AUDREY BLUM (NPI# 1770990756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770990756 |
| Entity Type | Individual |
| Full Name | AUDREY BLUM |
| Credential | RN |
| Practice Address |
151 E Badger Rd Suite A Madison WI 53713-2708 |
| Mailing Address |
2422 N Grandview Blvd Waukesha WI 53188-6105 |
| Practice Telephone | 6082502512 |
| Practice Fax Number | 6082502516 |
| Mailing Telephone | 2625496600 |
| Mailing Fax Number | 2625496698 |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
189456-30 | WI | Nursing Service Providers |
| Street Address |
151 E BADGER RD SUITE A |
| City | MADISON |
| State | WI |
| Zip Code | 53713-2708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801179965 | Nicole Williams | Licensed Practical Nurse | 151 E Badger Rd, Suite A, Madison, WI 53713-2708 | 2011-09-26 |
| 1508470220 | Andrea S Ruenger | Counselor | 151 E Badger Rd, Madison, WI 53713-2725 | 2020-09-01 |
| 1518575935 | Kristin A Smith | Registered Nurse | 151 E Badger Rd, Madison, WI 53713-2725 | 2020-07-22 |
| 1255949723 | Itina V Johnson | Counselor | 151 E Badger Rd, Madison, WI 53713-2725 | 2020-07-21 |
| 1730710450 | Alwyn Foster | Counselor | 151 E Badger Rd, Madison, WI 53713-2725 | 2020-01-31 |
| 1164052866 | Gabriela Knutson | Counselor | 151 E Badger Rd, Madison, WI 53713-2725 | 2020-01-22 |
| 1164988879 | Victoria Merritt Schimmer | Counselor | 151 E Badger Rd, Madison, WI 53713-2725 | 2019-02-18 |
| 1134602592 | Kendall Christine Ross | Counselor | 151 E Badger Rd, Madison, WI 53713-2708 | 2018-09-12 |
| 1902396997 | Jeffrey Neil Margenau | Counselor | 151 E Badger Rd, Madison, WI 53713-2708 | 2018-05-15 |
| 1295234805 | Breanne Marie Vanloo | Counselor | 151 E Badger Rd, Madison, WI 53713-2708 | 2018-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508406760 | Diana Kay Woodruff | Registered Nurse | Madison West Comprehensive Treatment Center, 151 E. Badger Rd. Suite A, Madison, WI 53713 | 2020-01-15 |
| 1568008886 | Avery Reven Kansteiner | Counselor | 105 Ski Court, Madison, WI 53713 | 2019-11-21 |
| 1518501329 | Erica D Anderson | Counselor | 1125 W Badger Rd Apt 6, Madison, WI 53713 | 2019-11-05 |
| 1942799739 | Emily Natera | Counselor | 128 E. Olin Ave., Ste. 100, Madison, WI 53713 | 2018-05-07 |
| 1295255644 | Renee Denise Wilberg | Counselor | 122 E. Olin Avenue, Madison, WI 53713 | 2017-06-26 |
| 1548793060 | Racquel Williams-kroll | Registered Nurse | 151 East Badger Road Ste A, Madison, WI 53713 | 2017-04-11 |
| 1124570841 | Shirley Norman-johnson | Licensed Practical Nurse | 115 East Badger Rd, Suite A, Madison, WI 53713 | 2016-10-28 |
| 1629525613 | Katherine Simons Melde | Nurse Practitioner | 2222 S Park St Ste 210, Madison, WI 53713 | 2016-09-07 |
| 1013301779 | Bio-medical Applications of Wisconsin, Inc. | Clinic/Center | 2840 Index Rd., Madison, WI 53713 | 2015-03-20 |
| 1902147721 | Jill Zimmerman | Occupational Therapy Assistant | 2801 Coho Street, Suite 300, Madison, WI 53713 | 2013-03-04 |
| Find all providers in zip 53713 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271801 | Jessica Seidel | Registered Nurse | 1015 Gammon Lane, Madison, WI 53719 | 2020-10-01 |
| 1093299455 | Mariela Ruiz | Registered Nurse | 151 E Badger Rd Unit A, Madison, WI 53713-2708 | 2018-09-21 |
| 1871916890 | Mary Kathleen Ransom | Registered Nurse | 151 E Badger Rd Ste A, Madison, WI 53713-2708 | 2014-01-27 |
| 1295044519 | Donna Marie Riemer | Registered Nurse | 83 Golf Pkwy Unit C, Madison, WI 53704-7000 | 2010-10-04 |
| 1881202208 | Arizona Suzanne Jaramillo | Registered Nurse | 1320 Mendota St Ste 120, Madison, WI 53714-1060 | 2020-07-22 |
| 1821623885 | Katherine Disch | Registered Nurse | 1320 Mendota St Ste 120, Madison, WI 53714-1060 | 2020-03-10 |
| 1477199693 | Stacy Mcnall | Registered Nurse | 25 Kessel Ct Ste 105, Madison, WI 53711-6227 | 2019-11-22 |
| 1275177305 | Theresa Kyriakopoulos | Registered Nurse | 210 E Olin Ave, Madison, WI 53713-1434 | 2019-11-01 |
| 1548734346 | Leslie Naber | Registered Nurse | 210 E Olin Ave, Madison, WI 53713-1434 | 2019-01-15 |
| 1609350578 | Jean Benjamin | Registered Nurse | 210 E Olin Ave, Madison, WI 53713-1434 | 2018-09-18 |
| Find all providers in MADISON | ||||
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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.