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KELLIE A BACKMAN APNP, NPI 1639171895

Nurse Practitioner in ONALASKA, WI

Last Updated on : Feb 06,2020

About KELLIE A BACKMAN (NPI 1639171895)


KELLIE A BACKMAN is a Nurse Practitioner provider in ONALASKA, United States. Her medical specialization is Nurse Practitioner with a focus in Family.

1639171895 is NPI number of KELLIE A BACKMAN.

KELLIE A BACKMAN's primary taxonomy code based on NPI Lookup is 363LF0000X with license number 1171. This taxonomy code refers to Nurse Practitioner.

KELLIE A BACKMAN has more than 16 years of experience.

KELLIE A BACKMAN current practice location address is 3111 GUNDERSEN DR, ONALASKA, WI. KELLIE A BACKMAN can be reached out via phone at 608-775-8630 .

You can also correspond with KELLIE A BACKMAN through mail at mailing address 1836 SOUTH AVE, LA CROSSE, WI, United States. Mailing address contact number is 608-782-7300.

The enumeration date of KELLIE A BACKMAN is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 2 years ago.

1639171895 NPI Information

Name KELLIE A BACKMAN
National Provider Id (NPI) 1639171895
Entity Type Individual
Gender F
Credential APNP
Practice Address 3111 GUNDERSEN DR,
ONALASKA, WI, United States
Practice Telephone 608-775-8630
Practice Fax Number
Mailing Address 1836 SOUTH AVE ,
LA CROSSE, WI, United States
Mailing Telephone 608-782-7300
Mailing Fax Number
Enumeration Date 01-Jun-2005
Last Updated Date 06-Feb-2020

KELLIE A BACKMAN (NPI 1639171895) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 363LF0000X Nurse Practitioner, Family 1171 WI

KELLIE A BACKMAN (NPI 1639171895) Secondary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
N 363LF0000X Nurse Practitioner, Family 7082 MN
N 363LP0200X Nurse Practitioner, Pediatrics 1171 WI

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
0782 MEDICARE PIN (08) WI
43870600 MEDICAID (05) WI
S55911 MEDICARE UPIN (02)

KELLIE A BACKMAN (NPI 1639171895) Office Location

Providers in same location

NPI Name Taxonomy Address Enumeration date
1760804850 NESI LILLARD Counselor, Professional 14007 US HIGHWAY 190 W,
ONALASKA, TX, United States
09-Jan-2014
1174275614 PALOMA PEREZ Nurse Practitioner, Family 14181 US HIGHWAY 190 W,
ONALASKA, TX, United States
26-Jan-2022
1205971850 ONALASKA ISD Local Education Agency (LEA) PO BOX 2289,
ONALASKA, TX, United States
21-Feb-2007
1376102517 MARIA VILLANUEVA Licensed Vocational Nurse 111 HILLTOP,
ONALASKA, TX, United States
11-Jun-2019
1033225123 KENNETH DUANE ROLAND Dentist, General Practice PO BOX 1419,
ONALASKA, TX, United States
22-Aug-2006
1790332112 PATRICIA A PALMER Technician, Attendant Care Provider 181 EDGEWOOD,
ONALASKA, TX, United States
20-Aug-2019
1831566520 SUSAN MICHELLE BROWNFIELD Occupational Therapist 690 TALLOW ST,
ONALASKA, TX, United States
28-Aug-2015
1922612175 AMY JONES Licensed Vocational Nurse 1155 DAIRY ASHFORD RD,
HOUSTON, TX, United States
04-Sep-2020
1487269171 BRANDY MIDURA Pharmacist 14981 OLD TRINITY ROAD,
ONALASKA, TX, United States
10-Sep-2020
1205935525 BROOKSHIRE BROTHERS INC Pharmacy 14981 OLD TRINITY RD,
ONALASKA, TX, United States
22-Sep-2006
1346301678 ROBERT WAYNE WOLFE Chiropractor PO BOX 2287,
ONALASKA, TX, United States
12-Dec-2006
1689329021 DEBORAH BARFIELD Pharmacist 14981 OLD TRINITY RD,
ONALASKA, TX, United States
15-Feb-2022
1730360470 LEWIS A. LANDSMAN, OD, PC Optometrist 13831 HWY 190,
ONALASKA, TX, United States
23-Nov-2007
1063982387 CALM MIND COUNSELING, PLLC Counselor, Mental Health 14007 US HIGHWAY 190 W,
ONALASKA, TX, United States
29-Nov-2018
1043368681 SHERRY ANN ANDERSON Counselor, Mental Health 138 SHANKLIN RD,
ONALASKA, WA, United States
08-Jan-2007
1801353586 CAROLYN DEBRA WENDT Behavior Analyst 8282 28TH CT NE STE A,
LACEY, WA, United States
28-Feb-2019
1497310510 EMMA SOTEROS Peer Specialist 168 CHEROKEE LN,
ONALASKA, WA, United States
03-May-2019
1285868281 MARK R LEADBETTER Orthopaedic Surgery 3233 CENTRALIA ALPHA RD,
ONALASKA, WA, United States
06-May-2009
1659631141 LEWIS COUNTY COMMUNITY HEALTH SERVICES Clinic/Center, Federally Qualified Health Center (FQHC) 2690 NE KRESKY AVE,
CHEHALIS, WA, United States
18-May-2012
1811345580 LARRY MEADE Counselor, Addiction (Substance Use Disorder) PO BOX 485, 1752 STATE HWY 508
ONALASKA, WA, United States
02-Jun-2016

FAQs

Whose NPI Number is 1639171895?

1639171895 is the NPI number of KELLIE A BACKMAN.

What is the specialty for KELLIE A BACKMAN?

The Specialty of KELLIE A BACKMAN is Nurse Practitioner.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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