JUDITH ANN EVENSON (NPI# 1770008492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770008492 |
| Entity Type | Individual |
| Full Name | JUDITH ANN EVENSON |
| Credential | APNP |
| Practice Address |
1155 N Mayfair Rd Milwaukee WI 53226-3462 |
| Mailing Address |
1155 N Mayfair Road Third Floor Milwaukee WI 53226-3464 |
| Practice Telephone | 2623664441 |
| Mailing Telephone | 4149558990 |
| Mailing Fax Number | 4149556299 |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2017-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
7811-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1770008492 | 05 |
| Street Address |
1155 N MAYFAIR RD |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53226-3462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801873245 | Christina L Wichman | Psychiatry & Neurology | 1155 N Mayfair Rd, Department of Psychiatry, Milwaukee, WI 53226-3462 | 2005-12-28 |
| 1184128381 | Shannon M Friedbacher | Psychiatry & Neurology | 1155 N Mayfair Rd, Milwaukee, WI 53226-3462 | 2018-03-21 |
| 1003326745 | Kevin Bozymski | Pharmacist | 1155 N Mayfair Rd, Milwaukee, WI 53226-3462 | 2017-10-09 |
| 1760914378 | Miles Bichanich | Plastic Surgery | 1155 N Mayfair Rd, Ste. T2600- South Entry, Milwaukee, WI 53226-3462 | 2017-04-02 |
| 1669913034 | Jennifer Orth | Occupational Therapist | 1155 N Mayfair Rd, Milwaukee, WI 53226-3462 | 2017-03-17 |
| 1093255549 | Legenda Gooding | Nurse Practitioner | 1155 N Mayfair Rd, Suite 1, Milwaukee, WI 53226-3462 | 2017-03-02 |
| 1932657699 | Tera Carman | Social Worker | 1155 N Mayfair Rd, Department of Psychiatry, Milwaukee, WI 53226-3462 | 2016-09-12 |
| 1689120982 | Froedtert & The Medical College of Wisconsin Community Physicians, Inc | Durable Medical Equipment & Medical Supplies | 1155 N Mayfair Rd, Milwaukee, WI 53226-3462 | 2016-08-28 |
| 1275997645 | Amanda Liewen | Psychiatry & Neurology | 1155 N Mayfair Rd, Milwaukee, WI 53226-3462 | 2016-04-11 |
| 1780047696 | Vinod Sehgal | Student in an Organized Health Care Education/Training Program | 1155 N Mayfair Rd, Milwaukee, WI 53226-3462 | 2016-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
| 1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
| 1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
| 1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
| Find all providers in zip 53226 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689292856 | Julianne Margaret John | Nurse Practitioner | 3237 S 16th St Ste 310, Milwaukee, WI 53215-4526 | 2020-07-13 |
| 1558924811 | Sarah Kathryn Garven | Nurse Practitioner | 5000 West National Ave Rm 3119, Milwaukee, WI 53295-1000 | 2019-04-22 |
| 1588292700 | Christopher Adam Schuman | Nurse Practitioner | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-04-01 |
| 1003442849 | Jurgita Gronkowski | Nurse Practitioner | 5000 W National Ave, Milwaukee, WI 53295-2247 | 2020-03-12 |
| 1336775170 | Barbara Rebekah Demares | Nurse Practitioner | 949 N 9th St, Milwaukee, WI 53233-1422 | 2020-03-12 |
| 1639723711 | Amanda Marie Olivas | Nurse Practitioner | 210 W Capitol Dr, Milwaukee, WI 53212-1123 | 2019-07-28 |
| 1396219036 | Amy Heidenreich | Nurse Practitioner | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2019-01-16 |
| 1801376140 | Lisa Eileen Calabrese | Nurse Practitioner | 4570 S 27th St, Milwaukee, WI 53221-2145 | 2018-08-16 |
| 1295247237 | Judy A Conti | Nurse Practitioner | 210 W Capitol Dr, Milwaukee, WI 53212-1123 | 2017-10-31 |
| 1144742750 | Anna M Guerrero | Nurse Practitioner | 2906 S 20th St, Milwaukee, WI 53215-3732 | 2017-07-14 |
| Find all providers in MILWAUKEE | ||||
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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.