DEBRA HERZ (NPI# 1275842650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275842650 |
| Entity Type | Individual |
| Full Name | DEBRA HERZ |
| Credential | FNP-BC |
| Practice Address |
1650 Midtown Rd Peru IL 61354-1274 |
| Practice Telephone | 8152232808 |
| Practice Fax Number | 8152202691 |
| Mailing Telephone | 8152232808 |
| Mailing Fax Number | 8152202691 |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2011-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.008267 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1650 MIDTOWN RD |
| City | PERU |
| State | IL |
| Zip Code | 61354-1274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891706107 | Jeffrey C Tanzi | Family Medicine | 1650 Midtown Rd, Peru, IL 61354-1269 | 2006-08-11 |
| 1376183467 | Michelle R Lehn | Nurse Practitioner | 1650 Midtown Rd, Peru, IL 61354-1200 | 2020-01-07 |
| 1356904163 | St Margaret's Hospital | Clinic/Center | 1650 Midtown Rd, Peru, IL 61354-1200 | 2019-04-17 |
| 1003388463 | Tiffany Ann Shinnick | Nurse Practitioner | 1650 Midtown Rd, Peru, IL 61354-1200 | 2018-12-26 |
| 1588164610 | Kellie Marie Phelps | Nurse Practitioner | 1650 Midtown Rd, Peru, IL 61354-1200 | 2018-02-15 |
| 1255844189 | Keith Christensen | Nurse Practitioner | 1650 Midtown Rd, Peru, IL 61354-1200 | 2017-11-14 |
| 1093238263 | Catherine Anne Hopp | Nurse Practitioner | 1650 Midtown Rd, Peru, IL 61354-1200 | 2017-07-19 |
| 1487197745 | Alisha Jackson | Nurse Practitioner | 1650 Midtown Rd, Peru, IL 61354-1200 | 2016-11-18 |
| 1396110490 | Laura Oberholz | Registered Nurse | 1650 Midtown Rd, Peru, IL 61354-1274 | 2015-12-01 |
| 1215354246 | Grant M Reed | Family Medicine | 1650 Midtown Rd, Peru, IL 61354-1200 | 2014-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750247 | Saida Samedova | Optometrist | 5255 Il-251, Peru, IL 61354 | 2020-11-06 |
| 1205469483 | Illinois Valley Community Hospital | Registered Nurse | 1403 Sixth Street, Peru, IL 61354 | 2020-02-17 |
| 1689228322 | Zhong Xue | Dentist | 5301 Il-251, Ste A, Peru, IL 61354 | 2019-07-31 |
| 1003281668 | Christopher Shane Smith | Physical Therapist | 1400 Midtown Road, Peru, IL 61354 | 2015-12-08 |
| 1770823197 | Muscle Pain Clinic Inc | Chiropractor | 4231 Progress Blvd Ste 4, Peru, IL 61354 | 2013-02-21 |
| 1306194451 | Vijaya Lakshmi Bathina | Dentist | 5301 Route 251, Peru, IL 61354 | 2012-08-21 |
| 1225305634 | Walgreens | Point of Service | 1033 Shooting Park Road, Peru, IL 61354 | 2011-11-30 |
| 1811293574 | Charles Riva | Physical Therapist | 4461 N. Progress Blvd., Peru, IL 61354 | 2011-01-28 |
| 1932403896 | Emerging Vision, Inc | Eyewear Supplier (Equipment, not the service) | 3940 Route 251, Peru Mall Suite F-1, Peru, IL 61354 | 2011-01-06 |
| 1457668170 | Illinois Valley Community Hospital | Nurse Practitioner | 5307 Route 251, Peru, IL 61354 | 2010-09-01 |
| Find all providers in zip 61354 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481175 | Veronica Spangler | Nurse Practitioner | 1910 Plum St, Peru, IL 61354-1851 | 2020-09-11 |
| 1588153746 | Casey Lynn Hill | Nurse Practitioner | 661 E Main St Ste B, Peru, IN 46970-2662 | 2018-05-03 |
| 1831443977 | Denise Marie Brehmer | Nurse Practitioner | 315 W Old Key Dr Ste 150, Peru, IN 46970-9001 | 2012-10-26 |
| 1457668170 | Illinois Valley Community Hospital | Nurse Practitioner | 5307 Route 251, Peru, IL 61354 | 2010-09-01 |
| 1538314356 | Katina A Everding | Nurse Practitioner | 2484 S Business 31, Suite C, Peru, IN 46970-7312 | 2008-11-20 |
| 1518136001 | Adirondack Medical Practice LLC | Nurse Practitioner | 3384 Rt 22, Peru, NY 12972 | 2008-02-28 |
| 1982751830 | Sandra Marie Harris | Nurse Practitioner | 9 Elm Street, Peru, NY 12972 | 2007-01-04 |
| 1063411072 | Rhoda L Wicker | Nurse Practitioner | 275 W 12th St, Suite 103, Peru, IN 46970-1638 | 2005-07-20 |
| 1124625926 | Jay Lee Hoeksema | Nurse Practitioner | 661 E Main St, Peru, IN 46970-2662 | 2020-10-05 |
| 1376183467 | Michelle R Lehn | Nurse Practitioner | 1650 Midtown Rd, Peru, IL 61354-1200 | 2020-01-07 |
| Find all providers in PERU | ||||
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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.