007-02-12 |
| 1821136037 | Lisa A Tieglman Koepp | Counselor | 1615 Barton Avenue, Northshore Clinic & Consultants Inc, West Bend, WI 53090 | 2007-02-01 |
| 1184760894 | Christopher Allan Buck | Dentist | 1713 N Main Street, West Bend, WI 53090 | 2007-01-29 |
| 1669556601 | Michelle Lee Mccormack | Chiropractor | 519 Shepherds Drive, West Bend, WI 53090 | 2006-10-25 |
| 1831298215 | Sara E Rehring | Social Worker | 400 W River Drive, West Bend, WI 53090 | 2006-09-21 |
| Find all providers in zip 53090 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124250063 | Stacy L Boden | Nurse Practitioner | 3200 Pleasant Valley Rd, West Bend, WI 53095-9274 | 2009-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159964 | Caitlin West | Nurse Practitioner | 10823 N Ravine Ct, Mequon, WI 53092-5876 | 2020-06-18 |
| 1639704166 | Angelica Shanahan | Nurse Practitioner | 8733 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2020-03-04 |
| 1609408210 | Jenna Rae Eisold | Nurse Practitioner | 65 W Wood Ridge Dr, River Falls, WI 54022-8291 | 2020-02-11 |
| 1639685274 | Laura Palmer | Nurse Practitioner | 4855 S Moorland Rd # Rod, New Berlin, WI 53151-7494 | 2017-12-19 |
| 1306356589 | Alexandra Wilson | Nurse Practitioner | 3033 W Layton Ave # 102, Greenfield, WI 53221-2628 | 2017-10-02 |
| 1689192775 | Brigid Mary Costello | Nurse Practitioner | 9000 W Wisconsin Ave Ste 620, Milwaukee, WI 53226-4874 | 2017-09-08 |
| 1851643696 | Jamie Harder | Nurse Practitioner | 2574 Sun Valley Dr Ste 207, Delafield, WI 53018-2334 | 2012-10-03 |
| 1760731988 | Nancy J Thompson-quandt | Nurse Practitioner | 7831 Warren Ave, Wauwatosa, WI 53213-2115 | 2012-09-04 |
| 1932471018 | Marie Helen Dietrich | Nurse Practitioner | 201 S Gammon Rd, Madison, WI 53717-1404 | 2012-02-03 |
| 1598993925 | Rebecca R. Rusch | Nurse Practitioner | 13950 W. W. Capitol Drive, Suite 200, Brookfield, WI 53005-2441 | 2009-06-24 |
| Find all providers with the same taxonomy | ||||
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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.