FALLON MARQUITA FLOWERS (NPI# 1245588961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245588961 |
| Entity Type | Individual |
| Full Name | FALLON MARQUITA FLOWERS |
| Credential | WHNP-BC |
| Practice Address |
13000 Maple Ave Blue Island IL 60406-2318 |
| Mailing Address |
9244 S Dunbar Ave Chicago IL 60619-7358 |
| Practice Telephone | 7083856100 |
| Practice Fax Number | 7083852051 |
| Mailing Telephone | 7738449064 |
| Mailing Fax Number | 7733414036 |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2018-02-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WN1003X |
Registered Nurse Specialization: Nutrition Support |
041.397175 | IL | Nursing Service Providers |
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
209017136 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
13000 MAPLE AVE |
| City | BLUE ISLAND |
| State | IL |
| Zip Code | 60406-2318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598739377 | Ssm Home Care At St. Francis Blue Island | Home Health | 13000 Maple Ave, Blue Island, IL 60406-2318 | 2006-02-16 |
| 1760913172 | Latoya Duncan | Nurse Practitioner | 13000 Maple Ave, Blue Island, IL 60406-2318 | 2017-03-27 |
| 1831552884 | Roseline Chibuzo Nwokeji | Nurse Practitioner | 13000 Maple Ave, Blue Island, IL 60406-2318 | 2016-03-29 |
| 1356640593 | Blue Island Chiropractic, PC | Chiropractor | 13000 Maple Ave, Blue Island, IL 60406-2318 | 2011-03-25 |
| 1699085381 | David Vallejo Jr. | Obstetrics & Gynecology | 13000 Maple Ave, Blue Island, IL 60406-2318 | 2010-10-14 |
| 1386897700 | Susana Coralia Alvarez | Pediatrics | 13000 Maple Ave, Blue Island, IL 60406-2318 | 2008-10-29 |
| 1932364551 | Erica E Taylor | Obstetrics & Gynecology | 13000 Maple Ave, Blue Island, IL 60406-2318 | 2008-07-23 |
| 1639339583 | Msmc Hospice LLC | Hospice Care, Community Based | 13000 Maple Ave, Blue Island, IL 60406-2318 | 2008-06-13 |
| 1962603837 | Theodore G James Mdsc | Family Medicine | 13000 Maple Ave, Blue Island, IL 60406-2318 | 2007-05-30 |
| 1194942029 | Carol Palmer Wardlaw | Registered Nurse | 13000 Maple Ave, Blue Island, IL 60406-2318 | 2007-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780205708 | Cook County | Family Medicine | 12757 S. Western Ave, Blue Island, IL 60406 | 2020-04-30 |
| 1942842810 | Blue Island Smiles PC | Dentist | 12059 Western Avenue, Blue Island, IL 60406 | 2019-10-12 |
| 1609438738 | Maisha Safford | Developmental Therapist | 2262 W. 120th Place, Blue Island, IL 60406 | 2019-06-28 |
| 1891279709 | Renjith Thomas | Physical Therapy Assistant | Therapy Department, 1546 W Water Stret, Blue Island, IL 60406 | 2018-09-18 |
| 1982182994 | Lifehouse Health Group,llc | Clinic/Center | 14127 Levitt Ave, Dixmoor, IL 60406 | 2018-08-01 |
| 1063923159 | Sarah Lynn Presser | Speech-Language Pathologist | 2975 W Broadway, Blue Island, IL 60406 | 2017-10-17 |
| 1174070676 | Aunt Martha's Youth Service Center | Clinic/Center | 12139 S. Western Ave, Blue Island, IL 60406 | 2016-09-01 |
| 1427429141 | Pamela Kilcrease | Case Manager/Care Coordinator | 2247 119th Street, Apt 6, Blue Island, IL 60406 | 2015-10-08 |
| 1639587025 | D2 Dental At Oak Street, P.C. | Dentist | 3046 West 127th Street, Blue Island, IL 60406 | 2014-07-29 |
| 1700299658 | Daniel Ahrens | Optometrist | 13114 S Western Ave, Blue Island, IL 60406 | 2014-06-09 |
| Find all providers in zip 60406 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174751085 | Jean M Ramos | Nurse Practitioner | 2310 York St Ste 4a, Blue Island, IL 60406-2411 | 2009-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455306 | Megan Bishoff | Nurse Practitioner | 880 W Central Rd Ste 6200, Arlington Heights, IL 60005-2378 | 2020-10-21 |
| 1881292019 | Dana Beth Yednock | Nurse Practitioner | 1444 E Broadway St, Streator, IL 61364-2535 | 2020-10-10 |
| 1154959864 | Jennifer Marie Nieves | Nurse Practitioner | 34 E Oak St Ste 6, Chicago, IL 60611-1231 | 2020-03-29 |
| 1093340275 | Nicole Price | Nurse Practitioner | 3717 N Ravenswood Ave Ste 213, Chicago, IL 60613-4098 | 2020-03-07 |
| 1497318372 | Rachael Elizabeth Thomas | Nurse Practitioner | 333 S Desplaines St Ste 201, Chicago, IL 60661-5514 | 2019-04-17 |
| 1700358025 | Cassandra Marie Johnson | Nurse Practitioner | 636 Hampshire St Ste 201, Quincy, IL 62301-3054 | 2018-12-27 |
| 1063990588 | Lisa Hammons | Nurse Practitioner | 14470 S La Grange Rd, Orland Park, IL 60462-2630 | 2018-08-06 |
| 1750874459 | Valerie Wezran | Nurse Practitioner | 3 Ontario St Apt 1, Oak Park, IL 60302-2573 | 2018-06-08 |
| 1033626262 | Heather Ann San Juan | Nurse Practitioner | 613 S Poplar Ave, Elmhurst, IL 60126-4061 | 2018-01-09 |
| 1124530340 | Kristy Wienstroer | Nurse Practitioner | 1191 Fortune Blvd, Shiloh, IL 62269-7377 | 2017-10-27 |
| Find all providers with the same taxonomy | ||||
| City | BLUE ISLAND |
| Zip Code | 60406 |
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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.