MS. MARY BETH HARRISON (NPI# 1235223488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235223488 |
| Entity Type | Individual |
| Full Name | MS. MARY BETH HARRISON |
| Credential | CVRT, CLVT |
| Practice Address |
5th Avenue and Roosevelt Road Building 113 Hines IL 60141-5000 |
| Mailing Address |
2955 Lincoln Ave North Riverside IL 60546 |
| Practice Telephone | 7082028387 |
| Practice Fax Number | 7082027949 |
| Mailing Telephone | 7084475765 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255R0406X |
Specialist/Technologist Specialization: Rehabilitation, Blind |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548891286 | Mary Faith Harrison | Technician | 12303 Harbour Pointe Blvd Unit S108, Mukilteo, WA 98275-5213 | 2020-01-31 |
| 1881980159 | Mary E Harrison | Licensed Practical Nurse | 727 Wallace St, York, PA 17403-1336 | 2011-06-24 |
| 1669761136 | Mary Elizabeth Harrison | Obstetrics & Gynecology | 511 Oakwood Blvd., Suite 301, Round Rock, TX 78681-4068 | 2011-04-05 |
| 1063721702 | Mary E Harrison | Physical Therapist | 115 Hamilton Rd, Chappaqua, NY 10514-3206 | 2010-09-29 |
| 1821310293 | Mary Harrison | Licensed Practical Nurse | 1159 Yonkers Ave Apt 2e, Yonkers, NY 10704-3254 | 2010-02-25 |
| 1083795389 | Mary Waynette Harrison | Registered Nurse | James A Taylor Campus Health, Cb# 7470 James A Taylor Bldg., Chapel Hill, NC 27514 | 2006-10-17 |
| 1376574079 | Mary E Harrison | Nurse Practitioner | 330 Paseo Del Pueblo Sur, Unit C, Taos, NM 87571-5219 | 2006-07-05 |
| 1447614359 | Mary Ellen Harrison | Family Medicine | 111 Colchester Ave, Mailstop 416sa1, Burlington, VT 05401-1473 | 2016-04-06 |
| 1083089148 | Mary T Harrison | Counselor | 800 Hospital Dr, Truman Va Hospital, Columbia, MO 65201-5275 | 2015-12-01 |
| 1003244021 | Mary Allene Harrison | Nurse Practitioner | 2140 Peachtree Rd Nw Ste 232, Atlanta, GA 30309-1316 | 2013-10-30 |
| Street Address |
5TH AVENUE AND ROOSEVELT ROAD BUILDING 113 |
| City | HINES |
| State | IL |
| Zip Code | 60141-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336191261 | Anthony M Spillie | Social Worker | 5th Avenue and Roosevelt Road, Hines, IL 60141 | 2006-05-17 |
| 1740785807 | Hetalkumar Patel | Pharmacist | 5th Avenue and Roosevelt Road, Bldg 37 Nw, Hines, IL 60141 | 2018-03-29 |
| 1750460267 | Evon Kopitas | Physician Assistant | 5th Avenue and Roosevelt Road, Attn: Eye Clinic A116l, Hines, IL 60141 | 2006-11-03 |
| 1497839955 | Nimisha Ravindra Collins | Psychiatry & Neurology | 5th Avenue and Roosevelt Road, Bldg 228, Hines, IL 60141 | 2006-10-24 |
| 1386734820 | Robert George Verde | Dentist | 5th Avenue and Roosevelt Road, Hines, IL 60141 | 2006-10-13 |
| 1699860882 | Karen F. Clark | Nurse Practitioner | 5th Avenue and Roosevelt Road, Mail Route 111d3, Hines, IL 60141 | 2006-10-04 |
| 1225129661 | Olivia Anne Slavish | Pharmacist | 5th Avenue and Roosevelt Road, Hines, IL 60141 | 2006-09-28 |
| 1447342548 | Lawrence John Cook | Dentist | 5th Avenue and Roosevelt Road, Hines, IL 60141 | 2006-09-28 |
| 1720186406 | Lisa Ann Wells | Recreation Therapist | 5th Avenue and Roosevelt Road, Recreation Therapy 11k, Hines, IL 60141 | 2006-09-20 |
