MRS. ANDREA M SHEWALTER


Address: 535 Roxbury Rd, Rockford, IL 61107-5076
Phone: 8153871717

MRS. ANDREA M SHEWALTER (NPI# 1083180228) 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) 1083180228
Entity Type Individual
Full Name MRS. ANDREA M SHEWALTER
Credential APRN
Practice Address 535 Roxbury Rd
Rockford
IL 61107-5076
Mailing Address 11189 Jasmine Dr
Roscoe
IL 61073-9410
Practice Telephone 8153871717
Mailing Telephone 8155013115
Enumeration Date 2018-10-15
Last Update Date 2018-10-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
041351530 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 535 ROXBURY RD
City ROCKFORD
State IL
Zip Code 61107-5076

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750344404 John C Collins Psychiatry & Neurology 535 Roxbury Rd, Rockford, IL 61107-5076 2006-04-11
1154881142 Ashley Seyfert Clinical Nurse Specialist 535 Roxbury Rd, Rockford, IL 61107-5076 2019-03-25
1245702026 Roshni Pradip Desai Physician Assistant 535 Roxbury Rd, Rockford, IL 61107-5076 2018-12-18
1740709336 Christie Jo Gesin Nurse Practitioner 535 Roxbury Rd, Rockford, IL 61107-5076 2017-09-14
1871860056 Saint Anthony Medical Center Neurological Surgery 535 Roxbury Rd, Rockford, IL 61107-5076 2011-11-16
1811277692 Cpo Services, Inc Prosthetic/Orthotic Supplier 535 Roxbury Rd, Lower Level, Rockford, IL 61107 2011-08-24
1457540379 Michelle Marie Sandine Nurse Practitioner 535 Roxbury Rd, Rockford, IL 61107-5076 2007-10-16
1245300284 Meredydd Jane Harper Nurse Practitioner 535 Roxbury Rd, Rockford, IL 61107-5076 2006-11-08
1154427664 Perryville Surgical Associates Sc Surgery 535 Roxbury Rd, Rockford, IL 61107-5076 2006-09-15
1649374737 Kenneth W Mihelich Surgery 535 Roxbury Rd, Rockford, IL 61107-5076 2006-09-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356952139 Jessica Marie Tamayo Fernandez Pharmacist 1145 Alpine Rd, Rockford, IL 61107 2020-08-13
1467092379 Unknown Safa Fatima Student in an Organized Health Care Education/Training Program Mercyhealth Mulford Clinic, 5970 Churchview Drive, Rockford, IL 61107 2020-01-08
1194367912 Matt J Kriebs Nurse Practitioner 1235 N Mulford Rd Suite 103, Rockford, IL 61107 2019-10-14
1265962336 Mary Golembeck Nurse Practitioner 7290 Argus Dr, Rockford, IL 61107 2017-06-12
1831644749 Tessa Lee Occupational Therapist 3422 Lauderdale Ln, Rockford, IL 61107 2016-08-20
1942626965 Elevated Health Essentials, LLC Chiropractor 124 N Water St Ste 204e, Rockford, IL 61107 2014-03-14
1093139909 Swedishamerican Hospital Surgery 1639 N Alpine Rd Ste 400, Rockford, IL 61107 2014-02-12
1346676582 Christopher Anthony Ziganto Pharmacist 494 Bienterra Trail #2, Rockford, IL 61107 2013-09-19
1023358272 Lavanya Durairajan Physical Therapist 7358 Shiligton Dr, Rockford, IL 61107 2013-02-26
1851523146 Great Smiles of Rockford Durable Medical Equipment & Medical Supplies 780 N. Mulfrord Road, Rockford, IL 61107 2009-08-20
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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
1174138481 Kelly Ann Twigg Nurse Practitioner 5669 Shelley Rd, Rockford, OH 45882-9577 2020-09-14
1699389882 Mary Ann Shaw Nurse Practitioner 207 W Main Ave, Rockford, IA 50468-1213 2020-09-04
1124632922 Catherine Nwosu Nurse Practitioner 3455 Holiday Dr Apt 10, Rockford, IL 61109-2489 2020-08-31
1790314631 Toni A Hughart Nurse Practitioner 6000 E State St, Rockford, IL 61108-2521 2020-04-03
1578199220 Keli S Griseta Nurse Practitioner 3505 N Bell School Rd, Rockford, IL 61114-6624 2020-03-13
1457986069 Nicole P Falatic Nurse Practitioner 153 Glen Eagle Dr Ne, Rockford, MI 49341-1183 2020-03-04
1194367912 Matt J Kriebs Nurse Practitioner 1235 N Mulford Rd Suite 103, Rockford, IL 61107 2019-10-14
1952869943 Angela Marie Hawkins Nurse Practitioner 8201 E. Riverside Blvd, Pediatric Neurology, Rockford, IL 61114 2019-03-08
1487110540 Karrie Hagger Nurse Practitioner 7476 Countryshire Ln, Rockford, IL 61107-2774 2019-02-13
1336652700 Stacey Jo Caler Nurse Practitioner 363 Financial Ct Unit 300, Rockford, IL 61107-6671 2017-11-08
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Competitor

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City ROCKFORD
Zip Code 61107

Improve Information

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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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