TAMARA DEE FOLTZ (NPI# 1255394797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255394797 |
Entity Type | Individual |
Full Name | TAMARA DEE FOLTZ |
Credential | NP |
Practice Address |
1250 W Whittaker St Salem IL 62881-1917 |
Practice Telephone | 6185483740 |
Practice Fax Number | 6185483705 |
Mailing Telephone | 6185483740 |
Mailing Fax Number | 6185483705 |
Enumeration Date | 2006-04-07 |
Last Update Date | 2013-10-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 209003173 | IL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | MEDICARE GROUP NUMBER | 207988 | 01 |
IL | RAILROAD MEDICARE NUMBER | 500027819 | 01 |
IL | GROUP RR MEDICARE NUMBER | CJ2166 | 01 |
Street Address |
1250 W WHITTAKER ST |
City | SALEM |
State | IL |
Zip Code | 62881-1917 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952399511 | Roger Young | Nurse Practitioner | 1250 W Whittaker St, Salem, IL 62881-1917 | 2005-10-07 |
1619109543 | Physician Services Corp of Southern Illinois | Clinic/Center | 1250 W Whittaker St, Salem, IL 62881-1917 | 2009-08-11 |
1619024361 | Keith Shaw | Physical Medicine & Rehabilitation | 1250 W Whittaker St, Salem, IL 62881-1917 | 2007-01-04 |
1497842785 | Michael Smith | Physical Medicine & Rehabilitation | 1250 W Whittaker St, Salem, IL 62881-1917 | 2006-10-06 |
1841390846 | Trisha Bass | Physical Medicine & Rehabilitation | 1250 W Whittaker St, Salem, IL 62881-1917 | 2006-09-22 |
1881648194 | Mary K Piper | Family Medicine | 1250 W Whittaker St, Salem, IL 62881-1917 | 2006-05-20 |
1316909021 | Mahvish Zahoor | Family Medicine | 1250 W Whittaker St, Salem, IL 62881-1917 | 2006-04-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447776026 | Heather Krajefska | Speech-Language Pathologist | Franklin Park School, 1325 N Franklin, Salem, IL 62881 | 2017-08-16 |
1629510581 | Heidi V. Thompson | Nurse Practitioner | 1250 W. Whittaker, Salem, IL 62881 | 2016-11-09 |
1548664170 | Catherine Durbin | Nurse Practitioner | 518 South Broadway, Salem, IL 62881 | 2014-10-10 |
1770718439 | Community Resource Center, Inc | Community/Behavioral Health | 315 Westgate, Salem, IL 62881 | 2009-05-26 |
1932377652 | Community Resource Center Inc | Clinic/Center | 315 Westgate Ave, Salem, IL 62881 | 2008-02-15 |
1245408053 | The Manor At Salem Woods, L.p. | Assisted Living Facility | 441 S. Hotze Rd., Salem, IL 62881 | 2008-02-14 |
1366610321 | Penta Group Inc. | Non-emergency Medical Transport (VAN) | 300 Schoonover Drive, Salem, IL 62881 | 2008-02-13 |
1326192808 | Alan D Montgomery | Optometrist | 400 North Broadway, Salem, IL 62881 | 2007-01-22 |
1669539979 | Knevitt Inc | Ambulance | 3340 Selmaville Rd, Salem, IL 62881 | 2007-01-03 |
1447314737 | Gautam Jha | Internal Medicine | 1325 W. Whittaker, Suite D, Salem, IL 62881 | 2006-12-20 |
Find all providers in zip 62881 |
Taxonomy Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
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1467928184 | Jean David Thomas | Nurse Practitioner | Salem Family Health Center, 47 Congress Street, Salem, MA 01970 | 2018-10-20 |
1407371388 | Debra Lee Jenkins | Nurse Practitioner | 1905 Mcvitty Rd, Salem, VA 24153-7405 | 2017-08-11 |
1003282310 | Rachell Renee Davis | Nurse Practitioner | 1793 13th St. Se, Salem, OR 97302 | 2015-08-20 |
1194108365 | Danielle Marlene Dupuis | Nurse Practitioner | 810 Commercial St Se, Salem, OR 97302 | 2015-07-06 |
1306272471 | Josh Hooton | Nurse Practitioner | 251 W State Road 198 Ste 3, Salem, UT 84653-5608 | 2013-09-20 |
1104082197 | Richard Fredrick Meyers | Nurse Practitioner | 670 Hawthorne Ave Se, Suite 160, Salem, OR 97301-6884 | 2008-07-30 |
1831398122 | Karlen E Luthy | Nurse Practitioner | 118 N Main St Ste B, Salem, UT 84653-5698 | 2007-07-16 |
1174603401 | Anthony G Haralabatos | Nurse Practitioner | 59 Stiles Rd 104, Salem, NH 03079-5816 | 2006-10-17 |
1457378044 | Robert M Wilkinson | Nurse Practitioner | 141 Hospital Dr Ste 103, Salem, KY 42078-8043 | 2006-07-17 |
Find all providers in SALEM |
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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.