BARBARA LYNN DIERKING


Address: 5700 Piasa Trl, Godfrey, IL 62035-1030
Phone: 6189466126

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WM0705X Registered Nurse
Specialization: Medical-Surgical
2015032726 MO Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO RN LICENSE 2015032726 01

Office Location

Street Address 5700 PIASA TRL
City GODFREY
State IL
Zip Code 62035-1030

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NPI Name Taxonomy Address Enumeration
1548775109 Bethany E Huelskoetter Nurse Practitioner 6702 Godfrey Road, Godfrey, IL 62035 2017-12-05
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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
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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
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Taxonomy Information

Taxonomy Code 163WM0705X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Medical-Surgical

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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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
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Competitor

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City GODFREY
Zip Code 62035

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Dataset Information

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.

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