Venvisor Health Wisconsin LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

VENVISOR HEALTH WISCONSIN LLC

Practice address

4321 W College Ave
Ste 200
Appleton, WI 54914-3968

Phone

(203) 567-5243

NPI assigned

Mar 30, 2020

Organization subpart

No

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

Authorized official

Name

Jacki Malden

Title

VP of Regional Operations

Phone

(203) 567-5243

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634256000000",
    "number": "1144858895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2533",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064848533",
            "telephone_number": "203-567-5243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 W COLLEGE AVE",
            "address_2": "STE 200",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549143968",
            "telephone_number": "203-567-5243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENVISOR HEALTH WISCONSIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-30",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A",
        "authorized_official_last_name": "MALDEN",
        "authorized_official_first_name": "JACKI",
        "authorized_official_title_or_position": "VP OF REGIONAL OPERATIONS",
        "authorized_official_telephone_number": "203-567-5243"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alaina Joy Varga, MS OTR/L
• Cherian J Varghese, M.D.
• Mara L Veltus
• Ven Mental Health and TMS Services of Wisconsin LLC
• Catherine Elizabeth Ventura, LPC-IT, ATR-BC
• Karla M Verboncouer, PT
• Maria Gloria Vercimak, LPC
• Andrea Verhagen Aznar, BTT
• Laura Ann Verhagen, D.O.
• Andrew Verhoeven, PT, DPT

• Nurse Practitioner in Appleton, WI
• Providers in Appleton, WI by specialty
• Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.