MRS. KRISTA ROSE BARTON (NPI# 1144854373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144854373 |
| Entity Type | Individual |
| Full Name | MRS. KRISTA ROSE BARTON |
| Other Name | KRISTA ROSE TAYLOR |
| Credential | FNP-BC |
| Practice Address |
990 N Kinzie Ave Bradley IL 60915-1233 |
| Practice Telephone | 8159332589 |
| Practice Fax Number | 8156345253 |
| Mailing Telephone | 8159332589 |
| Mailing Fax Number | 8156345253 |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2020-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 041385652 | IL | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209021125 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1490 E Walnut St Ste A, Watseka, IL 609701806 | 8154327693 | 8159367228 |
| 25711 S Egyptian Trl, Monee, IL 604498118 | 7085347523 | 7085347657 |
| 375 N Wall St, Kankakee, IL 609013483 | 8154014603 | 8154014604 |
| 5775 E State Route 113, Coal City, IL 604167111 | 8156340100 | 8156342900 |
| Street Address |
990 N KINZIE AVE |
| City | BRADLEY |
| State | IL |
| Zip Code | 60915-1233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366764177 | Sean Musil | Pharmacist | 990 N Kinzie Ave, Bradley, IL 60915-1233 | 2010-02-20 |
| 1750990271 | Caitlin Mccarthy | Nurse Practitioner | 990 N Kinzie Ave, Bradley, IL 60915-1233 | 2020-07-30 |
| 1356979629 | Kathryn Margaret Marie Locke | Nurse Practitioner | 990 N Kinzie Ave, Bradley, IL 60915-1233 | 2020-03-31 |
| 1548808959 | Holly Koren Dinello | Nurse Practitioner | 990 N Kinzie Ave, Bradley, IL 60915-1233 | 2019-12-16 |
| 1508427949 | Kelly Christine White | Registered Nurse | 990 N Kinzie Ave, Bradley, IL 60915-1233 | 2019-06-26 |
| 1881154649 | Lindsey M. Dockemeyer | Nurse Practitioner | 990 N Kinzie Ave, Bradley, IL 60915-1233 | 2019-03-20 |
| 1407357148 | Melissa Ewert Ortega | Nurse Practitioner | 990 N Kinzie Ave, Bradley, IL 60915-1233 | 2018-02-27 |
| 1003315680 | Meijer Great Lakes Limited Partnership | Durable Medical Equipment & Medical Supplies | 990 N Kinzie Ave, Bradley, IL 60915 | 2018-02-08 |
| 1275906828 | Lori A Cornelius | Nurse Practitioner | 990 N Kinzie Ave, Bradley, IL 60915-1233 | 2015-11-04 |
| 1790155836 | Katie Kasper | Nurse Practitioner | 990 N Kinzie Ave, Bradley, IL 60915 | 2015-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285232991 | Healthy Medical Inc | Family Medicine | 535 N. East St., Suite A, Bradley, IL 60915 | 2020-10-14 |
| 1679826309 | Heather Sevier | Specialist/Technologist | 328 S Dearborn Ave, Bradley, IL 60915 | 2012-10-18 |
| 1013266584 | Arlene De Leon Delacruz | Physical Therapist | 400 South Kennedy Dr., Bradley, IL 60915 | 2012-08-30 |
| 1023370699 | Jessica Sorensen | Physician Assistant | 350 N Kinzie Ave, Bradley, IL 60915 | 2012-06-11 |
| 1184993164 | Debra Malone | Behavioral Analyst | 136-142 1/2 South Clinton, Bradley, IL 60915 | 2011-12-21 |
| 1376840421 | Joshua R Johnson | Physician Assistant | 400 S. Kennedy, Bradley, IL 60915 | 2011-02-24 |
| 1801192133 | Eloise Adams | Behavioral Analyst | 136 142 1/2 South Clinton, Bradley, IL 60915 | 2011-02-03 |
| 1386948685 | Rico J Hale | Behavioral Analyst | 136 142 South Clinton, Bradley, IL 60915 | 2010-12-29 |
| 1558665851 | Joyce A Bollhorst | Behavioral Analyst | 136-142 South Clinton, Bradley, IL 60915 | 2010-12-29 |
| 1538469655 | Kankakee Valley Chiropractic | Chiropractor | 300 North Kennedy Drive, Suite 2, Bradley, IL 60915 | 2010-10-22 |
| Find all providers in zip 60915 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750990271 | Caitlin Mccarthy | Nurse Practitioner | 990 N Kinzie Ave, Bradley, IL 60915-1233 | 2020-07-30 |
| 1356979629 | Kathryn Margaret Marie Locke | Nurse Practitioner | 990 N Kinzie Ave, Bradley, IL 60915-1233 | 2020-03-31 |
| 1548808959 | Holly Koren Dinello | Nurse Practitioner | 990 N Kinzie Ave, Bradley, IL 60915-1233 | 2019-12-16 |
| 1881154649 | Lindsey M. Dockemeyer | Nurse Practitioner | 990 N Kinzie Ave, Bradley, IL 60915-1233 | 2019-03-20 |
| 1902378334 | Amanda Jean Ragland | Nurse Practitioner | 409 Woodruff St, Bradley, AR 71826-8715 | 2018-12-25 |
| 1104393180 | Jenna Nicole Sarna | Nurse Practitioner | 400 S Kennedy Dr Ste 700, Bradley, IL 60915-2639 | 2018-10-29 |
| 1407357148 | Melissa Ewert Ortega | Nurse Practitioner | 990 N Kinzie Ave, Bradley, IL 60915-1233 | 2018-02-27 |
| 1932550233 | David A Fritz | Nurse Practitioner | 400 S Kennedy Dr, Suite 100, Bradley, IL 60915-2682 | 2016-06-28 |
| 1275906828 | Lori A Cornelius | Nurse Practitioner | 990 N Kinzie Ave, Bradley, IL 60915-1233 | 2015-11-04 |
| 1790155836 | Katie Kasper | Nurse Practitioner | 990 N Kinzie Ave, Bradley, IL 60915 | 2015-10-01 |
| Find all providers in BRADLEY | ||||
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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.