STEPHANIE M BROWN (NPI# 1891260543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891260543 |
Entity Type | Individual |
Full Name | STEPHANIE M BROWN |
Credential | APNP |
Practice Address |
3400 Market Ln Kenosha WI 53144-3430 |
Mailing Address |
901 W Cardinal Cir Oak Creek WI 53154-6334 |
Practice Telephone | 2625514600 |
Practice Fax Number | 2625514630 |
Mailing Telephone | 2627487398 |
Enumeration Date | 2018-10-09 |
Last Update Date | 2019-04-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
8765-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 1891260543 | 05 | |
WI | MEDICARE | K400519234 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861027989 | Stephanie S Brown | Nurse Practitioner | 4511 University Ave Ste B, Lubbock, TX 79413-3725 | 2020-03-09 |
1699336719 | Stephanie Brown | Licensed Vocational Nurse | 39 Creekmont Ln, Longview, TX 75605-5645 | 2019-06-28 |
1285106559 | Stephanie Anne Brown | Lactation Consultant, Non-RN | 142 E Washington Ln, Philadelphia, PA 19144-2011 | 2018-12-26 |
1730673203 | Stephanie Brown | Counselor | 1523 N Wood St # 2, Chicago, IL 60622-2012 | 2018-06-19 |
1588166896 | Stephanie Lashawn Brown | Social Worker | 483 West Seed Farm Rd., Sacaton, AZ 85147 | 2018-03-02 |
1982127775 | Stephanie Diane Brown | Registered Nurse | 2835 Doe Creek Trl, Frisco, TX 75034-4630 | 2017-07-24 |
1639628027 | Stephanie Carol Jones Brown | Nurse Practitioner | 4900 W Oakland Park Blvd Ste 309, Lauderdale Lakes, FL 33313-1583 | 2016-09-26 |
1801341672 | Stephanie Viola Brown | Counselor | 97 Victor Ave, Johnston, RI 02919-4015 | 2016-08-22 |
1437501343 | Stephanie Nicole Brown | Registered Nurse | 2121 Pease St Ste 305, Harlingen, TX 78550 | 2016-07-05 |
1811354574 | Stephanie Brown | Day Training, Developmentally Disabled Services | 1416 Griffin Rd, Leesburg, FL 34748-3435 | 2016-01-25 |
Street Address |
3400 MARKET LN |
City | KENOSHA |
State | WI |
Zip Code | 53144-3430 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154377091 | Keven R Mottinger | Physician Assistant | 3400 Market Ln, Kenosha, WI 53144-3430 | 2006-05-25 |
1083261226 | Amanda Quinonez | Nurse Practitioner | 3400 Market Ln, Kenosha, WI 53144-3430 | 2019-08-22 |
1629534813 | Heather Nicole Thomas | Registered Nurse | 3400 Market Ln, Kenosha, WI 53144-3430 | 2019-02-13 |
1922573625 | Tarren Prange | Nurse Practitioner | 3400 Market Ln, Kenosha, WI 53144-3430 | 2018-10-09 |
1790297331 | Juli Marie Degrave | Nurse Practitioner | 3400 Market Ln, Kenosha, WI 53144-3430 | 2017-11-03 |
1750800884 | Christos Reppas | Physician Assistant | 3400 Market Ln, Kenosha, WI 53144-3430 | 2017-09-09 |
1417497710 | Shelley Flasch | Nurse Practitioner | 3400 Market Ln, Kenosha, WI 53144-3430 | 2017-03-06 |
1194193813 | Sandra Homan | Nurse Practitioner | 3400 Market Ln, Kenosha, WI 53144-3430 | 2015-09-11 |
1326452921 | Rebekah Costello | Family Medicine | 3400 Market Ln, Kenosha, WI 53144-3430 | 2014-06-12 |
1710306725 | Christine T Adique | Nurse Practitioner | 3400 Market Ln, Kenosha, WI 53144-3430 | 2014-04-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902410202 | Dpt Holdings LLC | Occupational Therapist | 3825 39th Ave #110, Kenosha, WI 53144 | 2020-09-03 |
1225641392 | Eunice Boatin | Social Worker | Kenosha Human Development Services, 3536 52nd Street, Kenosha, WI 53144 | 2020-08-28 |
1881250256 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 3621 Market Lane, Kenosha, WI 53144 | 2019-05-11 |
1124540067 | Kaitlyn King | Speech-Language Pathologist | 5219 88th Ave., Kenosha, WI 53144 | 2017-07-12 |
1174992721 | Claire Ann Adams | Acupuncturist | 5416 52nd Street, Kenosha, WI 53144 | 2015-09-24 |
1285017087 | Jessica Lynn Gillengerten | Acupuncturist | 4235 Green Bay Rd., Suite #10, Kenosha, WI 53144 | 2015-06-30 |
1750704656 | Amanda Kay Kreuzer | Occupational Therapy Assistant | 3109 30th Ave, Kenosha, WI 53144 | 2014-01-28 |
1841626785 | B7 Pharmacy Inc | Pharmacy | 3825 39th Ave Ste 100, Kenosha, WI 53144 | 2013-09-24 |
1124326764 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3710 57th Ave, Kenosha, WI 53144 | 2011-03-07 |
1982931291 | Roman Bilak | General Practice | 4126 - 7th Street, Kemosha, WI 53144 | 2009-11-06 |
Find all providers in zip 53144 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366440851 | Janet S Barney | Nurse Practitioner | 6308 8th Ave, Suite 2000, Kenosha, WI 53143-5031 | 2005-07-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205436821 | Elizabeth Stevenson | Nurse Practitioner | 1021 Gilson St, Madison, WI 53715-1721 | 2020-11-01 |
1427678176 | Cody Cameron Brunet | Nurse Practitioner | 1002 Bultman Rd, Madison, WI 53704-8933 | 2020-04-23 |
1023643434 | Rochelle Allexia Codlyn | Nurse Practitioner | 2268 Manley Dr, Sun Prairie, WI 53590-9688 | 2020-03-05 |
1861953960 | Youa Thao | Nurse Practitioner | 132 Devonshire Ct Apt 2, Plover, WI 54467-4194 | 2019-03-29 |
1053886465 | Elizabeth A Jarecki | Nurse Practitioner | 3115 Lilly Rd Unit 209, Brookfield, WI 53005-7612 | 2018-10-11 |
1669862868 | Jami Marie Lyons | Nurse Practitioner | 234 Cashman Dr, Chippewa Falls, WI 54729-3543 | 2015-01-27 |
1619374816 | Melissa Kaye Miller | Nurse Practitioner | 710 W Starin Rd, Whitewater, WI 53190-1121 | 2014-12-03 |
1275703233 | Mary Ellen Devine Touhey | Nurse Practitioner | N79w28630 Appaloosa Ln, Hartland, WI 53029-9038 | 2008-03-06 |
1366636797 | Karen R. Sinnett | Nurse Practitioner | 125 W Nebraska St, Muscoda, WI 53573 | 2007-08-29 |
1508851239 | Rita Marie Thomas | Nurse Practitioner | 910 Fremont St, 217 Delzell Hall, Uwsp, Stevens Point, WI 54481-3105 | 2005-09-19 |
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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.