MRS. DEANNE C RIECKENBERG (NPI# 1003881244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003881244 |
| Entity Type | Individual |
| Full Name | MRS. DEANNE C RIECKENBERG |
| Other Name | MISS DEANNE C PFIEFFER |
| Credential | APRN |
| Practice Address |
215 S Burns Ave Sparta Medical Office Sparta IL 62286 |
| Practice Telephone | 6184434889 |
| Mailing Telephone | 6184434889 |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2020-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209005645 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | ILLINOIS LICENSE | 041-315519 | 01 |
| ANCC CERTIFICATION NUMBER | 2005004617 | 01 |
| Street Address |
215 S BURNS AVE SPARTA MEDICAL OFFICE |
| City | SPARTA |
| State | IL |
| Zip Code | 62286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609316710 | Nickie Murphy | Nurse Practitioner | 215 S Burns Ave, Sparta, IL 62286-1894 | 2017-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467841502 | Rikki Schaefer | Physician Assistant | 205 South Burns Ave, Sparta, IL 62286 | 2015-01-13 |
| 1922242130 | Sparta Community Hospital | Clinic/Center | 211 South Burns Avenue, Sparta, IL 62286 | 2009-05-01 |
| 1245452739 | Human Service Center of Southern Metro East | Clinic/Center | 104 Northtown Drive, Sparta, IL 62286 | 2007-05-03 |
| 1356479497 | Randal W Mcbride | Dentist | 1701 N Market St, Suite 2, Sparta, IL 62286 | 2007-03-01 |
| 1043398050 | Chris M Murry | Chiropractor | 401 West Broadway, Sparta, IL 62286 | 2006-11-01 |
| 1679657548 | Frantz Antoine Charles | Surgery | 818 East Broadway, Sparta Community Hospital, Sparta, IL 62286 | 2006-10-25 |
| 1750497194 | Sparta Community Hospital D/b/a Quality Healthcare Clinics | Clinic/Center | 207 South Burns Ave, Family Health Centre, Sparta, IL 62286 | 2006-08-21 |
| 1740395045 | Sparta Community Hospital D/b/a Quality Healthcare Clinics | Clinic/Center | 1300 North Campus, Sparta Community Hospital, North Campus, Sparta, IL 62286 | 2006-08-20 |
| 1326153552 | Sparta Communty Hospital D/b/a Quality Healthcare Clinics | Clinic/Center | 211 South Burns Ave, Quality Healthcare Surgery, Sparta, IL 62286 | 2006-08-20 |
| 1740395003 | Sparta Community Hospital D/b/a Quality Healthcare Clinics | Clinic/Center | 215 South Burns Avenue, Sparta, IL 62286 | 2006-08-20 |
| Find all providers in zip 62286 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386951 | Katherine Grace Dymacz | Nurse Practitioner | 376 Lafayette Rd Ste 101, Sparta, NJ 07871-3560 | 2020-11-04 |
| 1275152696 | Sage Wellness Clinic, LLC | Nurse Practitioner | 14 Liberty Sq, Sparta, TN 38583-2044 | 2020-04-15 |
| 1043790504 | Regional Services | Nurse Practitioner | 8520 Mo-14, Sparta, MO 65753 | 2018-08-15 |
| 1265957054 | Laura Allese Hall | Nurse Practitioner | 150 Sam Walton Dr Ste 600, Sparta, TN 38583-8814 | 2017-08-14 |
| 1649436965 | Sarah Catherine Sandgran | Nurse Practitioner | 26 Gail Ct Ste 2a, Sparta, NJ 07871-3487 | 2008-08-06 |
| 1548450349 | Bryan L. Logan | Nurse Practitioner | 155 Village Drive, Sparta, MO 65673 | 2007-07-27 |
| 1407968936 | Maria Haydon Buttner | Nurse Practitioner | 11 Centre Street, Theatre Center, Sparta, NJ 07871 | 2006-08-31 |
| 1356338982 | Jennifer L Hart | Nurse Practitioner | 11 Theatre Ctr, Sparta, NJ 07871-2433 | 2005-09-29 |
| 1942761929 | Kathleen Loyd | Nurse Practitioner | 150 Sam Walton Dr, Sparta, TN 38583-8815 | 2019-03-30 |
| 1780157313 | Judith Anne Connell | Nurse Practitioner | 25 Main St, Sparta, NJ 07871-1937 | 2019-01-07 |
| Find all providers in SPARTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.