BONNIE JEAN BARTLETT (NPI# 1043367295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043367295 |
| Entity Type | Individual |
| Full Name | BONNIE JEAN BARTLETT |
| Credential | APN |
| Practice Address |
1 University Cir Macomb IL 61455-1367 |
| Mailing Address |
21495 State Route 41 Prairie City IL 61470-8319 |
| Practice Telephone | 3092981888 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1 UNIVERSITY CIR |
| City | MACOMB |
| State | IL |
| Zip Code | 61455-1367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134193691 | Renee L Polubinsky | Specialist/Technologist | 1 University Cir, Macomb, IL 61455-1367 | 2006-02-13 |
| 1174143408 | Sabrina Kleparski | Specialist/Technologist | 1 University Cir, Macomb, IL 61455-1367 | 2020-04-16 |
| 1376193672 | Provider Connections | Clinic/Center | 1 University Cir, Macomb, IL 61455-1367 | 2019-09-18 |
| 1497212864 | Charnelle Nicole Brinker | Speech-Language Pathologist | 1 University Cir, Macomb, IL 61455-1367 | 2019-02-21 |
| 1790268647 | Thomas Alan Adams | Specialist/Technologist | 1 University Cir, Macomb, IL 61455-1367 | 2018-09-06 |
| 1679091631 | Rowan Paige Haverkamp | Specialist/Technologist | 1 University Cir, Macomb, IL 61455-1367 | 2017-08-30 |
| 1407370729 | Philip Ray Nickols | Specialist/Technologist | 1 University Cir, Macomb, IL 61455 | 2017-07-28 |
| 1457807414 | Tanner Maksymicz | Specialist/Technologist | 1 University Cir, Macomb, IL 61455-1367 | 2016-08-30 |
| 1073964086 | Sabreen Dassa | Developmental Therapist | 1 University Cir, Macomb, IL 61455-1367 | 2016-06-30 |
| 1578953725 | Omaha Vamc | Clinic/Center | 1 University Cir, Macomb, IL 61455-1367 | 2015-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043869944 | Wesley Village, Inc | Speech-Language Pathologist | 1200 East Grant Street, Macomb, IL 61455 | 2019-09-04 |
| 1780154013 | Hannah Lauren Bengtson | Optometrist | 820 E. Jackson St., Macomb, IL 61455 | 2018-11-29 |
| 1255832564 | Lifeguard Ambulance Service of Illinois Inc. | Ambulance | 219 W Jackson St, Macomb, IL 61455 | 2018-02-22 |
| 1821516816 | Michelle Deann Sargeant | Speech-Language Pathologist | 315 N. Bonham, Macomb, IL 61455 | 2017-08-30 |
| 1972020360 | Kara Marie Wright | Speech-Language Pathologist | 315 N. Bonham St., Macomb, IL 61455 | 2017-08-25 |
| 1720356504 | Dawn M. Kedzior | Social Worker | 103 South Johnson Street, Macomb, IL 61455 | 2011-12-07 |
| 1255632642 | Michael Kurt Sharp | Audiologist | Memorial Hall, Second Floor, W Murray St, Macomb, IL 61455 | 2010-11-16 |
| 1952538704 | Mary L. Smith | Developmental Therapist | 1 University Circle, Western Il Univ, Cntr for Best Practices In Early Childhood Education, Macomb, IL 61455 | 2009-06-19 |
| 1982857827 | Macomb Oncology Institute Ltd | Radiology | 401 East Grant Street, Macomb, IL 61455 | 2008-10-23 |
| 1245488345 | Sonja E Schmidt | Social Worker | 119 Wetzel Hall, Western Illinois University, Macomb, IL 61455 | 2008-09-03 |
| Find all providers in zip 61455 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770131989 | Brittany Lawler | Nurse Practitioner | 17700 23 Mile Rd, Macomb, MI 48044-1154 | 2019-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881291 | Sarah Zeigler Olsen | Nurse Practitioner | 600 S Randall Rd Ste 220, Algonquin, IL 60102-5937 | 2020-11-02 |
| 1467051151 | Mallory Jo Brooks | Nurse Practitioner | 2306 E County Road 1800 N, Carthage, IL 62321-3101 | 2020-10-22 |
| 1508475294 | Diedra M Ahlert | Nurse Practitioner | 1320 Lexington Dr, Collinsville, IL 62234-4348 | 2020-07-28 |
| 1679182802 | Danielle L Shubert | Nurse Practitioner | 9423 Holy Cross Ln Ste 111, Breese, IL 62230-3510 | 2020-07-23 |
| 1154962900 | Janna Hoppe | Nurse Practitioner | 24600 W 127th St Ste 345, Plainfield, IL 60585-9507 | 2019-10-02 |
| 1841858529 | Katherine R Conkling | Nurse Practitioner | 4941 Benchmark Centre Dr Ste 100, Swansea, IL 62226-2038 | 2019-05-29 |
| 1942767280 | Danielle R Wetzel | Nurse Practitioner | 2040 Ogden Ave Ste 215, Aurora, IL 60504-7205 | 2019-02-22 |
| 1669937231 | Colleen Ann Larkin | Nurse Practitioner | 10939 S Troy St, Chicago, IL 60655-2211 | 2019-02-07 |
| 1568939684 | Katelyn Marie Reed | Nurse Practitioner | 415 N 9th St Ste 4w64, Springfield, IL 62702-5303 | 2018-10-26 |
| 1255813218 | Michelle Christine Bollinger | Nurse Practitioner | 415 N 9th St Ste 4w16, Springfield, IL 62702-5303 | 2018-09-05 |
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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.