JACLYN MASTRANGELI (NPI# 1033676978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033676978 |
| Entity Type | Individual |
| Full Name | JACLYN MASTRANGELI |
| Other Name | JACLYN CATANESE |
| Practice Address |
1425 N Randall Rd Elgin IL 60123-2300 |
| Mailing Address |
229 Verde Dr Schaumburg IL 60173-6534 |
| Practice Telephone | 8477429800 |
| Mailing Telephone | 8479177791 |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2019-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209018281 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1425 N RANDALL RD |
| City | ELGIN |
| State | IL |
| Zip Code | 60123-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356310163 | Northwest Suburban Imaging Associates, S.c. | Radiology | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2006-03-15 |
| 1740888221 | Sylvia Moreno | Nurse Practitioner | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2020-10-15 |
| 1336765064 | Mohammed Nabeel Hameed | Nurse Practitioner | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2020-06-18 |
| 1861014318 | Heather Rose Krusemark | Nurse Practitioner | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2020-05-07 |
| 1629699616 | Tiffany Ann Via | Nurse Practitioner | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2020-04-30 |
| 1669011342 | Ashley Krynski | Nurse Anesthetist, Certified Registered | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2019-12-30 |
| 1023650132 | Nicole Carpenter | Counselor | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2019-10-09 |
| 1326507963 | Karen Sue Mcgann | Occupational Therapy Assistant | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2019-03-13 |
| 1508368523 | Abby Chovanec | Nurse Anesthetist, Certified Registered | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2018-03-06 |
| 1891210647 | Pratixa Patel | Registered Nurse | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2017-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625736 | Edna Lopez | Social Worker | 1140 N. Mclean Blvd #1, Elgin, IL 60123 | 2019-08-22 |
| 1003472259 | Katelyn Lee O'connell | Counselor | 695 S. Sate Street, Elgin, IL 60123 | 2019-05-14 |
| 1598235152 | Katie Elizabeth Dwyer | Counselor | 695 S. State Street, Elgin, IL 60123 | 2018-11-27 |
| 1174002778 | James M Accetta | Counselor | 52 Surry Drive, Elgin, IL 60123 | 2018-08-14 |
| 1770086175 | Griswold Home Care | Adult Companion | 707 A Davis Road, Suite 203, Elgin, IL 60123 | 2018-03-12 |
| 1003315706 | Danielle Bryant | Nurse Practitioner | 745 Fletcher Dr Ste 101, Elgin, IL 60123 | 2018-02-08 |
| 1912421470 | Deborah Foshager | Counselor | 680 Shenandoah Trail, Elgin, IL 60123 | 2017-07-26 |
| 1760903470 | Miguel Camargo | Specialist/Technologist | 12 N Aldine St, Elgin, IL 60123 | 2017-07-03 |
| 1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
| 1649719618 | Faheem Unisa Syed | Clinical Nurse Specialist | 1990 Larkin Ave., Elgin, IL 60123 | 2017-02-23 |
| Find all providers in zip 60123 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496328 | Kellie Soria | Nurse Practitioner | 8600 Showers Dr, Elgin, TX 78621-5278 | 2020-10-26 |
| 1669079901 | Kelley Brown Davis | Nurse Practitioner | 2689 Us-1, Elgin, SC 29045 | 2020-10-08 |
| 1083266878 | Jean K Kombwa | Nurse Practitioner | 66 Grove Ct, Elgin, IL 60120-5588 | 2019-07-11 |
| 1407416324 | Gloria Benoit Williams | Nurse Practitioner | 889 Royal Oak Way, Elgin, SC 29045-8012 | 2019-06-13 |
| 1538681671 | Josephina Pilolli | Nurse Practitioner | 2490 Bushwood Dr, Unit F, Elgin, IL 60124 | 2017-07-11 |
| 1598204638 | Kimberly Horton | Nurse Practitioner | 153 Dawson Dr, Elgin, IL 60120-6409 | 2017-02-22 |
| 1073961314 | Annie Kluch | Nurse Practitioner | 801 Villa St, Elgin, IL 60120-8001 | 2016-05-26 |
| 1639543937 | Grace Marie Roxas | Nurse Practitioner | 2025 Salem Road, Elgin, IL 60123-9006 | 2015-11-24 |
| 1942674585 | Monica Rose Herdrich | Nurse Practitioner | 1665 Larkin Ave, Elgin, IL 60123-5977 | 2015-11-19 |
| 1073995916 | Betty Lois Pratt | Nurse Practitioner | 373 Summit St Ste 102, Elgin, IL 60120-3748 | 2015-06-28 |
| Find all providers in ELGIN | ||||
Please comment or provide details below to improve the information on JACLYN MASTRANGELI.
| 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.