MRS. SHELLY MAXWELL (NPI# 1891102984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891102984 |
Entity Type | Individual |
Full Name | MRS. SHELLY MAXWELL |
Credential | CES, RCEP |
Practice Address |
333 E 2nd St Richland Center WI 53581-1914 |
Practice Telephone | 6086476321 |
Mailing Telephone | 6086476321 |
Enumeration Date | 2014-07-21 |
Last Update Date | 2014-07-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 224Y00000X | Clinical Exercise Physiologist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
333 E 2ND ST |
City | RICHLAND CENTER |
State | WI |
Zip Code | 53581-1914 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114929676 | Timothy Dennis Burns | Nurse Anesthetist, Certified Registered | 333 E 2nd St, Richland Center, WI 53581-1914 | 2005-08-15 |
1750908323 | Jacqueline Zoubek | Occupational Therapist | 333 E 2nd St, Richland Center, WI 53581-1914 | 2020-06-30 |
1023643137 | Caitlin Wolfgram | Pharmacist | 333 E 2nd St, Richland Center, WI 53581-1914 | 2020-03-09 |
1376177964 | Travis John Kleist | Nurse Practitioner | 333 E 2nd St, Richland Center, WI 53581-1914 | 2020-02-24 |
1861022279 | Laci Ann Banker | Advanced Practice Midwife | 333 E 2nd St, Richland Center, WI 53581-1914 | 2020-01-24 |
1164067914 | Anna Banker | Nurse Practitioner | 333 E 2nd St, Richland Center, WI 53581-1914 | 2019-11-14 |
1043854037 | Brandon Barber | Physical Therapist | 333 E 2nd St, Richland Center, WI 53581-1914 | 2019-11-01 |
1982248977 | Taylor Gruber | Physical Therapist | 333 E 2nd St, Richland Center, WI 53581-1914 | 2019-11-01 |
1386287951 | Grace Huebner | Dietitian, Registered | 333 E 2nd St, Richland Center, WI 53581-1914 | 2019-10-25 |
1225684285 | Rachel Eggers | Occupational Therapist | 333 E 2nd St, Richland Center, WI 53581-1914 | 2019-08-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730687542 | Danielle Lea Spencer | Occupational Therapy Assistant | 25881 Severson Street, Richland Center, WI 53581 | 2018-01-26 |
1396997953 | Bonnie Lou Peer | Licensed Practical Nurse | 24096 County Hwy 2, Richland Center, WI 53581 | 2008-10-15 |
1225286081 | Lori Knapp Richland, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1140 Sextonville Road #5, Richland Center, WI 53581 | 2008-09-05 |
1881868768 | Patrick M Murphy | Chiropractor | 875 N Orange St, Richland Center, WI 53581 | 2008-04-22 |
1588838502 | Michael Joseph Pelsoh | Pharmacist | Richland Hospital 333 E 2nd St, Richland Center, WI 53581 | 2008-04-22 |
1902087653 | Patricia Ann Behn | Occupational Therapist | 222 Seminary St, Richland Center, WI 53581 | 2007-11-23 |
1386833390 | Kyle J Berra | Specialist/Technologist | 333 E. Second St, Richland Center, WI 53581 | 2007-10-16 |
1487871653 | Daniel George Basarich | Dentist | 175 E Mill Street, Richland Center, WI 53581 | 2007-04-19 |
1851517312 | Bruce Todd Vermilyea | Dentist | 175 E Mill Str, Richland Center, WI 53581 | 2007-04-17 |
1144394735 | Debra Lynn Goplen | Licensed Practical Nurse | 24096 Hwy Z, Richland Center, WI 53581 | 2006-11-17 |
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Taxonomy Code | 224Y00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Clinical Exercise Physiologist |
A Clinical Exercise Physiologist is a health care professional who is trained to work with patients with chronic disease where exercise training has been shown to be of therapeutic benefit, including but not limited to cardiovascular and pulmonary disease, and metabolic disorders. |
Notes: Source: What is a Clinical Exercise Physiologist? Clinical Exercise Physiology Association (CEPA), CEPA Executive Board, 2008 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629353636 | Heidi Marie Darling | Clinical Exercise Physiologist | 333 E 2nd St, Richland Center, WI 53581-1914 | 2011-10-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235407834 | Eric Douglas Thunstedt | Clinical Exercise Physiologist | 507 S. Main Street, Vernon Memorial Healthcare, Viroqua, WI 54665-2059 | 2011-12-09 |
1114294998 | Graceanne Forsyth-krajna | Clinical Exercise Physiologist | W148n8204 University Dr, Menomonee Falls, WI 53051-3826 | 2011-11-22 |
1386256246 | Brooke Alyssa Crossen | Clinical Exercise Physiologist | 2501 W Beltline Hwy Ste 207, Madison, WI 53713-2321 | 2020-08-20 |
1457995201 | Nicole Lee Dempsey | Clinical Exercise Physiologist | 2000 N Dewey Ave, Reedsburg, WI 53959-1049 | 2019-11-05 |
1770023137 | Chad Johnson | Clinical Exercise Physiologist | 1700 W Stout St, Rice Lake, WI 54868 | 2017-03-06 |
1619429735 | Lance Maerz | Clinical Exercise Physiologist | 800 Compassion Way, Dodgeville, WI 53533-1956 | 2016-10-25 |
1346799129 | Erin Barwick | Clinical Exercise Physiologist | 202 S Park St, Madison, WI 53715-1507 | 2016-09-22 |
1861850364 | Elan Inez Van Vlack | Clinical Exercise Physiologist | 2501 W Beltline Hwy Ste 207, Madison, WI 53713-2321 | 2016-01-29 |
1417347725 | Katherine Thompson | Clinical Exercise Physiologist | 1506 S Oneida St, Appleton, WI 54915-1305 | 2015-01-26 |
1548662281 | Brianna Roberts | Clinical Exercise Physiologist | 1506 S Oneida St, Attn: Cardiac and Pulmonary Rehab, Appleton, WI 54915-1305 | 2014-09-25 |
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City | RICHLAND CENTER |
Zip Code | 53581 |
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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.