MRS. KRISTAL KAY WICHMAN (NPI# 1902002371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902002371 |
| Entity Type | Individual |
| Full Name | MRS. KRISTAL KAY WICHMAN |
| Credential | MSW |
| Practice Address |
5471 W Waterford Ln Appleton WI 54913-8510 |
| Mailing Address |
5337 W Grande Market Dr Appleton WI 54913-8442 |
| Practice Telephone | 9207317445 |
| Mailing Telephone | 9207317445 |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2019-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 7463-120 | WI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5337 W Grande Market Dr, Appleton, WI 549138442 | 9207317445 |
| Street Address |
5471 W WATERFORD LN |
| City | APPLETON |
| State | WI |
| Zip Code | 54913-8510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215921127 | Karen W Beutler | Family Medicine | 5471 W Waterford Ln, Appleton, WI 54913-8510 | 2005-09-07 |
| 1235634510 | Kristin Knott | Radiology | 5471 W Waterford Ln, Appleton, WI 54913-8510 | 2018-03-28 |
| 1013362631 | Brittany Goodrich-braun | Family Medicine | 5471 W Waterford Ln, Appleton, WI 54913 | 2016-05-02 |
| 1750796488 | Kelly Thomack | Counselor | 5471 W Waterford Ln, Appleton, WI 54913-8510 | 2014-06-20 |
| 1730452400 | Susan Haydar | Psychologist | 5471 W Waterford Ln, Appleton, WI 54913-8510 | 2012-02-10 |
| 1558423517 | Joanne M Stephany | Nurse Practitioner | 5471 W Waterford Ln, Appleton, WI 54913-8510 | 2006-12-15 |
| 1558308577 | Iris N Torres | Family Medicine | 5471 W Waterford Ln, Appleton, WI 54913-8510 | 2006-05-31 |
| 1962496760 | Jose M Leiva | Family Medicine | 5471 W Waterford Ln, Appleton, WI 54913-8510 | 2005-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457994584 | Pamela J Andersen | Music Therapist | 245 N. Metro Drive, Appleton, WI 54913 | 2019-10-22 |
| 1396387510 | Nancy Sibley | Technician | N4423 County Road Ee, Appleton, WI 54913 | 2019-10-09 |
| 1659872240 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 3801 N. Richmond Street, Grand Chute, WI 54913 | 2018-02-28 |
| 1780116244 | Alison Pelger | Physician Assistant | 3916 North Intertech Court, Appleton, WI 54913 | 2017-04-03 |
| 1316311905 | Lucy Bouressa | Specialist/Technologist | 2105 E. Enterprise Ave, 113, Appleton, WI 54913 | 2015-11-19 |
| 1992189989 | Brittany Reinke | Physical Therapist | Walking and Wheeling, LLC, W4652 Glenn Street, Appleton, WI 54913 | 2015-07-20 |
| 1902280092 | Costco Wholesale Corporation | Pharmacy | 5401 W Integrity Way, Grand Chute, WI 54913 | 2015-07-17 |
| 1942646849 | Richard Anthony Mauthe | Pharmacist | 5401 W. Integrity Way, Neenah, WI 54913 | 2013-05-17 |
| 1750622163 | Tonya Janelle Wilderman | Pharmacist | 1400 N Mccarthy Rd, Apt 2, Grand Chute, WI 54913 | 2013-03-10 |
| 1295938777 | Jenna Marie Kadlec | Physical Therapist | 3916 N. Intertech Court, Appleton, WI 54913 | 2007-06-11 |
| Find all providers in zip 54913 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572429 | Claire Schuh | Social Worker | 3416 Association Ln, Appleton, WI 54914 | 2020-09-09 |
| 1780225292 | Jenny Jamison | Social Worker | 1011 N Lynndale Dr, Appleton, WI 54914-3091 | 2019-10-05 |
| 1871085480 | Tanya Lynn Vickery | Social Worker | 410 S. Elm St., Appleton, WI 54911 | 2018-05-31 |
| 1336689314 | Samantha N Larson | Social Worker | 442 N Westhill Blvd, Appleton, WI 54914-5715 | 2017-02-24 |
| 1861696619 | Jennifer L Bushman | Social Worker | 444 N. Westhill Blvd, Appleton, WI 54914-5715 | 2007-06-14 |
| 1386243129 | Kia Thao | Social Worker | 320 S Walnut St, Appleton, WI 54911-5918 | 2020-10-22 |
| 1386241784 | Caitlin Simonsmeier | Social Worker | 3003 N Richmond St, Appleton, WI 54911-1148 | 2020-10-08 |
| 1134738594 | Lauren Sankey | Social Worker | 4635 W College Ave, Appleton, WI 54914-8507 | 2020-07-30 |
| 1922626431 | Carmen Meuret | Social Worker | 4635 W College Ave, Appleton, WI 54914-8507 | 2020-07-10 |
| 1174152318 | Rochelle A Kottke | Social Worker | 320 S Walnut St, Appleton, WI 54911-5918 | 2020-04-08 |
| Find all providers in APPLETON | ||||
Please comment or provide details below to improve the information on MRS. KRISTAL KAY WICHMAN.
| 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.