Community Action Inc of Rock & Walworth County

Primary specialty

Non-Surgical Family Planning Clinic/CenterTaxonomy code 261QF0050X

License

65503030 Issued in WI

Legal business name

COMMUNITY ACTION INC OF ROCK & WALWORTH COUNTY

Doing business as

First Choice Womens Health Center

Practice address

1015 W Burbank Ave
Janesville, WI 53546-6154

Phone

(608) 755-2438

Fax

(608) 755-2246

NPI assigned

Feb 13, 2006

Last updated

Aug 22, 2020By 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

Mrs. Donna Lee Hays, RNC WHNP

Title

Director

Phone

(608) 755-2438

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• First Choice Womens Health Center Doing business as

Locations

Practitioners 3

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.

• Candida Dawn Franke, RN-RHNP

  • Women's Health Nurse Practitioner
  • Janesville, WI
  • NPI 1306072541
  NPD (past)
• Andrea Pankratz, WHNP-BC

  • Women's Health Nurse Practitioner
  • Madison, WI
  • NPI 1669739025
  NPD (past)
• Lori Ann Richardson, WHNP-BC

  • Women's Health Nurse Practitioner
  • Janesville, WI
  • NPI 1760528228
  NPD (past)

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508839150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 KELLOGG AVE",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535465921",
            "telephone_number": "608-755-2470",
            "fax_number": "608-755-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 W BURBANK AVE",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535466154",
            "telephone_number": "608-755-2438",
            "fax_number": "608-755-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ACTION INC OF ROCK & WALWORTH COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAYS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "608-755-2438",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RNC  WHNP"
    },
    "taxonomies": [
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": "WI",
            "license": "65503030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42007900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Choice Womens Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tania Mischelle Cobena Bravo, MD
• Jeanne E Cole, R.N.
• Karyn Jean Coleman, PT
• Mary Collins, LPC-IT, CSAC
• Bailee Noel Combs, MMT, MT-BC, NMT
• Stacy M. Condon, LCSW
• Krystal A Conkle, MSW, LCSW
• Amy M Connell, MD
• Kim N Conrad, CSAC, ICS
• Kara E Considine, PT

• Non-Surgical Family Planning Clinic/Center in Janesville, WI
• Providers in Janesville, WI by specialty
• Non-Surgical Family Planning Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.