STEPHEN ROBERT SEIFERT (NPI# 1841834678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841834678 |
Entity Type | Individual |
Full Name | STEPHEN ROBERT SEIFERT |
Credential | RD,CD |
Practice Address |
3415 Custer St Manitowoc WI 54220-4324 |
Mailing Address |
Po Box 22487 Green Bay WI 54305-2487 |
Practice Telephone | 9206529310 |
Practice Fax Number | 9206529316 |
Mailing Telephone | 9204457222 |
Mailing Fax Number | 9204457289 |
Enumeration Date | 2019-11-05 |
Last Update Date | 2020-07-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | 3455-29 | WI | Dietary & Nutritional Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
COMMISSION ON DIETETIC REGISTRATION | 86150257 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
575 4th St, Kewaunee, WI 542161785 | 9203884640 | 9203880479 |
595 County Road R, Denmark, WI 542089120 | 9208632005 | 9208633508 |
831 Parker Ave, Algoma, WI 542011808 | 9204873676 | 9204873084 |
964 W Ryan St Ste B, Brillion, WI 541101077 | 9207562055 | 9207563350 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497739262 | Stephen Paul Seifert | Anesthesiology | 1000 1st Dr Nw, Austin, MN 55912-2941 | 2005-12-05 |
Street Address |
3415 CUSTER ST |
City | MANITOWOC |
State | WI |
Zip Code | 54220-4324 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740265214 | Tammi S Gags | Physician Assistant | 3415 Custer St, Manitowoc, WI 54220-4324 | 2005-12-07 |
1396006821 | Erin M Zimbal | Physical Therapist | 3415 Custer St, Suite D, Manitowoc, WI 54220-4324 | 2012-05-31 |
1164788451 | Trish Luann Gordon | Case Manager/Care Coordinator | 3415 Custer St, Suite C, Manitowoc, WI 54220-4356 | 2012-04-11 |
1073879367 | Sighle Mleziva | Registered Nurse | 3415 Custer St, Suite C, Manitowoc, WI 54220-4356 | 2012-04-11 |
1760760045 | Gladys R Tienor | Registered Nurse | 3415 Custer St, Manitowoc, WI 54220-4356 | 2011-08-03 |
1689969008 | Amber Lee Grall | Case Manager/Care Coordinator | 3415 Custer St, Manitowoc, WI 54220-4356 | 2011-06-14 |
1942506928 | Rachel Lynn Schroeder | Case Manager/Care Coordinator | 3415 Custer St, Manitowoc, WI 54220-4356 | 2011-02-08 |
1841516804 | Kim Hynek | Registered Nurse | 3415 Custer St, Suite C, Manitowoc, WI 54220-4356 | 2010-04-15 |
1568788719 | Dionne M Centner | Case Manager/Care Coordinator | 3415 Custer St, Suite C, Manitowoc, WI 54220-4356 | 2010-04-13 |
1447576608 | Roxanne D Taylor | Registered Nurse | 3415 Custer St, Suite 2, Manitowoc, WI 54220-4356 | 2010-04-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235614843 | Katherine Borchardt | Registered Nurse | 3520 Foxfire Ct, Manitowoc, WI 54220 | 2018-09-28 |
1285128215 | Aurora Pharmacy Inc | Pharmacy | 3509 Dewey Street, Suite 100, Manitowoc, WI 54220 | 2018-06-22 |
1477937274 | Baycare Clinic LLP | Psychiatry & Neurology | 4801 Expo Drive, Manitowoc, WI 54220 | 2015-07-13 |
1831593821 | Brittany Camille Schultz | Acupuncturist | 2510 Washington Street, Manitowoc, WI 54220 | 2014-10-20 |
1710311261 | Brian E Weitz | Physical Therapy Assistant | 960 S. Rapids Rd., Manitowoc, WI 54220 | 2013-09-01 |
1134499080 | Total Renal Care Inc | Clinic/Center | 3303 Dewey St, Manitowoc, WI 54220 | 2012-01-10 |
1679858534 | Lisa M Noworatzky | Marriage & Family Therapist | 926 S. 8th St., Manitowoc, WI 54220 | 2011-10-11 |
1306177225 | Cynthia Fay Wenzel | Licensed Practical Nurse | 915 East Linden Avenue, Manitowoc, WI 54220 | 2010-01-15 |
1851550628 | Roundys Supermarkets Inc | Pharmacy | 3300 Calumet Ave, Manitowoc, WI 54220 | 2008-06-05 |
1851566079 | Jennifer C Mcwilliams | Registered Nurse | 1004 Nth 8th St., Manitowoc, WI 54220 | 2008-04-29 |
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Taxonomy Code | 133V00000X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568000859 | Natasha Marie Zill | Dietitian, Registered | 5028 Brookfield Cir, Manitowoc, WI 54220-9362 | 2019-12-17 |
1245889054 | Jeanne Edwards | Dietitian, Registered | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2019-09-05 |
1356724686 | Abbey Bubolz | Dietitian, Registered | 1900 Woodland Dr, Manitowoc, WI 54220-9662 | 2015-07-06 |
1215275409 | Ashley Elaine Holly | Dietitian, Registered | 1900 Woodland Dr, Manitowoc, WI 54220-9662 | 2013-01-22 |
1174776017 | Patricia Lynn Tessmer | Dietitian, Registered | 600 York St, Manitowoc, WI 54220-6825 | 2008-10-23 |
1841498870 | Linda Marie Miner | Dietitian, Registered | 600 York St, Manitowoc, WI 54220-6825 | 2007-07-11 |
1700080074 | Jaime Danielle Schultz | Dietitian, Registered | 600 York St, Manitowoc, WI 54220-6845 | 2007-06-12 |
1245269448 | Cher Lynne Zeddies | Dietitian, Registered | 600 York St, Manitowoc, WI 54220-6845 | 2006-07-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962001909 | Wendy M Barth | Dietitian, Registered | N3035 Sidney Ave, Neillsville, WI 54456-7037 | 2020-10-21 |
1255946166 | Rachael Omdoll | Dietitian, Registered | 700 Airview Dr, Palmyra, WI 53156-9204 | 2020-09-09 |
1194336669 | Carly Duerst | Dietitian, Registered | W6068 Pioneer Rd, New Glarus, WI 53574-9735 | 2020-08-10 |
1730799636 | Bailey May Knutson | Dietitian, Registered | N44w6025 Hamilton Rd, Cedarburg, WI 53012-2454 | 2020-08-05 |
1538778550 | Kirsten White | Dietitian, Registered | W3021 Cara Way, Appleton, WI 54915-3991 | 2020-07-27 |
1780293696 | Samantha Jo Johnson | Dietitian, Registered | 2854 Greenbrier Rd, Green Bay, WI 54311-6528 | 2020-07-27 |
1487272977 | Sara Elizabeth Flitter | Dietitian, Registered | W437 Clement Cir, Campbellsport, WI 53010-1846 | 2020-07-10 |
1821616517 | Emily Anne Oschmann | Dietitian, Registered | 630 Woodland Cir, Waterford, WI 53185-2885 | 2020-07-08 |
1982221180 | Emilie Williamson | Dietitian, Registered | 1340 S 72nd St, West Allis, WI 53214-3122 | 2020-07-03 |
1811512916 | Nicole Lehtinen | Dietitian, Registered | 20200 Poplar Creek Pkwy Unit 116n, Brookfield, WI 53045-2163 | 2020-06-15 |
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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.