SANDRA A MCCLINTIC (NPI# 1992344709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992344709 |
| Entity Type | Individual |
| Full Name | SANDRA A MCCLINTIC |
| Credential | RN |
| Practice Address |
2240 Prairie Ave Ste 10 Beloit WI 53511-2648 |
| Practice Telephone | 6083617200 |
| Practice Fax Number | 6083617201 |
| Mailing Telephone | 6083617200 |
| Mailing Fax Number | 6083617201 |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2019-12-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
114159 | WI | Nursing Service Providers |
| Street Address |
2240 PRAIRIE AVE STE 10 |
| City | BELOIT |
| State | WI |
| Zip Code | 53511-2648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396222923 | Jessica Rouse-edmonds | Registered Nurse | 2240 Prairie Ave Ste 10, Beloit, WI 53511-2648 | 2018-07-26 |
| 1568019495 | Teresa Mcallister | Counselor | 2240 Prairie Ave Ste 10, Beloit, WI 53511-2648 | 2019-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730738485 | Linda Lee Cook | Technician | 914 Cranston Rd., Beloit, WI 53511 | 2019-09-05 |
| 1033773734 | Holistic Counseling Services, LLC | Counselor | 1517 Huebbe Parkway, Ste A, Beloit, WI 53511 | 2019-04-28 |
| 1578073870 | Bonita May Cooke | Counselor | 838 Grant St., Beloit, WI 53511 | 2017-10-02 |
| 1679091219 | Stacy Lynn Gallagher | Licensed Practical Nurse | 1060 Bittel St, Beloit, WI 53511 | 2017-09-04 |
| 1629448824 | Brenda Jean Allen | Registered Nurse | 2907 E. Leona Drive, Beloit, WI 53511 | 2015-09-30 |
| 1033595038 | Amber Noel Slaybaugh | Physical Therapist | 838 E. Azalea Ter., Beloit, WI 53511 | 2015-08-03 |
| 1407260326 | Quirt Family Dentistry, Sc | Dentist | 2777 Milwaukee Rd, Beloit, WI 53511 | 2014-06-18 |
| 1821436973 | Raymond K Spade | Counselor | 2240 Prairie Ave., Beloit, WI 53511 | 2013-06-11 |
| 1629321658 | Sarah Ann Nelson | Physical Therapist | 1905 W. Hart Road, Beloit, WI 53511 | 2012-10-15 |
| 1235494212 | Mary Ann Hudson | Nurse Practitioner | 700 College Street, Beloit College, Beloit, WI 53511 | 2012-07-06 |
| Find all providers in zip 53511 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396222923 | Jessica Rouse-edmonds | Registered Nurse | 2240 Prairie Ave Ste 10, Beloit, WI 53511-2648 | 2018-07-26 |
| 1831685619 | Laura Ann Woodberry | Registered Nurse | 2240 Prairie Ave, Beloit, WI 53511-2648 | 2018-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271801 | Jessica Seidel | Registered Nurse | 1015 Gammon Lane, Madison, WI 53719 | 2020-10-01 |
| 1801402755 | Marnie Meisner | Registered Nurse | 4004 Lake St, Burlington, WI 53105-9449 | 2020-09-16 |
| 1942772827 | Stacy Sprewell | Registered Nurse | 888 N Edge Trl, Verona, WI 53593-1947 | 2018-12-17 |
| 1093299455 | Mariela Ruiz | Registered Nurse | 151 E Badger Rd Unit A, Madison, WI 53713-2708 | 2018-09-21 |
| 1790271203 | Sarah M Veloskey | Registered Nurse | 4800 S 10th St # 310, Milwaukee, WI 53221-2412 | 2018-07-09 |
| 1689196255 | Kristen Ashley Haltom | Registered Nurse | 2979 Allied St Suite C, Green Bay, WI 54304 | 2017-07-14 |
| 1982051918 | Renee Teigen-stary | Registered Nurse | 3440 Oakwood Hills Parkway, Eau Claire, WI 54701 | 2016-05-19 |
| 1518342385 | Deanna Heller | Registered Nurse | 5808 Cedar Ct, Mc Farland, WI 53558-8909 | 2015-07-22 |
| 1871916890 | Mary Kathleen Ransom | Registered Nurse | 151 E Badger Rd Ste A, Madison, WI 53713-2708 | 2014-01-27 |
| 1376981811 | Mark Russell Schmitt | Registered Nurse | 1804 Dixie Dr., Waukesha, WI 53189 | 2013-06-06 |
| 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.