JENNIFER A LAVIA (NPI# 1871797977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871797977 |
Entity Type | Individual |
Full Name | JENNIFER A LAVIA |
Other Name | JENNIFER A RAJ |
Credential | APNP |
Practice Address |
130 2nd St Neenah WI 54956-2883 |
Mailing Address |
Po Box 8003 Appleton WI 54912-8003 |
Practice Telephone | 9207292738 |
Practice Fax Number | 9207293021 |
Mailing Telephone | 9209963200 |
Mailing Fax Number | 9207385787 |
Enumeration Date | 2007-06-13 |
Last Update Date | 2012-08-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 3111 | WI | Physician Assistants & Advanced Practice Nursing Providers |
Y | 364S00000X | Clinical Nurse Specialist | 152277 | WI | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | MEDICARE PTAN | 711290026 | 01 |
Street Address |
130 2ND ST |
City | NEENAH |
State | WI |
Zip Code | 54956-2883 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689675563 | Petra M Laeven-sessions | Pediatrics | 130 2nd St, Pediatric Hospitalist Dept, Neenah, WI 54956-2883 | 2005-08-02 |
1528673555 | Katelyn Calaguan Algas | Occupational Therapist | 130 2nd St, Neenah, WI 54956-2883 | 2020-09-15 |
1275150328 | Laura Kathryn Neubert | Occupational Therapist | 130 2nd St, Neenah, WI 54956-2883 | 2020-07-05 |
1922623487 | Megan Marie Mcnally | Nurse Practitioner | 130 2nd St, Neenah, WI 54956-2883 | 2020-06-10 |
1194348896 | Thedacare Regional Medical Center-neenah, Inc. | Medicare Defined Swing Bed Unit | 130 2nd St, Neenah, WI 54956-2883 | 2020-05-28 |
1285256677 | Paige Koerperich | Physician Assistant | 130 2nd St, Neenah, WI 54956-2883 | 2020-05-08 |
1376164194 | Michelle K Scharine | Registered Nurse | 130 2nd St, Neenah, WI 54956-2883 | 2020-05-04 |
1114552080 | Jessica Mcdonald | Pediatrics | 130 2nd St, Neenah, WI 54956-2883 | 2020-03-11 |
1659911329 | Julia A Stoffel | Nurse Practitioner | 130 2nd St, Neenah, WI 54956-2883 | 2020-01-10 |
1497309884 | Annalise Kelsey | Physician Assistant | 130 2nd St, Neenah, WI 54956-2883 | 2019-07-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447768411 | Wisconsin Institute of Surgical Excellence LLC | Clinic/Center | 1265 W American Dr Ste 200, Neenah, WI 54956 | 2018-01-12 |
1639614290 | Clinton Robert Murchland | Pharmacist | 828 Fox Point Plaza, Pharmacy, Neenah, WI 54956 | 2017-01-05 |
1629448550 | Melissa Christine Hewitt | Physical Therapy Assistant | 1119 Higgins Ave, Neenah, WI 54956 | 2015-10-05 |
1437581923 | Ross Phan | Pharmacist | 1432 Seymour Crt, Neenah, WI 54956 | 2013-08-06 |
1518201318 | Meridith Nealy Starling | Social Worker | 124 W Wisconsin Ave, Suite 90 B, Neenah, WI 54956 | 2012-11-16 |
1639464886 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 901 S. Green Bay Rd, Neenah, WI 54956 | 2011-06-16 |
1669701439 | Donna Jean Falk | Licensed Practical Nurse | 1037 B Hunt Ave, Neenah, WI 54956 | 2009-12-08 |
1285868257 | Angela Marie Bilbrey | Dietitian, Registered | 307 S Commercial St Ste 101, Neenah, WI 54956 | 2009-05-06 |
1003083114 | A B See Vision Therapy Centers Sc | Optometrist | 1401 Mcmahon Dr., Suite 100, Neenah, WI 54956 | 2008-05-08 |
1629244173 | Tamra Marie Knutson | Radiology | 333 N Commercial St #100, Neenah, WI 54956 | 2008-05-05 |
Find all providers in zip 54956 |
Taxonomy Code | 364S00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255592887 | Kristina Marie Frank | Clinical Nurse Specialist | 515 S Barstow St, Ste 14, Eau Claire, WI 54701 | 2008-06-17 |
1225657539 | Joseph W Liggett Jr. | Clinical Nurse Specialist | 202 S Park St, Madison, WI 53715-1507 | 2020-04-16 |
1942856273 | Annmarie Brennan Voss | Clinical Nurse Specialist | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2019-08-13 |
1588226278 | Denise Marie Cole-ouzounian | Clinical Nurse Specialist | 260 26th St, Prairie Du Sac, WI 53578-2203 | 2019-07-02 |
1841758109 | Cynthia J Hanson | Clinical Nurse Specialist | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2019-03-06 |
1356819619 | Freda Lynn Erdman | Clinical Nurse Specialist | 19333 W North Ave, Brookfield, WI 53045 | 2018-11-05 |
1568814085 | Sara Arndt | Clinical Nurse Specialist | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2016-07-08 |
1124308416 | Mindy Rae Zenke | Clinical Nurse Specialist | 800 West Ave S, La Crosse, WI 54601-8806 | 2011-08-18 |
1568759348 | Susan Fuhrman | Clinical Nurse Specialist | 725 American Ave, Waukesha, WI 53188-5031 | 2011-06-30 |
1255639001 | Tiffany J Kirchner | Clinical Nurse Specialist | 9200 W Wisconsin Ave, Palliative Care, Milwaukee, WI 53226-3522 | 2011-03-03 |
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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.