KRISTIN L FIELDS (NPI# 1184714198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184714198 |
| Entity Type | Individual |
| Full Name | KRISTIN L FIELDS |
| Credential | PA-C |
| Practice Address |
400 S Kennedy Dr Bradley IL 60915-2682 |
| Practice Telephone | 8159280860 |
| Practice Fax Number | 8005052218 |
| Mailing Telephone | 8159280860 |
| Mailing Fax Number | 8005052218 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2010-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
085-001387 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376943415 | Kristin Fields | Speech-Language Pathologist | 8011 Fox Ridge Court, Boulder, CO 80301 | 2014-08-26 |
| 1811249832 | Kristin N Fields | Counselor | 11801 Buckeye Rd, Cleveland, OH 44120-2620 | 2012-10-15 |
| Street Address |
400 S KENNEDY DR |
| City | BRADLEY |
| State | IL |
| Zip Code | 60915-2682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871530436 | Internal Medicine Associates of Kankakee, Ltd | Internal Medicine | 400 S Kennedy Dr, Suite 200, Bradley, IL 60915-2682 | 2006-06-01 |
| 1447763024 | Devon Saini | Physician Assistant | 400 S Kennedy Dr, Bradley, IL 60915-2682 | 2017-11-06 |
| 1275085888 | Kristen J Burton | Physician Assistant | 400 S Kennedy Dr, Suite 100, Bradley, IL 60915-2682 | 2016-10-30 |
| 1932550233 | David A Fritz | Nurse Practitioner | 400 S Kennedy Dr, Suite 100, Bradley, IL 60915-2682 | 2016-06-28 |
| 1851777056 | Christine Cantrell | Occupational Therapist | 400 S Kennedy Dr, Ste 500, Bradley, IL 60915-2682 | 2015-08-11 |
| 1992103097 | Adriana Lingl | Physician Assistant | 400 S Kennedy Dr, Suite 100, Bradley, IL 60915-2682 | 2014-12-05 |
| 1598164303 | Tammie Henderson | Nurse Practitioner | 400 S Kennedy Dr, Suite 900, Bradley, IL 60915-2682 | 2014-08-18 |
| 1760897219 | Athletic & Therapeutic Institute of Bourbonnais, LLC | Physical Therapist | 400 S Kennedy Dr, Suite 500, Bradley, IL 60915-2682 | 2014-06-24 |
| 1467881623 | Kendra Vogel | Occupational Therapist | 400 S Kennedy Dr, Suite 500, Bradley, IL 60915-2682 | 2013-11-07 |
| 1487905352 | Mary Ann Salera Garcia | Physical Therapist | 400 S Kennedy Dr, Suite 600, Bradley, IL 60915-2682 | 2012-10-02 |
| 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 | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730662982 | Randi Fabsits | Physician Assistant | 400 S Kennedy Dr Ste 400, Bradley, IL 60915-2682 | 2018-09-13 |
| 1497839724 | Leslie D Yeates | Physician Assistant | 400 South Kennedy Dr, Bradley, IL 60915 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169522 | Priority Assist Pllc | Physician Assistant | 48 Glenda Ln, Plano, IL 60545-9652 | 2020-09-23 |
| 1154944478 | Diana Goldak | Physician Assistant | 3855 N Parkway Dr Apt 3a, Northbrook, IL 60062-7218 | 2020-05-20 |
| 1033742580 | Colleen Courtney | Physician Assistant | 218 S Driftwood Trl, Mchenry, IL 60050-5454 | 2020-02-12 |
| 1326678962 | Nina Kodros | Physician Assistant | 301 Madison St Ste 280, Joliet, IL 60435-6672 | 2020-01-23 |
| 1689218190 | Jennifer Richman | Physician Assistant | 1890 Silver Cross Blvd Ste 410, New Lenox, IL 60451-9547 | 2019-10-29 |
| 1710547625 | Nadia Khan | Physician Assistant | 4543 N Malden St Apt 1s, Chicago, IL 60640-5687 | 2019-06-13 |
| 1962065516 | Jorge Mantilla | Physician Assistant | 5540 N Kimball Ave Apt 3e, Chicago, IL 60625-4674 | 2019-04-18 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1770041949 | Laura Ann Ryan | Physician Assistant | 840 S Wood St Ste 417, Chicago, IL 60612-4325 | 2019-03-06 |
| 1548739782 | Helen Finke | Physician Assistant | 880 W Central Rd Ste 3300, Arlington Heights, IL 60005-2366 | 2018-11-16 |
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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.