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Organization

Thedacare, Inc

NPI Record: ActiveNurse Practitioner — Occupational Health
NPI1063569002
Appleton, Wisconsin

Provider's NPPES record last updated: January 2, 2024

Overview

Entity Type
Organization
NPI
1063569002
Primary Specialty
Nurse Practitioner — Occupational Health
Practice Location
Appleton, Wisconsin
Organization Subpart
Yes
Parent Organization
Thedacare, Inc

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 17, 2026, 9:54 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Nurse Practitioner

    Occupational Health

    Physician Assistants & Advanced Practice Nursing Providers

    Primary

    Definition to come...

    Taxonomy code 363LX0106X
  • General Practice

    Allopathic & Osteopathic Physicians

    A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

    Taxonomy code 208D00000X

Practice Locations

Practice Location

2809 N. Park Drive Lane

Appleton, Wisconsin 54911

Phone: (920) 380-4999

Other Names

  • Thedacare at WorkReported January 4, 2007

Record Information

Enumeration Date
January 4, 2007
Provider's NPPES Record Last Updated
January 2, 2024
Certification Date
January 2, 2024
NPISignal NPPES Dataset
August 2026

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