Family First Care Clinic, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

FAMILY FIRST CARE CLINIC, LLC

Practice address

108 Grove St
Eagle, WI 53119-2249

Phone

(262) 594-7012

Fax

(313) 556-1364

NPI assigned

Feb 9, 2021

Last updated

Nov 12, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jessica L Olson, APNPNPI 1346764180

Title

Owner

Phone

(262) 271-6280

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica Lynn Olson, APNP

  • Family Nurse Practitioner
  • Brookfield, WI
  • NPI 1346764180
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636675200000",
    "number": "1033701115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 PENHURST WAY",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531861224",
            "telephone_number": "262-594-7012",
            "fax_number": "313-556-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 GROVE ST",
            "city": "EAGLE",
            "state": "WI",
            "postal_code": "531192249",
            "telephone_number": "262-594-7012",
            "fax_number": "313-556-1364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FIRST CARE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-271-6280",
        "authorized_official_credential": "APNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Brittany Behn, RN
• Luke Bjorklund
• Jeane M Borkowski, RN
• Kristine Louise Clark-Setnes, MS, LMFT, ATR
• Eagle Fire District
• Keith L Mausner MD SC
• Karen Jean Kennedy, LPN
• Kettle Moraine Fire District
• Angela T McAdams, RN #90241 WISCONSIN
• Marisa M Phillips, RN

• Primary Care Clinic/Center in Eagle, WI
• Providers in Eagle, WI by specialty
• Primary Care Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.