MEDICATION INNOVATIONS L.L.C. (NPI# 1922291749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922291749 |
| Entity Type | Organization |
| Organization Name | MEDICATION INNOVATIONS L.L.C. |
| Practice Address |
1039 W Mason St Green Bay WI 54303-1842 |
| Practice Telephone | 9209657716 |
| Practice Fax Number | 9204967922 |
| Mailing Telephone | 9209657716 |
| Mailing Fax Number | 9204967922 |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2007-08-24 |
| Authorized Official Name | JUDY WENTLAND (NURSE PRACTITIONER/OWNER) |
| Authorized Official Telephone | 9209657716 |
| Authorized Official Credential | APNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
911033 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | UPIN | S55910 | 01 |
| WI | 43888800 | 05 |
| Street Address |
1039 W MASON ST |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54303-1842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811068851 | Karen Marie Pleshe | Counselor | 1039 W Mason St, Green Bay, WI 54303-1842 | 2006-11-13 |
| 1609354166 | Phoenix Van Laanen | Social Worker | 1039 W Mason St, Green Bay, WI 54303-1842 | 2018-08-06 |
| 1750898458 | Alicia Wheeler | Social Worker | 1039 W Mason St, Green Bay, WI 54303-1842 | 2018-01-03 |
| 1245756873 | Jordan Lynne Matuszak | Social Worker | 1039 W Mason St, Green Bay, WI 54303-1842 | 2017-08-15 |
| 1144745571 | Seniasor Rodriguez-gomez | Counselor | 1039 W Mason St, Green Bay, WI 54303-1842 | 2017-08-07 |
| 1144742040 | Angela Dawn Schiessl | Counselor | 1039 W Mason St, Green Bay, WI 54303-1842 | 2017-07-12 |
| 1700313673 | Erica Janisch | Social Worker | 1039 W Mason St, Green Bay, WI 54303-1842 | 2017-05-22 |
| 1538692140 | Renee Socker | Counselor | 1039 W Mason St, Green Bay, WI 54303-1842 | 2017-04-10 |
| 1245688993 | Andrea Labine, Ph.d LLC | Psychologist | 1039 W Mason St, 116, Green Bay, WI 54303-1842 | 2016-06-02 |
| 1477908812 | Samantha Jane Mckenzie | Counselor | 1039 W Mason St, Green Bay, WI 54303-1842 | 2016-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952921033 | Ashley Marie Vandermoss | Social Worker | 1601 W Mason Street, Green Bay, WI 54303 | 2020-04-20 |
| 1598307423 | Jean Marie Castaneda | Case Manager/Care Coordinator | 2517 N. Court, Green Bay, WI 54303 | 2019-10-11 |
| 1215579552 | Integrated Treatment Centers, LLC | Clinic/Center | 2311 W Mason Street, Green Bay, WI 54303 | 2019-10-08 |
| 1003460551 | Affordable Dentures & Implants - Green Bay, S.c. | Dentist | 1800-c W. Mason Street, Green Bay, WI 54303 | 2019-08-01 |
| 1164940375 | Kaeley Rae Blaney | Student in an Organized Health Care Education/Training Program | 2088 Memorial Drive #208, Green Bay, WI 54303 | 2017-09-07 |
| 1518498047 | Treatment Providers LLC | Clinic/Center | 2731 N Packerland Dr Ste A, Green Bay, WI 54303 | 2017-03-26 |
| 1851840565 | Back To Balance Chiropractic, LLC | Chiropractor | 110 Packerland Drive, Suite B, Green Bay, WI 54303 | 2016-09-23 |
| 1710361001 | Matthew Lemay | Acupuncturist | 727 E Walnut, Suite B2, Green Bay, WI 54303 | 2015-07-16 |
| 1144600149 | Carrie Jean Banaszak | Counselor | 1039 Mason Street, Green Bay, WI 54303 | 2015-06-04 |
| 1174921993 | Kensey Meyer | Occupational Therapy Assistant | 1555 Dousman Road, Seymour, WI 54303 | 2014-12-10 |
| Find all providers in zip 54303 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255426789 | Judy Yakich Wentland | Nurse Practitioner | 1039 West Mason Street, Executive Office Suites, Green Bay, WI 54303 | 2006-10-03 |
| 1952409732 | Ann T Derge | Nurse Practitioner | 1537 Park Pl, Ste 200, Green Bay, WI 54304-1974 | 2006-09-20 |
| 1225587512 | Sandra Renee Pelnar | Nurse Practitioner | 720 S Vanburen St, Suite 101, Green Bay, WI 54301 | 2016-09-27 |
| 1235444225 | Melissa A Anderson | Nurse Practitioner | 704 S Webster Ave, Suite 300, Green Bay, WI 54301-3528 | 2010-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477103570 | Denyse F Jackson | Nurse Practitioner | 65 S Elm St, Platteville, WI 53818-3107 | 2019-09-19 |
| 1043668528 | Linda Helen Watson | Nurse Practitioner | 1828 E Main St, Suite 10, Onalaska, WI 54650-8780 | 2016-05-25 |
| 1033447594 | Wise Woman Wellness LLC | Nurse Practitioner | 1480 Swan Rd, De Pere, WI 54115-7966 | 2009-11-20 |
| 1457585721 | Laura Elizabeth Kwitek | Nurse Practitioner | 5543 E. Cheryl Parkway, Fitchburg, WI 53711 | 2009-05-14 |
| 1326210626 | Diane Marie Rundle | Nurse Practitioner | 96 Stoddart St, Beaver Dam, WI 53916-1306 | 2008-03-26 |
| 1730381401 | Margaret Mary Robertson | Nurse Practitioner | 3706 Orin Road, Madison, WI 53704 | 2007-06-04 |
| 1194939918 | Deirdre Vyvyan Fowler | Nurse Practitioner | 1710 S 7th St, Milwaukee, WI 53204-3538 | 2007-05-10 |
| 1194848903 | Britt Lapreil Wanta | Nurse Practitioner | 416 W Mifflin St, Madison, WI 53703-2502 | 2007-04-08 |
| 1538202262 | Pamela Charlene Prince | Nurse Practitioner | 949 N 9th St, Health Services Unit, Milwaukee, WI 53233-1422 | 2007-02-14 |
| 1568508695 | Donna Lee Hays | Nurse Practitioner | 1015 Burbank Ave, Janesville, WI 53546-6154 | 2007-01-29 |
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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.