REBECCA WILLIAMS DODICK (NPI# 1265926711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265926711 |
| Entity Type | Individual |
| Full Name | REBECCA WILLIAMS DODICK |
| Practice Address |
1000 Central St Ste 615 Evanston IL 60201 |
| Mailing Address |
1000 Central St Ste 615 Evanston IL 60201-1779 |
| Practice Telephone | 8476571900 |
| Mailing Telephone | 8476571900 |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2020-03-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 041462702 | IL | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | 209017359 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 Central St Ste 615, Evanston, IL 60201 | 8476571900 | |
| 5700 S Maryland Ave, Chicago, IL 606371426 | 7739231220 |
| Street Address |
1000 CENTRAL ST STE 615 |
| City | EVANSTON |
| State | IL |
| Zip Code | 60201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053338871 | Shashi Kiran Bellam | Internal Medicine | 1000 Central St Ste 615, Evanston, IL 60201-1779 | 2006-07-16 |
| 1568550499 | Stacy M. Raviv | Internal Medicine | 1000 Central St Ste 615, Evanston, IL 60201-1779 | 2006-10-10 |
| 1780605352 | Christopher J. Winslow | Internal Medicine | 1000 Central St Ste 615, Evanston, IL 60201 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962898 | Sebastian Andres Cruz | Internal Medicine | Northshore University Healthsystem, Off of Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2020-05-06 |
| 1053970442 | Wade Gilman | Family Medicine | 1650 Ridge Ave, Ste 1304, Evanston, IL 60201 | 2019-06-10 |
| 1922577949 | Elizabeth Wilton Therapy, LLC | Counselor | 2901a Central St Ste 3, Evanston, IL 60201 | 2018-11-20 |
| 1952887812 | Sg Wellness LLC | Clinic/Center | 3008 Central Street, Evanston, IL 60201 | 2018-07-13 |
| 1689169591 | Michael Kert Zijlstra | Internal Medicine | Northshore University Healthsystem Office of Academic, Affairs 2650 Ridge Ave, Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1982199725 | Elizabeth Hannah Lees | Internal Medicine | Northshore University Healthsystem Office of Academic A, 2650 Ridge Ave Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1730674565 | Ashley Elizabeth Aller | Internal Medicine | Northshore University Healthsystem, Office Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1669967683 | Ayush N Shah | Internal Medicine | 2650 Ridge Ave Ste 5315, Evanston, IL 60201 | 2018-06-22 |
| 1811481062 | Jeffrey D. Brow | Internal Medicine | 2650 Ridge Ave Rm 5315, Evanston, IL 60201 | 2018-06-20 |
| 1831687250 | Michael Patrick Murphy | Radiology | 807 Davis St. Unit 707, Evanston, IL 60201 | 2018-05-01 |
| Find all providers in zip 60201 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839200 | Katrina Francis | Nurse Practitioner | 2650 Ridge Ave Rm G903c, Evanston, IL 60201-1700 | 2020-07-24 |
| 1053955765 | Meredith Joy Stroup | Nurse Practitioner | 2650 Ridge Ave Rm 4945, Evanston, IL 60201-1700 | 2019-11-05 |
| 1295223063 | Alina Zubrickaite | Nurse Practitioner | 800 Austin St Ste 369, Evanston, IL 60202-3454 | 2018-04-27 |
| 1255718797 | Megan Elizabeth Mattingly | Nurse Practitioner | 2650 Ridge Ave # 4945, Evanston, IL 60201 | 2015-05-05 |
| 1558548099 | Nataliya Omelchenko | Nurse Practitioner | 2650 Ridge Ave Ste 4222, Department of Neurosurgery, Evanston, IL 60201-1718 | 2008-01-28 |
| 1518099589 | Beth A Slutsky | Nurse Practitioner | 1950 Mcdaniel Ave, Evanston, IL 60201-2123 | 2007-03-12 |
| 1578518221 | Virginia Schelbert | Nurse Practitioner | 2523 Asbury Ave, Evanston, IL 60201-2308 | 2006-05-23 |
| 1558975078 | Lauren Grandi | Nurse Practitioner | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-09-02 |
| 1366069270 | Gnathan Andrew Carpenter | Nurse Practitioner | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-06-26 |
| 1477186203 | Jin Hee Kim | Nurse Practitioner | 1000 Central St Ste 800, Evanston, IL 60201-1780 | 2020-02-20 |
| Find all providers in EVANSTON | ||||
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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.