TARREN PRANGE (NPI# 1922573625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922573625 |
| Entity Type | Individual |
| Full Name | TARREN PRANGE |
| Credential | APNP |
| Practice Address |
3400 Market Ln Kenosha WI 53144-3430 |
| Practice Telephone | 2625514600 |
| Practice Fax Number | 2625514630 |
| Mailing Telephone | 2625514600 |
| Mailing Fax Number | 2625514630 |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2018-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 8327 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | APNP LICENSE | 8327-33 | 01 |
| 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 |
| 1891260543 | Stephanie M Brown | 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 |
| Find all providers in the same location | ||||
| 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 | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710518238 | Roshonda E Frazier | Nurse Practitioner | 4517 38th Ave, Kenosha, WI 53144-3643 | 2020-02-03 |
| 1497228712 | Shannon Godbolt | Nurse Practitioner | 6308 8th Ave # 3030, Kenosha, WI 53143-5031 | 2019-01-09 |
| 1568821841 | Wisconsin Tele-med Network | Nurse Practitioner | 6923 39th Ave, Kenosha, WI 53142-7129 | 2016-02-16 |
| 1588041891 | Melissa Swierad | Nurse Practitioner | 6308 8th Ave Ste 3040, Kenosha, WI 53143-5031 | 2015-05-06 |
| 1962493635 | Mary Jamie Cairo | Nurse Practitioner | 3601 30th Ave, Ste 203, Kenosha, WI 53144-1695 | 2005-11-02 |
| 1568459568 | Gwendolyn M Perry-brye | Nurse Practitioner | 8600 Sheridan Rd Ste 600, Kenosha, WI 53143-6515 | 2005-10-04 |
| 1730796574 | Saralyn Paredes | Nurse Practitioner | 10400 75th St, Kenosha, WI 53142-7884 | 2020-09-25 |
| 1053926949 | Carly Pickos | Nurse Practitioner | 2707 15th Pl, Kenosha, WI 53140-4947 | 2020-09-09 |
| 1669094165 | Simona Slavinskiene | Nurse Practitioner | 6308 8th Ave, Kenosha, WI 53143-5031 | 2020-05-07 |
| 1134757073 | Amber Jirschele | Nurse Practitioner | 10400 75th St, Kenosha, WI 53142-8323 | 2020-03-27 |
| Find all providers in KENOSHA | ||||
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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.