| 1003914169 | Bryan G Gee | Internal Medicine | 5th Avenue and Roosevelt Road, Hines, IL 60141-5000 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992273056 | Donizetti Razo | Social Worker | 5000 S. Fifth Avenue, Building 228, Room 4078, Hines, IL 60141 | 2018-11-07 |
| 1558838086 | Michael Calia | Social Worker | Patient Advocate Office #122, Edward Hines Jr. Va Hospital, 5000 S. 5th Avenue, Hines, IL 60141 | 2018-11-02 |
| 1639684640 | David Alan Edwards | Specialist/Technologist | 5000 S 5ht Ave, Building 113, Hines, IL 60141 | 2017-12-13 |
| 1689189706 | Joseph Jorgenson | Rehabilitation Practitioner | Hines Brc Bld 113, 5000 S 5th Ave, 124, Hines, IL 60141 | 2017-12-12 |
| 1154836823 | Kristy Bassett | Social Worker | 5000 S 5th Ave Bldg 2284n, Hines, IL 60141 | 2017-12-04 |
| 1396269387 | Aaron Jerome Brown | Kinesiotherapist | 5000 S 5th. Ave., Hines, IL 60141 | 2017-08-01 |
| 1932454634 | Michael Ladra Marquez | Physical Therapist | 5000 South 5th Ave., Edward Hines Jr. Va Hospital, Hines, IL 60141 | 2012-07-18 |
| 1437489713 | Linda Christime Bronski | Social Worker | Fifth Ave and Roosevelt Ave Bldg 228, Edward Hines Jr Va Hospital, Hines, IL 60141 | 2010-01-08 |
| 1700113859 | Sarah Jean Ostrowski | Recreation Therapist | 2100 S 5th Ave, Hines, IL 60141 | 2009-11-11 |
| 1841447299 | Narayanarao Madamala | Pharmacist | Hines Consolidated Mail Out Pharmacy, Building 37nw, Hines, IL 60141 | 2008-08-27 |
| Find all providers in zip 60141 | ||||
| Taxonomy Code | 2255R0406X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Rehabilitation, Blind |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639684640 | David Alan Edwards | Specialist/Technologist | 5000 S 5ht Ave, Building 113, Hines, IL 60141 | 2017-12-13 |
| 1881819589 | Jack Forrest Houston | Specialist/Technologist | 5th Avenue & Roosevelt Road Building 113, Hines, IL 60141 | 2007-04-16 |
| 1356467948 | Geo Athappilly | Specialist/Technologist | 5th St and Roosevelt, Bldg 113, Hines, IL 60141 | 2007-03-22 |
| 1336220763 | Ernest Staines | Specialist/Technologist | 5 Th Avenue & Roosevelt Road, Building 113, Hines Veterans Hospital, Hines, IL 60141 | 2006-10-19 |
| 1962502039 | Kathryn A Helbing-smith | Specialist/Technologist | 5th & Roosevelt, Bldg 113, Blind Rehabilitation Center, Hines Va Hospital, Hines, IL 60141-5000 | 2006-09-25 |
| 1407955289 | Jennifer Molodecki | Specialist/Technologist | 5th and Roosevelt Rd, Building 113, Hines Va Hospital, Hines, IL 60141 | 2006-09-21 |
| 1154428571 | Samuel Janusauskas | Specialist/Technologist | Bldg 113, Hines Va Hospital, Hines, IL 60141 | 2006-09-20 |
| 1386741734 | Susan Ellen Soderquist Knauff | Specialist/Technologist | Building 113, 5th Ave. and Roosevelt Rd., Hines, IL 60141 | 2006-09-20 |
| 1801992169 | Deborah Lynn Zufan | Specialist/Technologist | 5th & Roosevelt Road, Hines, IL 60141-5000 | 2006-09-15 |
| 1457456766 | Sudhakar Pisipati | Specialist/Technologist | 5th & Roosvelt Road, Hines, IL 60141-5000 | 2006-09-13 |
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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.