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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163W00000X | Registered Nurse | 176284-30 | WI | Nursing Service Providers |
Street Address |
2000 DOMANIK DR |
City | RACINE |
State | WI |
Zip Code | 53404-2910 |
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 |
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 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 |
---|---|---|---|---|
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 |
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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.