KELLE JOELL TOMATZ (NPI# 1972912764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972912764 |
Entity Type | Individual |
Full Name | KELLE JOELL TOMATZ |
Credential | FNP-BC |
Practice Address |
10625 W North Avenue Suite 102 Emergency Medicine Specialists, S.c. Wauwatosa WI 53266-0000 |
Mailing Address |
1317 Hillwood Blvd Unit C Pewaukee WI 53072-6902 |
Practice Telephone | 4148775345 |
Enumeration Date | 2014-08-06 |
Last Update Date | 2014-08-06 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5795-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
10625 W NORTH AVENUE SUITE 102 EMERGENCY MEDICINE SPECIALISTS, S.C. |
City | WAUWATOSA |
State | WI |
Zip Code | 53266-0000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851369771 | Central Otologic Ltd | Otolaryngology | 201 N Mayfair Road, Ste 545, Milwaukee, WI 53266 | 2006-03-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972104271 | Beata Aniela Kasia | Registered Nurse | 6100 W State St Apt 331, Wauwatosa, WI 53213-2991 | 2020-11-03 |
1386243772 | Premier Care Services | Case Management | 2200 N Mayfair Rd, Wauwatosa, WI 53226-2252 | 2020-10-19 |
1578160974 | Jennifer A Nyman | Counselor | 2408 N 89th St, Wauwatosa, WI 53226-1804 | 2020-10-08 |
1306443460 | Zhengqi Fan | Nurse Practitioner | 7850 Harwood Ave Unit 3, Wauwatosa, WI 53213-2561 | 2020-10-01 |
1003422569 | Reeyanana Salet Cha | Massage Therapist | 12201 W Burleigh St Ste 6, Wauwatosa, WI 53222-3102 | 2020-09-21 |
1003422726 | Wisconsin Healthcare Family Practices and Behavioral Services LLC | Nurse Practitioner | 10721 W Capitol Dr Ste G103, Wauwatosa, WI 53222-1210 | 2020-09-17 |
1265047625 | Jessica Marie Key | Counselor | 5805 W Wells St, Wauwatosa, WI 53213-3239 | 2020-09-12 |
1447863659 | Deidre Simms | Registered Nurse | 11517 W Center St, Wauwatosa, WI 53222-4121 | 2020-08-26 |
1972115426 | Amber L Allen | Behavioral Analyst | 10930 W Potter Rd Ste A, Wauwatosa, WI 53226-3450 | 2020-08-17 |
1932719804 | Lauren M Splawn | Pharmacist | 8361 Portland Ave Uppr Unit, Wauwatosa, WI 53213-3017 | 2020-08-05 |
Find all providers in WAUWATOSA |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700400488 | Aaliyah Camille Dorsey-brown | Nurse Practitioner | 9617 W Grantosa Dr, Wauwatosa, WI 53222-1404 | 2020-05-29 |
1184049595 | Sandi K Kindig Oguzlu | Nurse Practitioner | 2949 N Mayfair Rd, Wauwatosa, Wauwatosa, WI 53222-4304 | 2014-02-20 |
1588918890 | Janine Allison Kolinski | Nurse Practitioner | 10012 W. Capitol Dr., Suite 101, Wauwatosa, WI 53222 | 2012-11-08 |
1427244599 | Jacinda Hurt | Nurse Practitioner | 10800 W Capitol, Wauwatosa, WI 53222 | 2007-09-21 |
1437796091 | Lisa Elliott | Nurse Practitioner | 959 N Mayfair Rd, Wauwatosa, WI 53226-3465 | 2019-12-03 |
1457902108 | Caleb Samuel Young | Nurse Practitioner | 10701 W Research Dr, Wauwatosa, WI 53226-3452 | 2019-09-24 |
1508411273 | Amanda Grimshaw | Nurse Practitioner | 10701 W Research Dr, Wauwatosa, WI 53226-3452 | 2019-08-08 |
1639731763 | Ryan A Schmidt | Nurse Practitioner | 10625 W North Ave Ste 102, Wauwatosa, WI 53226-2315 | 2019-06-28 |
1558929091 | Pamela Ann Anderson | Nurse Practitioner | 201 N Mayfair Rd Fl 2, Wauwatosa, WI 53226-4216 | 2019-05-30 |
1104387042 | Deanne A Walker Dupree | Nurse Practitioner | 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462 | 2019-03-25 |
Find all providers in WAUWATOSA |
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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.