MR. DEREK QUELLA


Address: 2000 Domanik Dr, Racine, WI 53404-2910
Phone: 2626334800

MR. DEREK QUELLA (NPI# 1821345455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821345455
Entity Type Individual
Full Name MR. DEREK QUELLA
Credential RN
Practice Address 2000 Domanik Dr
Racine
WI 53404-2910
Practice Telephone 2626334800
Mailing Telephone 2626334800
Enumeration Date 2012-08-14
Last Update Date 2013-05-15
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163W00000X Registered Nurse 176284-30 WI Nursing Service Providers

Office Location

Street Address 2000 DOMANIK DR
City RACINE
State WI
Zip Code 53404-2910

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679917728 Kelley Cooper Registered Nurse 2000 Domanik Dr, Racine, WI 53404-2910 2013-04-19
1700135910 Nancy Carla Sullivan Licensed Practical Nurse 2000 Domanik Dr, Racine, WI 53404-2910 2012-09-04
1104175694 Kizzie Marie Durgom Registered Nurse 2000 Domanik Dr, Racine, WI 53404-2910 2012-08-30
1376891903 Janet Ann Shimkus Social Worker 2000 Domanik Dr, Racine, WI 53404-2910 2012-08-29
1356699128 Dennis Norman Voll Social Worker 2000 Domanik Dr, Racine, WI 53404-2910 2012-08-27
1508114075 Barbara Talaska Licensed Practical Nurse 2000 Domanik Dr, Racine, WI 53404-2910 2012-08-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033686001 Rosamaria E Garcia Registered Nurse 1120 Hartman Ct, Racine, WI 53404 2018-10-29
1912372418 Avada Audiology and Hearing Care Preferred Provider Organization 813 Fox Lane Suite B, Waterford, WI 53404 2015-12-09
1215095096 Bonnie Lee Wirfs Internal Medicine 2000 Domanik Drive, Racine, WI 53404 2006-12-05
1992813893 Craig E Fleury Dentist 7117 Green Bay Road, Racine, WI 53404 2006-08-29
1174631089 Greg L Smart Dentist 7117 Green Bay Road, Racine, WI 53404 2006-08-29
1871953950 Amybeth Mahoney Counselor 4726 N Green Bay Rd, Racine, WI 53404-1108 2016-03-02
1649560871 Abby Healthcare Staffing, LLC Home Health 3406 Killips Ln, Racine, WI 53404-1310 2011-04-08
1114071917 Ib Thostrup Chiropractor 2827 Rapids Dr, Racine, WI 53404-1620 2007-01-22
1417001140 Thostrup Chiropractic, S.c. Chiropractor 2827 Rapids Dr, Racine, WI 53404-1620 2007-01-22
1578620423 Sally Jean Brown Chiropractor 2609 Rapids Dr, Racine, WI 53404-1741 2007-01-02
Find all providers in zip 53404

Taxonomy Information

Taxonomy Code 163W00000X
Grouping Nursing Service Providers
Classification Registered Nurse

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093260390 Amy Connelly Registered Nurse 2317 Orchard St, Racine, WI 53405-4011 2016-08-17
1871947044 Joann Saunders Registered Nurse 2744 Chicory Rd, Racine, WI 53403-4011 2016-04-14
1841675204 Colleen Koderca Registered Nurse 3317-meachem Rd, Racine, WI 53405 2015-07-28
1215348438 Lisa Clack Registered Nurse 3435 Daisy Ln, Racine, WI 53405-4605 2014-05-09
1881012862 Sharon Stark Registered Nurse 46450 Morning Star Rd, Racine, OH 45771-9522 2014-04-07
1477974251 Douglas Plagemann Registered Nurse 219 Blaine Ave, Racine, WI 53405-2009 2013-12-23
1083968010 Veronique Gettis Registered Nurse 5021 Byrd Ave, 201, Racine, WI 53406-4878 2012-10-29
1487907903 Stephanie Burks Registered Nurse 4300 Pine Ridge Cir, Racine, WI 53403-4027 2012-10-22
1881960607 Amanda Kate Hartig Registered Nurse 2709 Dwight St, Racine, WI 53403-2965 2012-03-27
1861774515 Ann M Kirchner Registered Nurse 1017 Riva Rdg, Racine, WI 53402-5556 2011-09-19
Find all providers in RACINE

Competitor

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City RACINE
Zip Code 53404

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Dataset Information

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.

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