MARY BAKKUM (NPI# 1932758653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932758653 |
| Entity Type | Individual |
| Full Name | MARY BAKKUM |
| Practice Address |
E 7040 Nyhus Road Westby WI 54667 |
| Practice Telephone | 6086344342 |
| Mailing Telephone | 6086344342 |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2019-09-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Street Address |
E 7040 NYHUS ROAD |
| City | WESTBY |
| State | WI |
| Zip Code | 54667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679109045 | Nichol Davey | Technician | S2969 Sebion Rd, Westby, WI 54667 | 2020-03-18 |
| 1467085621 | Dachia Abt | Technician | 52967 Sebion Rd, Westby, WI 54667 | 2020-02-17 |
| 1942833272 | Mary Tunison | Technician | 52969 Sebion Rd, 52969 Sebion Rd, Westby, WI 54667 | 2020-02-14 |
| 1730712068 | Kristine L Mowery | Technician | 52969 Sebion Rd., 52969 Sebion Rd, Westby, WI 54667 | 2020-02-14 |
| 1801056262 | Daniel J Iverson | Dentist | 701 S Main St., Westby, WI 54667 | 2008-06-10 |
| 1437775392 | Aimee J. Harnish | Technician | S2969 Sebion Rd, Westby, WI 54667 | 2020-06-17 |
| 1255505277 | Thomas J Gibbons | Dentist | 701 S Main St, Westby, WI 54667 | 2008-04-22 |
| 1881701241 | Merry Anna Gajewski | Dentist | 100 Melby St, Westby, WI 54667 | 2006-08-23 |
| 1508809658 | William N Calkins | General Practice | 100 Melby St, Westby, WI 54667 | 2006-06-14 |
| 1427047620 | Bernadette Adams | Registered Nurse | 100 Melby St, Westby, WI 54667-0000 | 2005-10-19 |
| Find all providers in zip 54667 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679109045 | Nichol Davey | Technician | S2969 Sebion Rd, Westby, WI 54667 | 2020-03-18 |
| 1467085621 | Dachia Abt | Technician | 52967 Sebion Rd, Westby, WI 54667 | 2020-02-17 |
| 1942833272 | Mary Tunison | Technician | 52969 Sebion Rd, 52969 Sebion Rd, Westby, WI 54667 | 2020-02-14 |
| 1730712068 | Kristine L Mowery | Technician | 52969 Sebion Rd., 52969 Sebion Rd, Westby, WI 54667 | 2020-02-14 |
| 1437775392 | Aimee J. Harnish | Technician | S2969 Sebion Rd, Westby, WI 54667 | 2020-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770194524 | Christpher George Rowe | Technician | 825 Clermont S Apt 7, Antigo, WI 54409 | 2020-08-14 |
| 1750906137 | Lilshana Woods | Technician | 3946 N 52nd St, Milwaukee, WI 53216 | 2020-06-11 |
| 1720601198 | Rose Nelson | Technician | 3007 2nd Ave, Oxford, WI 53952 | 2020-05-20 |
| 1013543255 | Sonhui Edwards | Technician | 9730 W Coldspring Rd, Greenfield, WI 53228 | 2020-03-19 |
| 1093340473 | Denise Stinson | Technician | 1311 Badger St, Apt 505, La Crosse, WI 54601 | 2020-03-06 |
| 1063042539 | Marjorie Stuart | Technician | 2410 Hirschman Lane, Hartland, WI 53029 | 2020-01-23 |
| 1629614391 | Wallee Stebbens | Technician | W724 County Rd N, Niagara, WI 54151 | 2019-11-18 |
| 1316582224 | Serryn Erickson | Technician | 1502 9th St E, Menomonie, WI 54751-3430 | 2019-11-14 |
| 1548805666 | Shirley Mae Warren | Technician | 314 Washington Ct, Thiensville, WI 53092-1704 | 2019-11-13 |
| 1619512605 | Sharon Boushon | Technician | 642 E Pergola Place, Oak Creek, WI 53154 | 2019-11-13 |
| Find all providers with the same taxonomy | ||||
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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.