Dale Vladic, CRNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

198661-30 Issued in WI

Practice address

665 Ranger St
Mosinee, WI 54455-1822

Phone

(708) 790-7333

NPI assigned

Mar 26, 2008

Last updated

Jan 7, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Surgical Assistant Innovations

  • Registered Nurse First Assistant
  • Daytona Beach, FL
  • NPI 1912250515
  NPD (past) Authorized official
• Surgical Assistant Innovations, LLC

  • Registered Nurse First Assistant
  • Fox Lake, IL
  • NPI 1972843175
  Authorized official Same address or phone

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1669644993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 RANGER ST",
            "city": "MOSINEE",
            "state": "WI",
            "postal_code": "544551822",
            "telephone_number": "708-790-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 RANGER ST",
            "city": "MOSINEE",
            "state": "WI",
            "postal_code": "544551822",
            "telephone_number": "708-790-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VLADIC",
        "first_name": "DALE",
        "name_prefix": "Mr.",
        "credential": "CRNFA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-26",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "MI",
            "license": "4704423873",
            "primary": false
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "FL",
            "license": "2560202",
            "primary": false
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "CA",
            "license": "RN95231143",
            "primary": false
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "IL",
            "license": "258819",
            "primary": false
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "WI",
            "license": "198661-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Marie Taylor, LPN
• Lisa Ann Tesch
• Therapy Specialists, LLC
• Janelle Lynn Thomas, RN
• Jamie Ann Ver Hagen
• Richelle Welch
• Wianecki Chiropractic, L.L.C.
• Kevin S. Wianecki, D.C.
• Wisconsin Lutheran Child & Family Service (Christian Family Counseling)
• Darrell Witt, MD

• Registered Nurse First Assistant in Mosinee, WI
• Providers in Mosinee, WI by specialty
• Registered Nurse First Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.