COLETTE CARTER


Address: 3401 N Perryville Rd, Rockford, IL 61114
Phone: 8159712000

COLETTE CARTER (NPI# 1164812541) 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) 1164812541
Entity Type Individual
Full Name COLETTE CARTER
Credential APN
Practice Address 3401 N Perryville Rd
Rockford
IL 61114
Mailing Address 3401 N Perryville Rd
Rockford
IL 61114-8011
Practice Telephone 8159712000
Practice Fax Number 8153951415
Mailing Telephone 8159712000
Mailing Fax Number 8153951415
Enumeration Date 2015-01-23
Last Update Date 2019-03-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
209012268 IL Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1639 N Alpine Rd, 260, Rockford, IL 611071449 8153951500 8153951415

Office Location

Street Address 3401 N PERRYVILLE RD
City ROCKFORD
State IL
Zip Code 61114

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720068695 Fazlur R. Zahurullah Otolaryngology 3401 N Perryville Rd, Rockford, IL 61114-8011 2006-01-18
1598263618 Molly Rozeboom Physician Assistant 3401 N Perryville Rd, Rockford, IL 61114-8011 2018-01-23
1528513124 Rebecca J Nygren Physical Therapist 3401 N Perryville Rd, Rockford, IL 61114-8011 2016-08-24
1598164469 Heidi Johns-fiedler Speech-Language Pathologist 3401 N Perryville Rd, Rockford, IL 61114-8011 2014-08-17
1205261724 Michelle Lee Cleveland Nurse Practitioner 3401 N Perryville Rd, Suite 303, Rockford, IL 61114-8011 2013-09-04
1518229210 Justin William Johnson Optometrist 3401 N Perryville Rd, Rockford, IL 61114-8011 2012-06-09
1659667186 Pradeepa Franklin Physical Therapist 3401 N Perryville Rd, Rockford, IL 61114-8011 2011-06-23
1295067254 Julie A Panek Physical Therapist 3401 N Perryville Rd, Rockford, IL 61114-8011 2010-02-02
1043448111 Raju M Shanmugam Family Medicine 3401 N Perryville Rd, Rockford, IL 61114-8011 2009-06-29
1225289358 Lisa A Angel Physical Therapist 3401 N Perryville Rd, Physical Therapy Dept, Rockford, IL 61114-8011 2008-10-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366064560 Caleb Ifeoluwa Oluwadamisi Student in an Organized Health Care Education/Training Program Mercy Health Javon Bea Hospital, 8201 East Riverside Boulevard, Rockford, IL 61114 2020-05-11
1811525959 Seifeldin Eid Student in an Organized Health Care Education/Training Program Mercyhealthjavon Bea Hospital, 8201, East Riversideboulevard, IL 61114 2020-04-01
1073167664 Swedishamerican Hospital Internal Medicine 3505 N Bell School Road, Rockford, IL 61114 2019-07-31
1154980076 Anurag Gill Student in an Organized Health Care Education/Training Program 8201 East Riverside Boulevard, Mercy Health Javon Bea Hospital, Rockford, IL 61114 2019-06-13
1578121943 Sona Najafi Student in an Organized Health Care Education/Training Program Mercyhealth Javon Bea Hospital, 8201 East Riverside Blvd, Rockford, IL 61114 2019-05-31
1760045744 Julianna Jones Counselor 6653 Weaver Rd Ste 115, Rockford, IL 61114 2019-04-16
1952869943 Angela Marie Hawkins Nurse Practitioner 8201 E. Riverside Blvd, Pediatric Neurology, Rockford, IL 61114 2019-03-08
1376029231 Meghan Beth Teske Chiropractor 3779 N. Alpine Rd., Rockfod, IL 61114 2018-07-13
1811401284 Summit Radiology, LLC Clinic/Center 3849 N. Perryville Road, Rockford, IL 61114 2017-11-21
1548704299 Rockford Orthopedic Associates, Ltd Durable Medical Equipment & Medical Supplies 5929 E Riverside Blvd, Rockford, IL 61114 2016-12-15
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1639542657 Molly Engelkes Nurse Practitioner 2222 E State St, Suite 209, Rockford, IL 61104-1573 2015-11-12
1700261781 Joani Sue Browning Nurse Practitioner 2222 E State St, Suite 209, Rockford, IL 61104-1573 2015-07-20
1588065353 Andrea Schier Nurse Practitioner 2300 N. Rockton Ave., Rockford, IL 61103-3619 2014-09-11
1548388044 Rhonda Rae Johnson Nurse Practitioner 2300 N Rockton Ave, Pac Team Office - Main Clinic, Rockford, IL 61103-3619 2007-03-26
1609821511 Melody Cates Nurse Practitioner 2300 N Rockton Ave, Rockford, IL 61103-3619 2006-05-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1710592175 Mary Maloney Nurse Practitioner 348 Westglen Dr, Glen Carbon, IL 62034-1002 2020-09-12
1134738800 Benjamin Scott Hulfachor Nurse Practitioner 4143 N Central Park Ave Apt G, Chicago, IL 60618-2062 2020-07-28
1083222368 Izolda Rosario Nurse Practitioner 501 W Lake St Ste 207, Elmhurst, IL 60126-1419 2020-07-22
1043832785 Melanie Glander Nurse Practitioner 18357 Cowing Ct, Homewood, IL 60430-3332 2020-05-16
1699306902 Ife Muyiwa-ojo Nurse Practitioner 729 E Carpenter St, Springfield, IL 62702-5321 2020-01-27
1962040345 Doctors Orders Inc. Nurse Practitioner 5113 S Harper Ave Ste 2, Chicago, IL 60615-4119 2019-12-16
1801455993 Parul Arora Nurse Practitioner 1717 W Congress Pkwy Ste 1125, Chicago, IL 60612-3809 2019-06-11
1891358222 Kelly Jo Erke Nurse Practitioner 20830 N 1970 East Rd, Danville, IL 61834-6228 2019-04-22
1689136319 Brittany Sue Borkowski Nurse Practitioner 5841 S Maryland Ave # W700, Chicago, IL 60637-1443 2019-04-02
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Competitor

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City ROCKFORD
Zip Code 61114

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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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