BARBARA LYNN DIERKING (NPI# 1235697491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235697491 |
Entity Type | Individual |
Full Name | BARBARA LYNN DIERKING |
Other Name | BARBARA LYNN CRAWFORD |
Practice Address |
5700 Piasa Trl Godfrey IL 62035-1030 |
Practice Telephone | 6189466126 |
Enumeration Date | 2019-03-06 |
Last Update Date | 2019-06-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
2015032726 | MO | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | RN LICENSE | 2015032726 | 01 |
Street Address |
5700 PIASA TRL |
City | GODFREY |
State | IL |
Zip Code | 62035-1030 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548775109 | Bethany E Huelskoetter | Nurse Practitioner | 6702 Godfrey Road, Godfrey, IL 62035 | 2017-12-05 |
1720448806 | Sarah Gieszelmann | Nurse Practitioner | 5520 Godfrey Rd Ste B, Godfrey, IL 62035 | 2016-03-02 |
1629457536 | Callie Ann Feldman | Occupational Therapy Assistant | 1373 D'adrian Professional Park, Godfrey, IL 62035 | 2015-05-26 |
1962767038 | Win U Care for Health | Dietetic Technician, Registered | 321 Big Arch Rd., Godfrey, IL 62035 | 2012-07-05 |
1790049831 | Julia Lynn Phillips | Dietetic Technician, Registered | 321 Big Arch Rd, Godfrey, IL 62035 | 2012-07-03 |
1578729810 | Home and Environments for Living and Programs | Intermediate Care Facility, Mentally Retarded | 110 N Alby Court, Godfrey, IL 62035 | 2008-08-06 |
1497960777 | Joanne T Schulmeister | Dentist | 1203 West Delmar, Godfrey, IL 62035 | 2007-05-11 |
1760522965 | Lori Behrens | Social Worker | 5090 Humbert Road, Godfrey, IL 62035 | 2007-02-07 |
1699868257 | Beverly Enterprises - Illinois, Inc. | Skilled Nursing Facility | 1623 W. Delmar, #29, Godfrey, IL 62035 | 2006-10-02 |
1326147802 | Kymberly Barnard | Speech-Language Pathologist | 6501 Timber Ridge Ln, Godfrey, IL 62035 | 2006-09-21 |
Find all providers in zip 62035 |
Taxonomy Code | 163WM0705X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Medical-Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093313249 | Kimberly Reschke | Registered Nurse | 711 N Stratford Rd, Arlington Heights, IL 60004-5835 | 2020-10-10 |
1124632542 | Catherine Katilius | Registered Nurse | 13112 Steeplechase Dr, New Lenox, IL 60451-1313 | 2020-09-02 |
1760090765 | Edwana Denise Fuller | Registered Nurse | 5319 S Indiana Ave Apt 1, Chicago, IL 60615-4712 | 2020-07-16 |
1245858935 | Masum Kidiwala | Registered Nurse | 8841 Major Ave, Morton Grove, IL 60053-2531 | 2020-07-08 |
1881239168 | Amy Bachman | Registered Nurse | 840 S Wood St Ste 435ecsb, Chicago, IL 60612-4325 | 2019-11-11 |
1144871120 | Danielle Schnoeker | Registered Nurse | 500 Murphysboro Rd, Chester, IL 62233-2024 | 2019-09-22 |
1487203659 | Chaula Patel | Registered Nurse | 894 Breeze Dr, Lake Villa, IL 60046-6688 | 2019-09-10 |
1669967543 | Shashanna Heard | Registered Nurse | 1301 E 71st Pl Apt 1n, Chicago, IL 60619-1440 | 2018-06-25 |
1871007930 | Chequaleis Sargent | Registered Nurse | 2031 N Harlem Ave, Chicago, IL 60707-3280 | 2017-11-28 |
1215447842 | Silvy Philip Powathil | Registered Nurse | 33 W Higgins Rd Ste 2000, South Barrington, IL 60010-9121 | 2017-10-10 |
Find all providers with the same taxonomy |
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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.