KATHY J SCHAFER (NPI# 1255647962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255647962 |
Entity Type | Individual |
Full Name | KATHY J SCHAFER |
Credential | RN, MSN, WHNP |
Practice Address |
1 Memorial Dr Suite 300 Decatur IL 62526-6303 |
Practice Telephone | 2178755545 |
Practice Fax Number | 2178754680 |
Mailing Telephone | 2178755545 |
Mailing Fax Number | 2178754680 |
Enumeration Date | 2010-08-19 |
Last Update Date | 2010-09-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
209.008352 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1 MEMORIAL DR SUITE 300 |
City | DECATUR |
State | IL |
Zip Code | 62526-6303 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891058566 | Mamatha Moodalagiriaiah | Obstetrics & Gynecology | 1 Memorial Dr, Suite 300, Decatur, IL 62526-6303 | 2012-06-19 |
1124327598 | Women's Health Care Specialists of Decatur, LLC | Obstetrics & Gynecology | 1 Memorial Dr, Physicians Plaza East, Suite 216, Decatur, IL 62526-6303 | 2011-03-23 |
1437465325 | Carle Health Care Incorporated | Durable Medical Equipment & Medical Supplies | 1 Memorial Dr, Physicians Plaza East, Suite 300, Decatur, IL 62526-6303 | 2010-08-30 |
1659531903 | Pierre Michael Johnson | Obstetrics & Gynecology | 1 Memorial Dr, Suite 300, Decatur, IL 62526-6303 | 2008-06-11 |
1306026224 | Julie Marie Preston | Physician Assistant | 1 Memorial Dr, Physcians Plaza East Ste 110, Decatur, IL 62526-6303 | 2007-11-08 |
1396897526 | Decatur Obgyn Associates, LLC | Obstetrics & Gynecology | 1 Memorial Dr, Suite 300, Decatur, IL 62526-6303 | 2007-01-17 |
1629139266 | Andrea Tirpak | Nurse Practitioner | 1 Memorial Dr, Suite 300, Decatur, IL 62526-6303 | 2006-12-13 |
1558470690 | Gregory L Totel | Internal Medicine | 1 Memorial Dr, Suite 201, Decatur, IL 62526-6303 | 2006-08-30 |
1992724553 | Jordan S Youngerman | Specialist | 1 Memorial Dr, Suite 110, Decatur, IL 62526-6303 | 2006-07-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
1881116820 | Bria N Howard | Nurse's Aide | 606 E Warren St. Apt 609, Decatur, IL 62526 | 2017-07-12 |
1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
1659787893 | Stephanie Marie Kanitsch | Obstetrics & Gynecology | 544 W Pershing Rd Ste A, Decatur, IL 62526 | 2014-07-09 |
1497169973 | Brian Hassinger | Audiologist-Hearing Aid Fitter | 2605 N Water St Ste 101, Decatur, IL 62526 | 2014-06-12 |
1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
1558639005 | Larry Lee Christensen | Pharmacist | 225 Ash Ave, Decatur, IL 62526 | 2011-12-12 |
1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
Find all providers in zip 62526 |
Taxonomy Code | 363LX0001X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Obstetrics & Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
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1578937256 | Tiffany Muse | Nurse Practitioner | 2785 Lawrenceville Hwy, Decatur, GA 30033-2515 | 2015-11-18 |
1619348158 | Olga Mason | Nurse Practitioner | 2675 N Decatur Rd, Suite 512, Decatur, GA 30033-6131 | 2015-10-09 |
1356664957 | Janice Burgin | Nurse Practitioner | 1458 Church St Ste B, Decatur, GA 30030-1672 | 2010-03-10 |
1932288792 | Lizette Simone Persky | Nurse Practitioner | 315 Winn Way, Decatur, GA 30030-2111 | 2006-11-03 |
1811076672 | Christian Leigh Marcum | Nurse Practitioner | 2801 N Decatur Rd, Suite 190, Decatur, GA 30033-5949 | 2006-11-03 |
1528142262 | Carolyn Gaines Hendricks | Nurse Practitioner | 3110 Clifton Springs Rd, Suite D, Decatur, GA 30034-4600 | 2006-10-25 |
1164505798 | Katherine Cantrell | Nurse Practitioner | 1001 W Eagle Dr, Decatur, TX 76234-3745 | 2006-10-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396308458 | Alexandra H Pape | Nurse Practitioner | 10260 191st St Ste 100, Mokena, IL 60448-8802 | 2019-04-15 |
1306313754 | Klaudia Dorota Niedzwiecki | Nurse Practitioner | 654 W Veterans Pkwy Ste A, Yorkville, IL 60560-2510 | 2018-10-24 |
1295226728 | Cortney Elizabeth Patrick | Nurse Practitioner | 2900 Frank Scott Pkwy W Ste 966, Belleville, IL 62223-5000 | 2018-05-21 |
1477061620 | Yesenia Vargas | Nurse Practitioner | 1025 W Sunnyside, Chicago, IL 60640 | 2018-01-22 |
1124464110 | Michelle Yonkus | Nurse Practitioner | 500 E 22nd St Ste A, Lombard, IL 60148-6102 | 2013-05-16 |
1457600306 | Julie Duff | Nurse Practitioner | 5425 W. Addison, Chicago, IL 60641 | 2012-09-06 |
1891067765 | Cynthia Ann Wildemuth | Nurse Practitioner | 2112 25th Avenue, Rock Island, IL 61201 | 2012-02-07 |
1174803753 | Patricia J Fiorito | Nurse Practitioner | 801 S Milwaukee Ave # 110, Libertyville, IL 60048-3204 | 2011-08-26 |
1619102456 | Vickie Eileen Ellis | Nurse Practitioner | 201 W. Kenyon Rd, Champaign, IL 61820-7892 | 2009-05-22 |
1942465554 | Maryann Ulery | Nurse Practitioner | 3 Austrian Ct, Lake In The Hills, IL 60156-6515 | 2008-07-23 |
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.