Great Lakes Health Partners LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

GREAT LAKES HEALTH PARTNERS LLC

Doing business as

Interim Palliative Care of Wisconsin

Practice address

2801 Coho St Ste 101
Madison, WI 53713-4576

Phone

(608) 238-0268

NPI assigned

Dec 19, 2023

Organization subpart

No

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

Authorized official

Name

Jeanne Byl

Title

Chief Operating Officer

Phone

(715) 410-6040

Specialties & licenses 1

Addresses

Other names 1

• Interim Palliative Care of Wisconsin Doing business as

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1710755657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 COHO ST STE 101",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537134576",
            "telephone_number": "608-238-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 COHO ST STE 101",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537134576",
            "telephone_number": "608-238-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES HEALTH PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "BYL",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "715-410-6040"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim Palliative Care of Wisconsin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sara Michelle Gray, RDN
• Terri S Gray, LPN
• Allison M. Grayev, M.D.
• Shana Greane, OTR/L
• Great Day Dental LLC
• Greater Wi Agency on Aging Resources
• Paul Greblo, PHD
• Zorislav NMN Greblo, MD
• Claudia Greco, RN, LPC, CADCIII
• Margaret M. Greco, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.