JULIE KACZOR (NPI# 1790921112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790921112 |
| Entity Type | Individual |
| Full Name | JULIE KACZOR |
| Practice Address |
50 N Portland St Fond Du Lac WI 54935-3412 |
| Practice Telephone | 9209065100 |
| Mailing Telephone | 9209065100 |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2009-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 119868-030 | WI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114911625 | Julie Leslie Kaczor | Nurse Practitioner | 7505 Osler Dr, Ste 308, Towson, MD 21204-7736 | 2005-09-12 |
| Street Address |
50 N PORTLAND ST |
| City | FOND DU LAC |
| State | WI |
| Zip Code | 54935-3412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205957958 | Kathleen Burghardt | Social Worker | 50 N Portland St, Fond Du Lac, WI 54935-3412 | 2007-04-02 |
| 1770898199 | Denise Johnson | Registered Nurse | 50 N Portland St, Fond Du Lac, WI 54935-3412 | 2010-08-10 |
| 1871808410 | Sheri Whitty | Registered Nurse | 50 N Portland St, Fond Du Lac, WI 54935-3412 | 2010-08-06 |
| 1982918736 | Megan Acheson | Case Manager/Care Coordinator | 50 N Portland St, Fond Du Lac, WI 54935-3412 | 2010-08-04 |
| 1811209455 | Lori Fairweather | Case Manager/Care Coordinator | 50 N Portland St, Fond Du Lac, WI 54935-3412 | 2010-07-12 |
| 1760794598 | Becky Smith | Case Manager/Care Coordinator | 50 N Portland St, Fond Du Lac, WI 54935-3412 | 2010-07-09 |
| 1386956142 | Emily Crego | Case Manager/Care Coordinator | 50 N Portland St, Fond Du Lac, WI 54935-3412 | 2010-07-09 |
| 1285952507 | Amy Manier | Registered Nurse | 50 N Portland St, Fond Du Lac, WI 54935-3412 | 2010-05-11 |
| 1821311283 | Ashley Lynn Medema | Case Manager/Care Coordinator | 50 N Portland St, Fond Du Lac, WI 54935-3412 | 2010-03-12 |
| 1245553601 | Kimberly Jean Bruening | Case Manager/Care Coordinator | 50 N Portland St, Fond Du Lac, WI 54935-3412 | 2010-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482249 | Keziah Sherri Love | Counselor | W390 Wi-23, Fond Du Lac, WI 54935 | 2020-09-18 |
| 1891341988 | Cynthia Louise Singleton | Nurse Practitioner | 16 E 13th St., Fond Du Lac, WI 54935 | 2019-08-14 |
| 1083183297 | Elena Alexandra Giese | Nurse Practitioner | 430 E. Division St, Fond Du Lac, WI 54935 | 2018-11-16 |
| 1669963740 | Elizabeth Anne Machi | Student in an Organized Health Care Education/Training Program | 885 Western Ave Ste 300, Fond Du Lac, WI 54935 | 2018-05-23 |
| 1184150021 | Jordan Moehn | Specialist/Technologist | 633 Prairie Pkwy, Fond Du Lac, WI 54935 | 2017-05-11 |
| 1467856336 | Chuentao Ho | Specialist/Technologist | 45 South National Ave., Fond Du Lac, WI 54935 | 2014-10-21 |
| 1437587961 | Paula Seeley | Nurse Practitioner | 63 West Pioneer Rd, Fond Du Lac, WI 54935 | 2013-10-18 |
| 1144516030 | Bonnie Kay Mallon | Registered Nurse | 118 E 9th St, Fond Du Lac, WI 54935 | 2011-06-20 |
| 1770885600 | Holly Shepard | Counselor | 23 W Scott St., Fond Du Lac, WI 54935 | 2010-11-29 |
| 1437479110 | Ruth Marie Bohn | Occupational Therapy Assistant | 244 North Macy Street, Fond Du Lac, WI 54935 | 2010-06-04 |
| Find all providers in zip 54935 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720697428 | Krissy K Vang | Registered Nurse | 290 Muenter Ave, Fond Du Lac, WI 54935-4735 | 2020-07-28 |
| 1003440942 | Heather Konen | Registered Nurse | W2761 Poplar Rd, Fond Du Lac, WI 54937-6588 | 2020-03-01 |
| 1760990626 | Laureen Wiest | Registered Nurse | 323 E Division St, Fond Du Lac, WI 54935-4554 | 2018-01-12 |
| 1619320058 | Isabella Shafer | Registered Nurse | 389 S Park Ave, Fond Du Lac, WI 54935-5220 | 2016-07-21 |
| 1447629324 | Amanda Pautsch | Registered Nurse | 199 Guindon Blvd, Fond Du Lac, WI 54935-6042 | 2015-09-21 |
| 1144516030 | Bonnie Kay Mallon | Registered Nurse | 118 E 9th St, Fond Du Lac, WI 54935 | 2011-06-20 |
| 1285940114 | Jennifer Ann Battistine | Registered Nurse | 342 N National Ave, Fond Du Lac, WI 54935-2864 | 2010-08-30 |
| 1104156132 | Lori Lynn Lasee | Registered Nurse | W6161 Westlake Ct, Fond Du Lac, WI 54937-1600 | 2010-01-14 |
| 1689814196 | Kimberly Ketter | Registered Nurse | W5451 Abel Dr, Fond Du Lac, WI 54937-7795 | 2009-02-23 |
| 1780839464 | Sarah Sanders | Registered Nurse | 236 15th St, Fond Du Lac, WI 54935-5911 | 2008-11-24 |
| Find all providers in FOND DU LAC | ||||
| City | FOND DU LAC |
| Zip Code | 54935 |
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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.