COURTNEY KOUTNIK (NPI# 1992164644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992164644 |
| Entity Type | Individual |
| Full Name | COURTNEY KOUTNIK |
| Practice Address |
8607 Azalea Rd Wausau WI 54401-9247 |
| Practice Telephone | 6086304320 |
| Mailing Telephone | 6086304320 |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2016-02-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 320125 | WI | Nursing Service Providers |
| Street Address |
8607 AZALEA RD |
| City | WAUSAU |
| State | WI |
| Zip Code | 54401-9247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031464 | Central Wisconsin Endodontic Specialists LLC | Dentist | 2606 Stewart Avenue, #102, Wausau, WI 54401 | 2020-07-23 |
| 1376161976 | Family Foot and Ankle Clinic LLC | Podiatrist | 1901 Westwood Boulevard, Wausau, WI 54401 | 2020-07-09 |
| 1336701895 | Amy Kluetz | Counselor | 3000 Westhill Drive, Suite 100, Wausau, WI 54401 | 2019-07-05 |
| 1437640877 | Joseph T Fitz | Student in an Organized Health Care Education/Training Program | Aspirus Wausau Family Medicine, 425 Wind Ridge Drive, Wausau, WI 54401 | 2018-05-22 |
| 1699293241 | Amanda Nedd | Dietitian, Registered | 425 Pine Ridge Boulevard Suite 220 C, Wausau, WI 54401 | 2017-09-05 |
| 1396287447 | Dee Cha | Nurse Anesthetist, Certified Registered | 4851 Rachel Ln Apt 5, Wausau, WI 54401 | 2016-11-07 |
| 1013389618 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 2727 Plaza Dr., Wausau, WI 54401 | 2015-10-22 |
| 1881091163 | Judy Lao | Dental Hygienist | 413 North 17th Avenue, Wausau, WI 54401 | 2014-12-02 |
| 1295012011 | Allison Waraksa | Pharmacist | 504 S. 17th Ave, Wausau, WI 54401 | 2011-11-08 |
| 1881974053 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 504 S 17th Ave, Wausau, WI 54401 | 2011-08-19 |
| Find all providers in zip 54401 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376102079 | Hope Larson | Licensed Practical Nurse | 1921 N 10th Ave Apt 10, Wausau, WI 54401-0824 | 2019-06-07 |
| 1093289787 | Sierra Moeller | Licensed Practical Nurse | 130 Kent St, Wausau, WI 54403-6922 | 2019-01-15 |
| 1245698174 | Alexandra Fittante | Licensed Practical Nurse | 1210 S 50th Ave Apt 1, Wausau, WI 54401-8651 | 2016-02-06 |
| 1831593359 | Elizabeth Blixt Erickson | Licensed Practical Nurse | 5120 Stettin Dr, Wausau, WI 54401-3824 | 2014-10-13 |
| 1659789030 | Rita Ann Dubre | Licensed Practical Nurse | 916 Washington St, Wausau, WI 54403-5670 | 2014-07-29 |
| 1043623192 | Edith Joyce Mott | Licensed Practical Nurse | 803 Augusta Ave, Wausau, WI 54403-3336 | 2014-06-06 |
| 1396158879 | Jennifer Renee Webb | Licensed Practical Nurse | 420 Ruder St, Wausau, WI 54403-6603 | 2014-06-03 |
| 1316365091 | Rachel Doolen | Licensed Practical Nurse | 1300 N 9th Ave, Apt 3q, Wausau, WI 54401-2683 | 2014-03-31 |
| 1730500943 | John Stolzman | Licensed Practical Nurse | 911 Sumner St, Wausau, WI 54403-6554 | 2013-12-16 |
| 1275961179 | Kori Auner | Licensed Practical Nurse | 611 Kickbusch St, Wausau, WI 54403-6234 | 2013-10-31 |
| Find all providers in WAUSAU | ||||
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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.