MICHELLE MARGARET FENNESSY (NPI# 1265650139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265650139 |
| Entity Type | Individual |
| Full Name | MICHELLE MARGARET FENNESSY |
| Credential | CNS, APN |
| Practice Address |
5841 S Maryland Ave Office of Nurse Recruitment, Mc 1053 Chicago IL 60637-1447 |
| Mailing Address |
1111 W 15th St Unit 111 Chicago IL 60608-2298 |
| Practice Telephone | 3129722200 |
| Mailing Telephone | 3129722200 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326680604 | Michelle Vaughn Fennessy | Social Worker | 4430 Island Reef Dr, Wellington, FL 33449-8393 | 2019-10-08 |
| Street Address |
5841 S MARYLAND AVE OFFICE OF NURSE RECRUITMENT, MC 1053 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637-1447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700887296 | Rita Lynn Mcgill | Internal Medicine | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2005-08-09 |
| 1447851472 | Basirat Sulaiman | Nurse Practitioner | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-11-05 |
| 1982204061 | Martha Daniela Gorski | Nurse Practitioner | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-10-28 |
| 1841807179 | Jason Bugno | Pharmacist | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-09-30 |
| 1942816798 | Emily Mancewicz | Registered Nurse | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-09-17 |
| 1841805546 | Anayeli Locascio | Nurse Practitioner | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-09-10 |
| 1336752856 | Rachel Barsella | Registered Nurse | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-08-25 |
| 1982215620 | Jennifer Risner | Registered Nurse | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-08-16 |
| 1134739857 | Moshe Bedziner | Physician Assistant | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-08-06 |
| 1427676899 | Brittney Blackwell | Registered Nurse | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-07-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
| 1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
| 1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
| 1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
| 1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
| 1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
| 1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
| 1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
| 1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
| 1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
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| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326354358 | Sheila A Harmon | Clinical Nurse Specialist | 654 East 47th St, Access Booker Family Health Center, Chicago, IL 60653-4224 | 2010-08-27 |
| 1144728155 | Euphemia M Connell | Clinical Nurse Specialist | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2018-01-24 |
| 1114377587 | Jennifer Pollandt | Clinical Nurse Specialist | 1801 W Taylor St, 3rd Floor, Suite C, Chicago, IL 60612-4795 | 2016-06-16 |
| 1023454212 | Nancy Therese Scott | Clinical Nurse Specialist | 5841 S Maryland Avenue, University of Chicago Medicine, Chicago, IL 60637 | 2013-05-15 |
| 1386980118 | Daphne Anne Mcdonald | Clinical Nurse Specialist | 820 S Damen Ave, Chicago, IL 60612-3728 | 2012-12-26 |
| 1689927410 | Ann C. Santino | Clinical Nurse Specialist | 1725 W Harrison St, #740, Chicago, IL 60612-3841 | 2012-10-17 |
| 1104174721 | Theresa A Strzelczyk | Clinical Nurse Specialist | 675 N Saint Clair St, Suite 19-100, Chicago, IL 60611-5975 | 2012-08-29 |
| 1184982753 | Donna Marie Mangruen | Clinical Nurse Specialist | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2012-05-02 |
| 1801168661 | Jo-anna Marie Mcgrath | Clinical Nurse Specialist | 675 N Saint Clair St, Suite 19-100, Chicago, IL 60611-5975 | 2012-02-08 |
| 1194008425 | Kenyatta Evans-snulligan | Clinical Nurse Specialist | 1100 W Cermak Rd, Cuite C119, Chicago, IL 60608-4500 | 2011-09-22 |
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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.