Katie R Stewart, P.A.C.
Individual provider Active NPI Medical Physician Assistant · La Crosse, WI
NPI 1851521884 · NPPES record last updated Feb 2, 2015
Key facts
- NPI
- 1851521884
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 3421-23 (WI)
- Practice address
- 1526 Rose St
La Crosse, WI 54603-2245 - Phone
- (608) 781-9880
- NPI assigned
- Jul 24, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3421-23 | WI | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Clinic, LLP | Past | Accepting new patients | |
| Prairie Cardiovascular Consultants LTD | Past | Accepting new patients | |
| Breidenbach Family and Sports Chiropractic Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 3421-23 | WI | Yes |
Addresses
Primary practice location
1526 Rose St
La Crosse, WI 54603-2245
Mailing address
1526 Rose St
La Crosse, WI 54603-2245
Phone (608) 781-9880
Other names
- Katie R Asp
Other providers in La Crosse, WI
- Diana Stevenson
- Erica Beranek Iverson Stevermer
- Callyn Marie Stewart
- Emily R Stewart
- James S Stewart
- Heather Douthitt Stief
- Clarissa Jean Stiefvater
- Stephanie Eva Stieglitz
- Gary R Stiers
- Anna Stindt
All providers in La Crosse, WI · Medical Physician Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.