TABITHA LITZ (NPI# 1134671233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134671233 |
Entity Type | Individual |
Full Name | TABITHA LITZ |
Credential | NP |
Practice Address |
217 S Locust St Pana IL 62557-1605 |
Mailing Address |
101 E 9th St Pana IL 62557-1716 |
Practice Telephone | 2175622143 |
Practice Fax Number | 2175622251 |
Mailing Telephone | 2175622131 |
Enumeration Date | 2016-10-25 |
Last Update Date | 2016-10-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 209014940 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
217 S LOCUST ST |
City | PANA |
State | IL |
Zip Code | 62557-1605 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013086982 | Pana Community Hospital Association | Family Medicine | 217 S Locust St, Pana, IL 62557-9998 | 2006-11-07 |
1760940860 | Pana Community Hospital Association | Clinic/Center | 217 S Locust St, Pana, IL 62557-1689 | 2019-03-07 |
1982159182 | Pana Medical Group | Clinic/Center | 217 S Locust St, Pana, IL 62557-1605 | 2016-08-18 |
1396059325 | Coleen Karen Rakers | Nurse Practitioner | 217 S Locust St, Pana, IL 62557-1689 | 2010-08-02 |
1598837999 | Gloria G Dycoco | Internal Medicine | 217 S Locust St, Pana Medical Group LLC, Pana, IL 62557-9998 | 2006-11-14 |
1851460737 | Ernesto Norona Fabi | General Practice | 217 S Locust St, Pana Medical Group LLC, Pana, IL 62557-9998 | 2006-11-07 |
1437228319 | Deogracias F Quizon | Family Medicine | 217 S Locust St, Pana Medical Group LLC, Pana, IL 62557 | 2006-11-07 |
1528137403 | Virgilio M Dycoco | General Practice | 217 S Locust St, Pana Medical Group LLC, Pana, IL 62557-9998 | 2006-11-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033567805 | Joni Marie Lidy | Speech-Language Pathologist | 1000 E. 6th Street, Pana, IL 62557 | 2016-06-01 |
1750538237 | Nancy L. Simpson | Physical Therapy Assistant | 100 E 6th St. Rd., Pana, IL 62557 | 2008-08-26 |
1306093661 | Maiden Louise Axalan Bacolod | Physical Therapist | 900 S Chestnut, Prairie Rose Healthcare Center, Pana, IL 62557 | 2008-08-19 |
1922128123 | Randall Dean Floyd | Dentist | 9 South State Street, Pana, IL 62557 | 2007-03-30 |
1114056363 | Laurie Cunnington | Family Medicine | 101 East Ninth St, Pana, IL 62557 | 2007-03-05 |
1871688390 | Donald Metzger | Pharmacist | 28 East Second, Pana, IL 62557 | 2006-10-03 |
1851486377 | John A Metzger | Pharmacist | 28 East Second Street, Pana, IL 62557 | 2006-10-03 |
1235225236 | Pana Community Hospital Association | Clinic/Center | 101 E 9th St, Suite 105, Pana, IL 62557 | 2006-10-05 |
1245437797 | Hickory Estates of Pana LLC | Assisted Living Facility | 101 N Hickory St, Pana, IL 62557-1040 | 2007-06-28 |
1235280058 | Alan Douglas Cyrus | Chiropractor | 103 W Washington St, Pana, IL 62557-1144 | 2007-01-16 |
Find all providers in zip 62557 |
Taxonomy Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619578523 | Kaitlin Lawson Kalnitz | Nurse Practitioner | 745 Mcclintock Dr Ste 360, Burr Ridge, IL 60527-0875 | 2020-11-06 |
1841890290 | Maria Malanych | Nurse Practitioner | 5731 Rosinweed Ln, Naperville, IL 60564-1635 | 2020-10-27 |
1639778160 | Roxanna Lee Gunnels | Nurse Practitioner | 1 Bronze Pointe Plaza Suite 1a, Swansea, IL 62226 | 2020-10-26 |
1295334811 | Mary Farley | Nurse Practitioner | 7308 Northwood Dr, Wonder Lake, IL 60097-8606 | 2020-10-24 |
1164021168 | Stephanie Schuster | Nurse Practitioner | 2665 Prairieview Ln N, Aurora, IL 60502-6343 | 2020-10-21 |
1316546641 | Vanessa K Bajaj | Nurse Practitioner | 1123 N Claremont Dr, Palatine, IL 60074-4002 | 2020-10-19 |
1003414442 | Gachugu Medical Clinic | Nurse Practitioner | 1 E Ferguson Ave, Wood River, IL 62095-1903 | 2020-10-16 |
1477151272 | Yolanda K Bradford | Nurse Practitioner | 2700 S California Ave, Chicago, IL 60608-5108 | 2020-10-14 |
1265030019 | Andrea Mclean | Nurse Practitioner | 2500 W Reynolds St # 205, Pontiac, IL 61764-9774 | 2020-10-14 |
1558968628 | Timothy Nenoff | Nurse Practitioner | 24722 Lincolnway St, Plainfield, IL 60544-2412 | 2020-10-02 |
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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.