MRS. TINA MARIE OTTMAN-BOYKIN (NPI# 1760595300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760595300 |
Entity Type | Individual |
Full Name | MRS. TINA MARIE OTTMAN-BOYKIN |
Other Name | MISS TINA MARIE OTTMAN |
Credential | MSE LCSW LPC NCC |
Practice Address |
2801 Calumet Drive Sheboygan WI 53083 |
Practice Telephone | 9204516908 |
Practice Fax Number | 9204586439 |
Mailing Telephone | 9204516908 |
Mailing Fax Number | 9204586439 |
Enumeration Date | 2006-08-17 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 101YP2500X |
Counselor Specialization: Professional |
1568125 | WI | Behavioral Health & Social Service Providers |
X | 1041C0700X |
Social Worker Specialization: Clinical |
2886123 | WI | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 39744000 | 05 | |
NBCC | 38798 | 01 | |
CHAMPUS TRICARE | 138002 | 01 |
Street Address |
2801 CALUMET DRIVE |
City | SHEBOYGAN |
State | WI |
Zip Code | 53083 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518024058 | Audrey Lorraine Aardappel | Social Worker | 2801 Calumet Drive, Sheboygan, WI 53083 | 2007-01-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629341748 | Wendy Marie Kirst | Licensed Practical Nurse | 2639 North 9th Street, Sheboygan, WI 53083 | 2012-02-21 |
1194912493 | Assisted Living Concepts Inc | Assisted Living Facility | 1231 Eisner Avenue, Sheboygan, WI 53083 | 2007-10-01 |
1629265350 | David P Mayer | Dentist | 2705 N 8th Street, Sheboygan, WI 53083 | 2007-09-26 |
1760683510 | Ginger Adams | Physical Therapy Assistant | 3431 North 13th Street, Sheboygan, WI 53083 | 2007-05-30 |
1295947778 | Jodi Lynn Wagner | Occupational Therapist | 2629 North 7th Street, Sheboygan, WI 53083 | 2007-05-04 |
1306067491 | School District of Howards Grove | Local Education Agency (LEA) | 403 Audubon Road, Howards Grove, WI 53083 | 2007-05-02 |
1902023955 | Aurora Health Care Central, Inc. | Community/Behavioral Health | 2629 N 7th St., Sheboygan, WI 53083 | 2007-04-19 |
1497860498 | Charles J Gehring Jr. | Anesthesiology | 4945 Blackstock Rd, Sheboygan, WI 53083 | 2006-08-20 |
1588043186 | Abby M Safranski | Family Medicine | 620 S Wisconsin Dr, Howards Grove, WI 53083 | 2015-05-28 |
1174901615 | Adeel Pervez | Internal Medicine | 2629 N 7th St, Sheboygan, WI 53083 | 2015-05-17 |
Find all providers in zip 53083 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942611579 | Jennifer Katherine Miller | Counselor | 710 Pennsylvania Ave, Sheboygan, WI 53081-4645 | 2014-05-16 |
1114340361 | Jamie Cops | Counselor | 615 S 8th St Ste 210, Sheboygan, WI 53081-4468 | 2014-01-23 |
1902148059 | Elizabeth Louise Heitzmann | Counselor | 1226 N 8th St Ste 103, Sheboygan, Sheboygan, WI 53081-3404 | 2013-03-26 |
1700148640 | Amanda Kate Schroeder | Counselor | 510 S 8th Street, Sheboygan, WI 53081-4006 | 2012-06-15 |
1306086962 | Gerri Lynn Olson | Counselor | 706 N 9th St, Sheboygan, WI 53081-4516 | 2009-02-23 |
1336328517 | Laura Lee Turpin | Counselor | 1721 Saemann Avenue, Sheboygan, WI 53081-2341 | 2007-10-24 |
1376582312 | Carol Sherman Haid | Counselor | 833 Pennsylvania Ave, Suite 103, Sheboygan, WI 53081-4452 | 2006-06-05 |
1114905668 | Christine Ann Jenkins | Counselor | 615 N 6th St, Sheboygan, WI 53081-4612 | 2006-01-05 |
1629054093 | Jeffrey T Kroening | Counselor | 3425 Superior Ave, Sheboygan, WI 53081-1863 | 2005-12-19 |
1861007098 | Rachael Sass | Counselor | 1721 Saemann Ave, Sheboygan, WI 53081-2342 | 2020-09-14 |
Find all providers in SHEBOYGAN |
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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.