KRISTINA MODAFF (NPI# 1861899718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861899718 |
| Entity Type | Individual |
| Full Name | KRISTINA MODAFF |
| Practice Address |
300 Femrite Dr Monona WI 53716-3716 |
| Practice Telephone | 6082227311 |
| Mailing Telephone | 6082227311 |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2014-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
15673-131 | WI | Behavioral Health & Social Service Providers |
| Street Address |
300 FEMRITE DR |
| City | MONONA |
| State | WI |
| Zip Code | 53716-3716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740213776 | Tellurian, Inc. | Community/Behavioral Health | 300 Femrite Dr, Monona, WI 53716-3716 | 2006-07-10 |
| 1801493994 | Caitlin Mary Clifford | Counselor | 300 Femrite Dr, Monona, WI 53716-3798 | 2020-10-02 |
| 1831756428 | Rebecca J Kienbaum | Counselor | 300 Femrite Dr, Monona, WI 53716-3716 | 2019-05-20 |
| 1598223455 | Heather E Schneider | Counselor | 300 Femrite Dr, Monona, WI 53716-3798 | 2019-03-08 |
| 1063998508 | Lindsey Resendiz | Counselor | 300 Femrite Dr, Monona, WI 53716-3798 | 2018-07-18 |
| 1992202360 | Jennifer R Klawitter | Counselor | 300 Femrite Dr, Monona, WI 53716-3798 | 2018-04-11 |
| 1164929253 | James E Kilgore | Counselor | 300 Femrite Dr, Monona, WI 53716-3716 | 2018-04-06 |
| 1558766949 | Jack Gieche | Counselor | 300 Femrite Dr, Monona, WI 53716 | 2014-10-28 |
| 1710314281 | Casey Elizabeth Simons | Counselor | 300 Femrite Dr, Monona, WI 53716-3716 | 2013-09-30 |
| 1609129410 | Tellurian, Inc. | Community Based Residential Treatment Facility, Mental Illness | 300 Femrite Dr, Monona, WI 53716-3716 | 2012-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730738873 | Richard Onyait | Technician | 1103 Birch Haven Cir, Monona, WI 53716 | 2019-09-11 |
| 1962950428 | Paige Corliss | Pharmacist | 1821 S. Stoughton Road, Madison, WI 53716 | 2016-09-13 |
| 1760840946 | Stacey Palermo | Marriage & Family Therapist | 303 Frost Woods Rd, Monona, WI 53716 | 2016-02-03 |
| 1326414442 | Diane Marie Kelley | Nurse Practitioner | 300 Femrite Drive, Monona, WI 53716 | 2015-08-12 |
| 1942692520 | Kelsey Lynn Markham | Counselor | 5900 Monona Drive, Suite 100, Monona, WI 53716 | 2015-02-19 |
| 1225452733 | Nicole Moscinski | Marriage & Family Therapist | 6117 Monona Dr Ste 1b, Monona, WI 53716 | 2014-02-05 |
| 1013345644 | Emma Amanda Rose | Physician Assistant | 521 Bowman Ave., Madison, WI 53716 | 2013-10-16 |
| 1407154271 | Jennifer Orshak | Registered Nurse | 5410 Forge Drive, Madison, WI 53716 | 2011-03-03 |
| 1982906525 | Jennifer Chun | Dentist | 100 River Pl Ste 110, Monona, WI 53716 | 2010-12-02 |
| 1609041987 | Jennifer A Britain | Physical Therapist | 1821 South Stoughton Rd, Madison, WI 53716 | 2008-04-28 |
| Find all providers in zip 53716 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255964748 | Kabba Recovery Services | Counselor | 1955 W Broadway Ste 102, Monona, WI 53713-3700 | 2020-02-13 |
| 1699267245 | Stephenie M Gilbert | Counselor | 1955 W Broadway Ste 105, Monona, WI 53713-3700 | 2018-05-30 |
| 1215477542 | Sara Jane Allee-jatta | Counselor | 1955 W Broadway, Monona, WI 53713-3700 | 2017-03-06 |
| 1598209280 | Danielle Bailey | Counselor | 6400 Gisholt Dr Ste 209, Monona, WI 53713-4832 | 2016-12-14 |
| 1124465216 | Renee Saltzman | Counselor | 6117 Monona Dr Ste 5, Monona, WI 53716-3962 | 2013-05-29 |
| 1710259734 | Julie Bolinger-jones | Counselor | 5900 Monona Dr Ste 300, Monona, WI 53716-3561 | 2012-02-07 |
| 1003052572 | Jessica Marie Pankratz | Counselor | 1250 Femrite Dr Ste 205, Monona, WI 53716-3757 | 2009-01-05 |
| 1275723504 | William R. Mcauliffe-schroeder | Counselor | 1250 Femrite Dr, Suite 205, Monona, WI 53716-3787 | 2007-08-01 |
| 1720166846 | James Allen Thompson | Counselor | 6000 Gisholt Dr Ste 202, Monona, WI 53713-4816 | 2006-11-02 |
| 1801493994 | Caitlin Mary Clifford | Counselor | 300 Femrite Dr, Monona, WI 53716-3798 | 2020-10-02 |
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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.