DR. SHELLEY RAE STANTON (NPI# 1811369473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811369473 |
| Entity Type | Individual |
| Full Name | DR. SHELLEY RAE STANTON |
| Credential | M.D. |
| Practice Address |
1100 Bergslien St Baldwin WI 54002-2600 |
| Mailing Address |
2110 E Center St Rochester MN 55904-4754 |
| Practice Telephone | 7156841111 |
| Mailing Telephone | 5074247105 |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2018-03-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
28987 | WI | Allopathic & Osteopathic Physicians |
| N | 2084P0015X |
Psychiatry & Neurology Specialization: Psychosomatic Medicine |
28987 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
1100 BERGSLIEN ST |
| City | BALDWIN |
| State | WI |
| Zip Code | 54002-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245232982 | Christopher Converse Babbitt | Psychologist | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2005-08-12 |
| 1568076842 | Lindsey Jae Berg | Counselor | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2020-09-03 |
| 1558979112 | Alexandra Erickson | Occupational Therapist | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2020-07-20 |
| 1831712355 | Nicole Lee Samudio | Nurse Practitioner | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2020-05-19 |
| 1114567633 | Claire Bartlett | Physician Assistant | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2020-01-13 |
| 1598308025 | Morgan A Miller | Counselor | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2019-10-28 |
| 1508425356 | Brett Jensen | Specialist/Technologist | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2019-06-06 |
| 1053894840 | Katie Jo Carstens | Physician Assistant | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2018-09-08 |
| 1891277455 | Andrea Kay Burns | Nurse Practitioner | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2018-08-30 |
| 1790283265 | Kate Lynn Jones | Counselor | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2018-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477099026 | Nichole Mattison | Radiologic Technologist | 1180 Oak St, Baldwin, WI 54002 | 2017-01-06 |
| 1497807929 | Dane L Rasmussen | Pharmacist | 840 Main St., Baldwin, WI 54002 | 2007-01-17 |
| 1114083912 | Douglas Earl Jacot | Chiropractor | 1640 Tenth Avenue, Baldwin, WI 54002 | 2006-12-28 |
| 1902907454 | Michael Lee Douglas | Family Medicine | 1110 Bergslien Street, Baldwin, WI 54002 | 2006-09-26 |
| 1427092196 | Shaima Sulemankhil | Family Medicine | 730 10th Ave., Baldwin, WI 54002 | 2006-06-15 |
| 1538114079 | Village of Baldwin | Ambulance | 630 Highway 12, Baldwin, WI 54002 | 2006-05-23 |
| 1861001083 | Marina Cheung Taylor | Physical Therapist | 990 Main Street, Suite #1, Baldwin, WI 54002 | 2020-07-23 |
| 1497245625 | Meghan Ann Becker | Physical Therapist | 650 Birch St, Baldwin, WI 54002 | 2018-05-14 |
| 1902108814 | Purdy Family Dentistry | Dentist | 1730 8th Avenue, Baldwin, WI 54002 | 2010-11-29 |
| 1861538472 | Susan Jayne Irek | Pharmacist | 840 Main Street, Baldwin, WI 54002 | 2007-01-30 |
| Find all providers in zip 54002 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073713293 | Sheetal Reddy Marri | Psychiatry & Neurology | 5000 Veterans St., Tomah, WI 54660 | 2007-07-25 |
| 1366467714 | Kurapati Bhaskar Reddy | Psychiatry & Neurology | 517 Court St Rm 503, Neillsville, WI 54456-1976 | 2006-07-13 |
| 1033188792 | Anthony J Braus | Psychiatry & Neurology | 5395 E Cheryl Pkwy, Fitchburg, WI 53711-5395 | 2006-03-15 |
| 1568524155 | Krishna Dasgupta | Psychiatry & Neurology | 12690 W North Ave, Brookfield, WI 53005 | 2006-12-14 |
| 1003994500 | Noel K Garchitorena | Psychiatry & Neurology | 5900 S Lake Dr, Cudahy, WI 53110 | 2006-11-01 |
| 1154421667 | Timothy Howell | Psychiatry & Neurology | 2500 Overlook Ter, Madison, WI 53705-2254 | 2006-09-24 |
| 1518989748 | Richard Henry Gibson | Psychiatry & Neurology | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2006-07-24 |
| 1255358073 | Kara E Hayford | Psychiatry & Neurology | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2006-07-16 |
| 1053358788 | Redentor L Galang | Psychiatry & Neurology | 3267 S 16th St, Ohio Building Suite 209, Milwaukee, WI 53215-4500 | 2006-06-01 |
| 1184675266 | Lauren Bern | Psychiatry & Neurology | University of Wisconsin Hospital, 600 Highland Ave H4/831-8320, Madison, WI 53792-0001 | 2006-05-13 |
| Find all providers with the same taxonomy | ||||
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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.