Trisha Ann Ballschmieder
Individual provider Active NPI Assisted Living Facility · Little Chute, WI
NPI 1942007331 · NPPES record last updated Feb 25, 2025
Key facts
- NPI
- 1942007331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- 0019788 (WI)
- Practice address
- 1001 W Elm Dr
Little Chute, WI 54140-2661 - Phone
- (715) 219-5438
- NPI assigned
- Feb 25, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0019788 | WI | MD | Assisted Living Facility |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 0019788 | WI | Yes |
Addresses
Primary practice location
1001 W Elm Dr
Little Chute, WI 54140-2661
Mailing address
401 E Elm Dr
Little Chute, WI 54140-1292
Phone (715) 219-5438
Other providers in Little Chute, WI
- Ascension Medical Group-Fox Valley Wisconsin, Inc
- Ascension Medical Group-Fox Valley Wisconsin, Inc
- Melissa Barribeau
- Lindsey Kay Bloch
- Rachel Elizabeth Breining
- Cory Briggs
- James Brotz
All providers in Little Chute, WI · Assisted Living Facility 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 25, 2025. 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.