MICHELLE LEE CLEVELAND (NPI# 1205261724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205261724 |
| Entity Type | Individual |
| Full Name | MICHELLE LEE CLEVELAND |
| Credential | NP |
| Practice Address |
3401 N Perryville Rd Suite 303 Rockford IL 61114-8011 |
| Mailing Address |
N6317 Johnson Rd Delavan WI 53115-2778 |
| Practice Telephone | 8159711060 |
| Mailing Telephone | 2628127819 |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2013-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
209.010685041.38 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3401 N PERRYVILLE RD SUITE 303 |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61114-8011 |
| 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 |
| 1164812541 | Colette Carter | Nurse Practitioner | 3401 N Perryville Rd, Rockford, IL 61114 | 2015-01-23 |
| 1598164469 | Heidi Johns-fiedler | Speech-Language Pathologist | 3401 N Perryville Rd, Rockford, IL 61114-8011 | 2014-08-17 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 61114 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275004087 | Ruth Taggart, LLC | Nurse Practitioner | 719 Paris Ave, Rockford, IL 61107-3241 | 2018-12-06 |
| 1255980025 | Jeffrey Boyd | Nurse Practitioner | 1200 W State St, Rockford, IL 61102-2112 | 2019-09-05 |
| 1700338720 | Fiona Uzoamaka Okoroti | Nurse Practitioner | 3650 N Alpine Rd, Rockford, IL 61114-4899 | 2016-10-25 |
| 1639586399 | Cora Marie Reynolds | Nurse Practitioner | 301 E State St, Rockford, IL 61104-1012 | 2014-07-15 |
| 1396158812 | Melissa House | Nurse Practitioner | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2014-06-03 |
| 1073941605 | Angela Marie Hadie | Nurse Practitioner | 1200 W State St, Rockford, IL 61102-2112 | 2013-10-16 |
| 1992057251 | Anne M Celner | Nurse Practitioner | 2400 N Rockton Ave, Rockford, IL 61103-3655 | 2012-10-11 |
| 1801121405 | Christine L. Valentine | Nurse Practitioner | 1340 Charles St Ste 300, Rockford, IL 61104-2200 | 2009-10-15 |
| 1053554493 | Angela Brown | Nurse Practitioner | 5911 Nebeshone Ln, Rockford, IL 61103-8926 | 2009-04-15 |
| 1407039167 | Michele Dawn Johnson | Nurse Practitioner | 3775 N Mulford Rd, Rockford, IL 61114-5632 | 2007-12-17 |
| Find all providers in ROCKFORD | ||||
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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.