KERSTIN LESLIE NEDEGAARD (NPI# 1760009419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760009419 |
| Entity Type | Individual |
| Full Name | KERSTIN LESLIE NEDEGAARD |
| Credential | RN - BSN |
| Practice Address |
W1080 Mohawk Valley Rd Stoddard WI 54658-9025 |
| Practice Telephone | 6083866153 |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2020-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
232109 | WI | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | RN LICENSE | 232109 | 01 |
| Street Address |
W1080 MOHAWK VALLEY RD |
| City | STODDARD |
| State | WI |
| Zip Code | 54658-9025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306393673 | Casey Brye | Registered Nurse | N189 Cedar Hills Ln, Stoddard, WI 54658-9732 | 2016-09-05 |
| 1952870172 | Angela Christine Brown | Registered Nurse | S1100 Sobkowiak Ln, Stoddard, WI 54658-9753 | 2018-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952870172 | Angela Christine Brown | Registered Nurse | S1100 Sobkowiak Ln, Stoddard, WI 54658-9753 | 2018-11-16 |
| 1306393673 | Casey Brye | Registered Nurse | N189 Cedar Hills Ln, Stoddard, WI 54658-9732 | 2016-09-05 |
| 1366566820 | Betsey M Olson | Psychologist | 43 Shedd Hill Rd, Stoddard, NH 03464-4423 | 2007-03-19 |
| 1679193627 | Simone Perry | Speech-Language Pathologist | 200 School St, Stoddard, NH 03464-4457 | 2020-04-20 |
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033717111 | Emilie S Steiner | Registered Nurse | 1121 River Place Blvd, Waukesha, WI 53189-7871 | 2020-10-12 |
| 1447858733 | Kelly Wendt | Registered Nurse | 204 Morrissey Dr, North Prairie, WI 53153-9732 | 2020-10-09 |
| 1942815683 | Catherine Mary Waldvogel | Registered Nurse | W8046 Moose Lake Rd, Antigo, WI 54409-8961 | 2020-09-10 |
| 1407468176 | Pageen Manolis Small | Registered Nurse | 308 Owen Rd, Monona, WI 53716-3526 | 2020-08-23 |
| 1932717410 | Paulette Jo Whalen | Registered Nurse | W267s7535 Olympia Ct N, Waukesha, WI 53189-9637 | 2020-07-21 |
| 1477177079 | Chanelle Anshela Causey | Registered Nurse | 3840 N 57th St, Milwaukee, WI 53216-2216 | 2020-05-31 |
| 1093339756 | April Schoeller | Registered Nurse | 4327 Huntinghorne Dr, Janesville, WI 53546-3541 | 2020-05-28 |
| 1255954822 | Karen M Johnson | Registered Nurse | 7555 Franklin St, Iron River, WI 54847-3420 | 2020-05-18 |
| 1487276705 | Monica Lynn Paar | Registered Nurse | 21343 Wolfe Run Ln Apt 3a, Galesville, WI 54630-8794 | 2020-05-08 |
| 1528694775 | Linda Marie Suy | Registered Nurse | 9231 Waterside St Apt 301, Middleton, WI 53562-5040 | 2020-03-19 |
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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.