ELIZABETH JARRIN (NPI# 1164845152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164845152 |
| Entity Type | Individual |
| Full Name | ELIZABETH JARRIN |
| Other Name | ELIZABETH PUGA |
| Credential | N.P. |
| Practice Address |
1530 N Randall Rd Ste 210 Elgin IL 60123-7879 |
| Mailing Address |
6400 Industrial Loop Greendale WI 53129-2452 |
| Practice Telephone | 2247607322 |
| Practice Fax Number | 2245258252 |
| Mailing Telephone | 4148584106 |
| Mailing Fax Number | 4144234134 |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2018-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
209010879 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1990 Larkin Ave, Suite 3, Elgin, IL 60123 | 8472895727 | 8478885469 |
| Street Address |
1530 N RANDALL RD STE 210 |
| City | ELGIN |
| State | IL |
| Zip Code | 60123-7879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003802281 | Merrie Viscarra | Physical Medicine & Rehabilitation | 1530 N Randall Rd Ste 210, Elgin, IL 60123-7879 | 2005-09-23 |
| 1548726912 | Daniel Joseph Ritz | Nurse Practitioner | 1530 N Randall Rd Ste 210, Elgin, IL 60123-7879 | 2019-02-11 |
| 1699263731 | Tracy Shadley | Nurse Practitioner | 1530 N Randall Rd Ste 210, Elgin, IL 60123-7879 | 2018-04-24 |
| 1356711584 | William Larsen | Physician Assistant | 1530 N Randall Rd Ste 210, Elgin, IL 60123-7879 | 2015-09-30 |
| 1629481411 | Latisha Kanika Anami | Physician Assistant | 1530 N Randall Rd Ste 210, Elgin, IL 60123-7879 | 2014-06-09 |
| 1184987497 | Jennifer K Barham | Nurse Practitioner | 1530 N Randall Rd Ste 210, Elgin, IL 60123-7879 | 2012-06-21 |
| 1487910121 | Sondra L Krahel | Registered Nurse | 1530 N Randall Rd Ste 210, Elgin, IL 60123 | 2012-04-06 |
| 1730342593 | Neil Kishor Patel | Physical Medicine & Rehabilitation | 1530 N Randall Rd Ste 210, Elgin, IL 60123-7879 | 2008-07-02 |
| 1396922936 | Judith M Rossbach | Physician Assistant | 1530 N Randall Rd Ste 210, Elgin, IL 60123 | 2008-01-25 |
| 1942372537 | Jason J Graf | Physician Assistant | 1530 N Randall Rd Ste 210, Elgin, IL 60123-7879 | 2006-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625736 | Edna Lopez | Social Worker | 1140 N. Mclean Blvd #1, Elgin, IL 60123 | 2019-08-22 |
| 1003472259 | Katelyn Lee O'connell | Counselor | 695 S. Sate Street, Elgin, IL 60123 | 2019-05-14 |
| 1598235152 | Katie Elizabeth Dwyer | Counselor | 695 S. State Street, Elgin, IL 60123 | 2018-11-27 |
| 1174002778 | James M Accetta | Counselor | 52 Surry Drive, Elgin, IL 60123 | 2018-08-14 |
| 1770086175 | Griswold Home Care | Adult Companion | 707 A Davis Road, Suite 203, Elgin, IL 60123 | 2018-03-12 |
| 1003315706 | Danielle Bryant | Nurse Practitioner | 745 Fletcher Dr Ste 101, Elgin, IL 60123 | 2018-02-08 |
| 1912421470 | Deborah Foshager | Counselor | 680 Shenandoah Trail, Elgin, IL 60123 | 2017-07-26 |
| 1760903470 | Miguel Camargo | Specialist/Technologist | 12 N Aldine St, Elgin, IL 60123 | 2017-07-03 |
| 1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
| 1649719618 | Faheem Unisa Syed | Clinical Nurse Specialist | 1990 Larkin Ave., Elgin, IL 60123 | 2017-02-23 |
| Find all providers in zip 60123 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553472 | Nicholas Johnson | Nurse Practitioner | 8455 S Luella Ave, Chicago, IL 60617-1953 | 2020-09-23 |
| 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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| 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.