THEDACARE INC NPI 1063569002

NPI Information

  • NPI: 1063569002
  • Provider Name: THEDACARE, INC
  • Classification: Nurse Practitioner - 363LX0106X
  • Specialization: Occupational Health
  • Entity Type: Organization
  • Doing Business As: THEDACARE AT WORK
  • CLIA Number: 52D1008181
  • Address: 2809 N. PARK DRIVE LANE
    APPLETON, WI
    ZIP 54911
  • Phone: (920) 380-4999

Map and Directions

Get Directions

NPI Details

THEDACARE, INC is an occupational health nurse practitioner in Appleton, WI. THEDACARE, INC NPI is 1063569002. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Thedacare At Work.

The provider's business location address is:

2809 N. PARK DRIVE LANE
APPLETON, WI
ZIP 54911
Phone: (920) 380-4999
Fax: (920) 380-4961

The provider's authorized official is William Flett .
The authorized official title is Cfo and has the following contact phone number (920) 454-4013.

The CLIA number assigned to this NPI record is 52D1008181 - other - occupational health with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/4/2007 and was last updated on 1/2/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeNo
2363LX0106XNurse PractitionerOccupational HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI