TRACY BLAIR WANDTKE HERRMANN CNM NPI 1003009010

Advanced Practice Midwife in Milwaukee, WI

About TRACY WANDTKE HERRMANN

Tracy Wandtke Herrmann is a provider in Milwaukee, WI. The NPI number assigned to this provider is 1003009010. The practitioner's primary taxonomy code is Advanced Practice Midwife (367A00000X). The provider is registered as an individual and their NPI record was last updated one year ago. Tracy Wandtke Herrmann is registered with Medicare.

NPI1003009010 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name TRACY BLAIR WANDTKE HERRMANN CNM
Provider Location Address1032 S CESAR E CHAVEZ DR MILWAUKEE, WI 53204 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address1032 S CESAR E CHAVEZ DR MILWAUKEE, WI 53204 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date08-22-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date04-05-2017 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

TRACY BLAIR WANDTKE HERRMANN CNM
1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI
ZIP 53204
Phone: (414) 672-1353
Fax: (414) 672-4265
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Mailing Address

TRACY BLAIR WANDTKE HERRMANN CNM
1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI
ZIP 53204
Phone: (414) 672-1353
Fax: (414) 672-4265

Primary Taxonomy

Taxonomy Code367A00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationAdvanced Practice Midwife
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.148811-032
License StateWI
Taxonomy DescriptionMidwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM).

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
0117:01545MEDICARE PIN (08)WI
521805MEDICARE OSCAR/CERTIFICATION (06)WI
521830MEDICARE OSCAR/CERTIFICATION (06)WI

Map Location


TRACY BLAIR WANDTKE HERRMANN CNM address is 1032 S CESAR E CHAVEZ DR MILWAUKEE, WI 53204

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1093710543 JOHN MATTHEW DUNN M.D.
Individual
Pediatrics1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
(414) 672-1353
1154384329 ANGELA B MONTOTO PA-C
Individual
Physician Assistant1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
(414) 672-1353
1164427654 KATHY SUSAN HERNANDEZ M.D.
Individual
Family Medicine1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
(414) 672-1353
1184620528 JULIE B SCHULLER M.D., MPH
Individual
Internal Medicine1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
(414) 672-1353
1245270040 MARY K BRETHAUER CNM,RN
Individual
Advanced Practice Midwife1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
(414) 672-1353
1285639765 MARGARET M DUNN M.D.
Individual
Family Medicine1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
(414) 672-1353
1295731743 ANN R KRIGBAUM M.D.
Individual
Advanced Practice Midwife1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
(414) 672-1353
1386613875 MARY E FORD RN,APNP
Individual
Nurse Practitioner1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
(414) 672-1353
1407852916 JULIA NICOLE MENNEN P.A.
Individual
Physician Assistant1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
(414) 672-1353
1467458810 DAVID A WATERS M.D.
Individual
Pediatrics1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
(414) 672-1353
1477558104 THOMAS M BACHHUBER M.D.
Individual
Family Medicine1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
(414) 672-1353
1497751952 SHAUNA M LEINBACH CNM
Individual
Advanced Practice Midwife1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
(414) 672-1353
1538164132 ALICIA M BROEREN M.D.
Individual
Family Medicine1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
(414) 672-1353
1619072170MS. MARIA ELENA PEREZ PHD
Individual
Psychologist (Clinical)1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
(414) 385-6234
1639142953 JOHN RAYMOND CARROLL M.D.
Individual
Family Medicine1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
(414) 672-1353
1639277148 GEORGENE D SOMMER
Individual
Nutritionist1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
(414) 672-1315
1649295593 SARAH IRENE BLEYTHING PA
Individual
Physician Assistant1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
(414) 672-1353
1679582563MS. DEBORAH ANN CONTERAS-TADYCH PHD
Individual
Psychologist (Clinical)1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
(414) 672-1353
1811993330 MARIANA RINCON M.D., M.P.H.
Individual
Internal Medicine1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
(414) 672-1353
1952306441 FRANCISCO JAVIER ENRIQUEZ M.D.
Individual
Pediatrics1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
(414) 672-1353