ANDREW JOHN SIEVILA (NPI# 1932502325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932502325 |
Entity Type | Individual |
Full Name | ANDREW JOHN SIEVILA |
Credential | RN, PMHCNS-BC, APNP |
Practice Address |
2448 S 102nd St Suite 200 West Allis WI 53227-2466 |
Practice Telephone | 4145393024 |
Mailing Telephone | 4145393024 |
Enumeration Date | 2014-09-30 |
Last Update Date | 2017-01-04 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
171212-30 | WI | Nursing Service Providers |
N | 363L00000X | Nurse Practitioner | 5279-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
2012002217 | WI | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | APNP | 5279-33 | 01 |
Street Address |
2448 S 102ND ST SUITE 200 |
City | WEST ALLIS |
State | WI |
Zip Code | 53227-2466 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376645366 | Carol Wiltse Potts | Internal Medicine | 2448 S 102nd St, Suite 270, West Allis, WI 53227-2466 | 2006-09-01 |
1922550243 | Patricia C Stanik Phd LLC | Psychologist | 2448 S 102nd St, Ste 270, West Allis, WI 53227-2466 | 2016-11-03 |
1033562434 | Katy Marie Schmidt | Social Worker | 2448 S 102nd St, #270, West Allis, WI 53227-2466 | 2016-07-20 |
1275930919 | Glassman Neuropsychology Associates LLC | Clinical Neuropsychologist | 2448 S 102nd St, Suite 270, West Allis, WI 53227-2466 | 2014-11-24 |
1144592551 | Joy Simmons | Speech-Language Pathologist | 2448 S 102nd St, Suite 340, West Allis, WI 53227-2466 | 2012-01-31 |
1982849543 | Carol Gaines | Community Health Worker | 2448 S 102nd St, Suite 270, West Allis, WI 53227-2466 | 2008-12-11 |
1265685093 | West Side Neurology Sc | Psychiatry & Neurology | 2448 S 102nd St, Ste 125, West Allis, WI 53227-2466 | 2008-10-24 |
1407982879 | Deborah L Lemke | Internal Medicine | 2448 S 102nd St, Ste 270, West Allis, WI 53227-2466 | 2007-02-27 |
1609956242 | Patricia Carol Stanik | Clinical Neuropsychologist | 2448 S 102nd St, Suite 270, West Allis, WI 53227-2466 | 2006-10-17 |
1255432696 | Nathan David Glassman | Clinical Neuropsychologist | 2448 S 102nd St, Suite #270, West Allis, WI 53227-2466 | 2006-09-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205451564 | Ginger Renee Bland | Nurse Practitioner | 11133 W. National Avenue, West Allis, WI 53227 | 2020-06-12 |
1003312141 | Dynamic Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 10236 W National Ave, West Allis, WI 53227 | 2018-04-05 |
1932572641 | Alissa Kristine Walker | Specialist/Technologist | 11601 W Lincoln Ave, West Allis, WI 53227 | 2015-11-03 |
1396155990 | Bradly Earl Helinski | Physical Therapy Assistant | 3023 S 84th St., Milwaukee, WI 53227 | 2014-05-05 |
1609299783 | Amy Renee Rozumalski | Occupational Therapy Assistant | 10150 W. National Ave, Suite 150, Premiere Medical Staffing Services, LLC, Milwaukee, WI 53227 | 2014-01-27 |
1497098438 | Kathleen Marie Schneider | Physical Therapy Assistant | 3023 S. 84th Street, Milwaukee, WI 53227 | 2013-03-28 |
1760723373 | Lee Ann Schraith | Physical Therapy Assistant | 3023 S. 84th St, Milwaukee, WI 53227 | 2013-03-06 |
1740520725 | Samantha Lynn Wozniak | Physical Therapist | 3023 S. 84th St., Milwaukee, WI 53227 | 2013-02-27 |
1831434901 | Andrew Paul Roeder | Physical Therapy Assistant | 3023 S. 89th Street, Milwaukee, WI 53227 | 2012-11-30 |
1538418116 | Christine Wilford | Social Worker | 2044 S 96th Street, West Allis, WI 53227 | 2012-08-29 |
Find all providers in zip 53227 |
Taxonomy Code | 364SP0809X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Psych/Mental Health, Adult |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871743138 | Carol Lynn Herzberg | Clinical Nurse Specialist | S89w23120 King Pkwy, Big Bend, WI 53103-9720 | 2008-09-23 |
1548214133 | Lorrie W Hylkema | Clinical Nurse Specialist | 306 N Brooks St, Va Csp, Madison, WI 53715-1002 | 2006-05-19 |
1457583163 | Diane Matilda Pivonka | Clinical Nurse Specialist | 1499 6th St, Green Bay, WI 54304-2252 | 2009-08-13 |
1194827253 | Debra A Day | Clinical Nurse Specialist | 300 4th St N, La Crosse, WI 54601-3228 | 2006-09-01 |
1790898294 | Mary Ellen Yahle | Clinical Nurse Specialist | 2524 E Webster Pl, Suite 203, Milwaukee, WI 53211-4253 | 2006-08-17 |
1558374892 | Jeannette Carmen Merrill | Clinical Nurse Specialist | 3520 Tower Ave, Superior, WI 54880-5335 | 2006-08-15 |
1962419382 | Kathleen Collins | Clinical Nurse Specialist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2006-08-01 |
City | WEST ALLIS |
Zip Code | 53227 |
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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.