MICHELLE MACEY THACKER


Address: 2111 Lexington Ave, Lawrenceville, IL 62439
Phone: 6189437214

MICHELLE MACEY THACKER (NPI# 1073003588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073003588
Entity Type Individual
Full Name MICHELLE MACEY THACKER
Credential NP-C
Practice Address 2111 Lexington Ave
Lawrenceville
IL 62439
Practice Telephone 6189437214
Enumeration Date 2018-05-10
Last Update Date 2018-05-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
209017621 IL Physician Assistants & Advanced Practice Nursing Providers

Other Providers MICHELLE THACKER

NPI Name Taxonomy Address Enumeration
1366001992 Michelle Annette Thacker Licensed Vocational Nurse 7710 W Ih 10, San Antonio, TX 78230-4711 2019-06-07

Office Location

Street Address 2111 LEXINGTON AVE
City LAWRENCEVILLE
State IL
Zip Code 62439

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902884273 Rachel Ann Winters Family Medicine 2111 Lexington Ave, Lawrenceville, IL 62439-2085 2006-01-05
1164952073 Tracy R Ramsey Nurse Practitioner 2111 Lexington Ave, Lawrenceville, IL 62439-2085 2017-06-13
1720529001 Rachel A. Winters M.d. Family Medicine 2111 Lexington Ave, Suite 3, Lawrenceville, IL 62439-2085 2017-03-20
1942668314 Kathleen E Clark Nurse Practitioner 2111 Lexington Ave, Ste #1, Lawrenceville, IL 62439 2016-02-01
1740456573 Steven M. Ramsaran, Md Clinic/Center 2111 Lexington Ave, Suite 6, Lawrenceville, IL 62439-2085 2008-05-01
1811183692 Lawrence County Memorial Hospital Clinic/Center 2111 Lexington Ave, Lawrenceville, IL 62439-2085 2007-09-14
1346449188 Tanna Lynn Mccullough Nurse Practitioner 2111 Lexington Ave, Lawrenceville, IL 62439-2085 2007-07-12
1932308749 Lawrence County Rule Health Clinic Clinic/Center 2111 Lexington Ave, Lawrenceville, IL 62439-2085 2007-07-12
1467421545 Charles Bernard Clagett Jr. Family Medicine 2111 Lexington Ave, Lawrenceville, IL 62439-2085 2006-03-14
1538134416 Steven Mark Ramsaran Family Medicine 2111 Lexington Ave, Suite 6, Lawrenceville, IL 62439-2085 2006-02-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801406590 Allyson Fiscus Nurse Practitioner 11020 Il-250, Lawrenceville, IL 62439 2020-08-06
1164071700 Lauren E Welton Case Manager/Care Coordinator 11362 Country Club Road, Lawrenceville, IL 62439 2019-09-06
1962063354 Connie Deckard Counselor Lawrence County Health Department Behavior Health, 11020 State Route 250, Lawrenceville, IL 62439 2019-06-26
1225485527 Megan Joergens Social Worker 11120 State Route 250, Lawrenceville, IL 62439 2016-05-17
1235509456 Christy M Wimberly Private Vehicle 1417 Dubios St., Lawrenceville, IL 62439 2015-09-30
1144637521 Joy Singson Uy Physical Therapist 2101 James St United Methodist Village North, Lawrenceville, IL 62439 2014-07-17
1760791792 Lawrence Co Secured Medical Transport (VAN) 2009 Lexington Ave, Lawrenceville, IL 62439 2010-09-24
1134358922 Lawrence County Health Department Public Health or Welfare Rural Route3 Box 430, Lawrenceville, IL 62439 2009-07-14
1366678161 Judith Joan Phipps Counselor Rr1 Box 277, Lawrenceville, IL 62439 2009-06-08
1366648784 S. Hurn Baek Radiology Lawrence County Memorial Hospital, Radiology, 2200 W. State St., Lawrenceville, IL 62439 2007-06-22
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1114533346 Esi F Yeboah Nurse Practitioner 2599 Irwell Way, Lawrenceville, GA 30044-2141 2020-09-22
1205442647 Chibuogwu Ifeoma Onyegbule Nurse Practitioner 2508 Planters Cove Dr, Lawrenceville, GA 30044-4491 2020-09-21
1760097323 Adelaide Asher Nurse Practitioner 250 Chandler Pond Dr, Lawrenceville, GA 30043-6079 2020-09-10
1669082335 Dahlia Josephine Dobson Nurse Practitioner 25 Featherbed Ct, Lawrenceville, NJ 08648-2004 2020-08-06
1912517129 Virginiah Kariuki Nurse Practitioner 990 Melrose Park Pl, Lawrenceville, GA 30044-7589 2020-08-03
1750990875 Brittney Comfort Afram Nurse Practitioner 436 Cabot Trce, Lawrenceville, GA 30045-7848 2020-07-24
1487273843 Maria A Chuma-okere Nurse Practitioner 1171 Thorncliff Way, Lawrenceville, GA 30044-8140 2020-04-15
1063031706 Josephine Fatmata Belmoh Nurse Practitioner 2035 Bentbrooke Trl, Lawrenceville, GA 30043-2672 2020-04-13
1275162109 Regina Raynor Nurse Practitioner 2359 Strand Ave, Lawrenceville, GA 30043-8204 2020-04-03
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Competitor

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City LAWRENCEVILLE
Zip Code 62439

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Dataset Information

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.

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