MS. KIMBERLY NOEL RYDGIG (NPI# 1083845424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083845424 |
Entity Type | Individual |
Full Name | MS. KIMBERLY NOEL RYDGIG |
Credential | M.A. |
Practice Address |
208 W Pointe Dr Suite B Swansea IL 62226-8302 |
Practice Telephone | 6182777570 |
Practice Fax Number | 6182776332 |
Mailing Telephone | 6182777570 |
Mailing Fax Number | 6182776332 |
Enumeration Date | 2009-08-03 |
Last Update Date | 2009-08-03 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YP2500X |
Counselor Specialization: Professional |
2008036433 | MO | Behavioral Health & Social Service Providers |
Y | 101YP2500X |
Counselor Specialization: Professional |
180.006359 | IL | Behavioral Health & Social Service Providers |
Street Address |
208 W POINTE DR SUITE B |
City | SWANSEA |
State | IL |
Zip Code | 62226-8302 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578973186 | Kathleen Harvey | Social Worker | 208 W Pointe Dr, Swansea, IL 62226-8302 | 2014-05-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639778160 | Roxanna Lee Gunnels | Nurse Practitioner | 1 Bronze Pointe Plaza Suite 1a, Swansea, IL 62226 | 2020-10-26 |
1053969790 | Consistent Medical Transportation | Driver | 2012 N 17th St, Swansea, IL 62226 | 2019-08-27 |
1497314371 | Medi-plex Hospice of Illinois, LLC | Registered Nurse | 8 Park Place, Suite #3, Swansea, IL 62226 | 2019-06-13 |
1336617364 | Nicole Renee Schmidt | Speech-Language Pathologist | 150 N 27th St., Belleville, IL 62226 | 2018-11-07 |
1295258903 | Catherine Espino | Pharmacist | 11 Chambers Blvd, Swansea, IL 62226 | 2017-07-25 |
1366806838 | Kiley Faires | Nurse Practitioner | 4600 Memorial Drive Ste 360, Belleville, IL 62226 | 2016-04-11 |
1760857585 | Mvp Transportation | Non-emergency Medical Transport (VAN) | 1229 N 17th Street, Number 23, Belleville, IL 62226 | 2015-12-04 |
1275952566 | Aisha Danyale Franklin | Internal Medicine | 4261 Woodfield Pl, Belleville, IL 62226 | 2014-04-15 |
1396168332 | Jayne E. Ninness | Physical Therapy Assistant | 4500 Memorial Dr., Memorial Hospital, Belleville, IL 62226 | 2014-01-28 |
1053758193 | Gateway Foundation, Inc. | Clinic/Center | 1 Bronze Point, Suite 1, Swansea, IL 62226 | 2013-05-30 |
Find all providers in zip 62226 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578832481 | Wendy Carol Arneson | Counselor | 34 Huntwood Ct, Swansea, IL 62226-1095 | 2011-12-21 |
1891005278 | Catherine Ann Daesch | Counselor | 208 West Pointe Dr., Suite B, Swansea, IL 62226 | 2010-10-19 |
1902055338 | Mindy Harms-coleman | Counselor | 4509 N Illinois St Ste 5, Swansea, IL 62226-1524 | 2008-09-10 |
1174737175 | Rebecca Marie Green | Counselor | 463 Swansea Mall Dr, Swansea, MA 02777-4119 | 2007-05-09 |
1669514170 | Harold Jerry Mizner | Counselor | 135 New Meadow Rd, Swansea, MA 02777-3347 | 2007-02-12 |
1609930486 | Kathryn Klee | Counselor | 110 Fullerton Rd, Swansea, IL 62226-2902 | 2006-12-19 |
1407460652 | Joshua Luther | Counselor | 1 Bronze Point, Swansea, IL 62226 | 2020-09-04 |
1831712900 | Terry Turner | Counselor | 4132 Woodland Park Dr, Swansea, IL 62226-8554 | 2020-05-24 |
1225660079 | Christine Elaine Benton | Counselor | 4509 N Illinois St Ste 5, Swansea, IL 62226-1524 | 2020-02-10 |
1962981811 | Lisa Marie Huels | Counselor | 5 Executive Woods Ct Lowr Level, Swansea, IL 62226-2171 | 2018-08-11 |
Find all providers in SWANSEA |
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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.