ANGELA WEIDNER (NPI# 1093190324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093190324 |
Entity Type | Individual |
Full Name | ANGELA WEIDNER |
Practice Address |
109 E Maple St Gillespie IL 62033-1473 |
Practice Telephone | 2178394190 |
Practice Fax Number | 2178391538 |
Mailing Telephone | 2178394190 |
Mailing Fax Number | 2178391538 |
Enumeration Date | 2015-07-28 |
Last Update Date | 2015-07-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
041.389054 | IL | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 376001351007 | 05 |
Street Address |
109 E MAPLE ST |
City | GILLESPIE |
State | IL |
Zip Code | 62033-1473 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710457007 | Celeste Mary Govero Yann | Social Worker | 109 E Maple St, Gillespie, IL 62033-1473 | 2018-11-28 |
1952887416 | Kate Elizabeth Traum | Registered Nurse | 109 E Maple St, Gillespie, IL 62033-1473 | 2018-07-17 |
1316441868 | Sandra L Cania | Nurse Practitioner | 109 E Maple St, Gillespie, IL 62033-1473 | 2018-03-20 |
1578065413 | Melinda S Edwards | Nurse Practitioner | 109 E Maple St, Gillespie, IL 62033-1473 | 2018-03-07 |
1447789169 | Samantha Thomas | Registered Nurse | 109 E Maple St, Gillespie, IL 62033-1473 | 2017-06-06 |
1750814349 | Macoupin County Public Health Department | Public Health or Welfare | 109 E Maple St, Gillespie, IL 62033-1473 | 2017-04-10 |
1720522808 | Michelle Lucille Stroheker | Counselor | 109 E Maple St, Gillespie, IL 62033-1473 | 2016-12-08 |
1619345469 | Donna Rasmussen | Physician Assistant | 109 E Maple St, Gillespie, IL 62033-1473 | 2015-09-10 |
1336522275 | Christina Elizabeth Ventimiglia-brandt | Nurse Practitioner | 109 E Maple St, Gillespie, IL 62033-1473 | 2015-07-08 |
1538444906 | Macoupin County Public Health Department | Clinic/Center | 109 E Maple St, Gillespie, IL 62033-1473 | 2011-10-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225596950 | Laura Michelle Halpin | Physical Therapist | 607 Litchfield Road, Gillespie, IL 62033 | 2019-03-12 |
1770942716 | Carol Candler | Nurse Practitioner | 109 East Maple Street, Maucoupin County Maple Street Clinic, Gillespie, IL 62033 | 2016-02-18 |
1932519618 | Terry Allan | Pharmacist | 113 South Macoupin Street, Gillespie, IL 62033 | 2014-05-02 |
1649414558 | Bernadette Kathlene Sobczak | Nurse Practitioner | 807 Broadway, Gillespie, IL 62033 | 2009-04-22 |
1376765206 | Sheri Lynne Banovic | Nurse Practitioner | 115 South Macoupin Street, Gillespie, IL 62033 | 2007-05-02 |
1215044920 | James Paul Verton | Pharmacist | 120 S Macoupin, Dippold Drug Co Inc, Gillespie, IL 62033 | 2006-08-25 |
1427575612 | Beth Lynn Sies | Speech-Language Pathologist | 340 Kelly St, Gillespie, IL 62033 | 2017-08-28 |
1124135835 | Bruce W Hughes | Pharmacist | 120 S Macoupin, Dippold Drug Co Inc, Gillespie, IL 62033 | 2006-08-25 |
1407474083 | Staten Family Practice Pllc | Clinic/Center | 500 W Virginia Ave, Gillespie, IL 62033-1025 | 2020-07-09 |
1396244612 | Carlinville Area Hospital Assn | Clinic/Center | 807 Broadway, Gillespie, IL 62033-1100 | 2018-02-02 |
Find all providers in zip 62033 |
Taxonomy Code | 163WP2201X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Ambulatory Care |
Definition to come... |
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---|---|---|---|---|
1184245094 | Victoria M Bruns | Registered Nurse | 422 W Armitage Ave Unit B, Chicago, IL 60614-4513 | 2020-05-01 |
1982223707 | Elizabeth Pircon | Registered Nurse | 1914 W Crystal St Apt 2f, Chicago, IL 60622-3561 | 2020-04-12 |
1770102568 | Cecille Dizon | Registered Nurse | 1111 E Alder Ln, Mount Prospect, IL 60056-1403 | 2020-04-11 |
1104462738 | Nusha Sylaj Jackson | Registered Nurse | 1656 N. Wells, Chicago, IL 60614-3224 | 2019-11-19 |
1831108208 | Janette Sue Jones | Registered Nurse | 318 Walnut St, St Charles, IL 60174-2725 | 2006-08-05 |
1740812502 | Jennifer Joan Tang | Registered Nurse | 5700 S Maryland Ave, Chicago, IL 60637-1426 | 2020-02-10 |
1609326073 | Linda Gray | Registered Nurse | 805 N Broad St, Carlinville, IL 62626-1075 | 2016-10-10 |
1043760416 | Ashley Konneker | Registered Nurse | 805 N Broad St, Carlinville, IL 62626-1075 | 2016-10-10 |
1649728072 | Kelly Mclaughlin | Registered Nurse | 805 N Broad St, Carlinville, IL 62626-1075 | 2016-09-14 |
1902268410 | Tatiana Alexeev | Registered Nurse | 3633 W Lake Ave Ste 303, Glenview, IL 60026-5803 | 2016-03-23 |
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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.