JENNIFER A LAVIA


Address: 130 2nd St, Neenah, WI 54956-2883
Phone: 9207292738

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
WI MEDICARE PTAN 711290026 01

Office Location

Street Address 130 2ND ST
City NEENAH
State WI
Zip Code 54956-2883

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 364S00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist

Taxonomy Definition

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.

Providers in the same taxonomy and state

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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Competitor

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City NEENAH
Zip Code 54956

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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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