MRS. KAITLYN SUE MCGOUGH (NPI# 1285250712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285250712 |
| Entity Type | Individual |
| Full Name | MRS. KAITLYN SUE MCGOUGH |
| Credential | RN |
| Practice Address |
6 Hairpin Dr Edwardsville IL 62026-1000 |
| Practice Telephone | 6186503956 |
| Mailing Telephone | 6186503956 |
| Enumeration Date | 2020-06-20 |
| Last Update Date | 2020-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
6 HAIRPIN DR |
| City | EDWARDSVILLE |
| State | IL |
| Zip Code | 62026-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639708688 | Kirstie Ali Mcgrath | Nurse Practitioner | 6 Hairpin Dr, Edwardsville, IL 62026-1000 | 2020-04-02 |
| 1174140321 | Jane Marie Brown | Student in an Organized Health Care Education/Training Program | 6 Hairpin Dr, Edwardsville, IL 62026-1000 | 2020-07-02 |
| 1245856657 | Tyler R Tanzyus | Student in an Organized Health Care Education/Training Program | 6 Hairpin Dr, Edwardsville, IL 62026-1000 | 2020-06-22 |
| 1013533579 | Amanda Lorin Taylor Hawkins | Student in an Organized Health Care Education/Training Program | 6 Hairpin Dr, Edwardsville, IL 62026-1000 | 2020-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861018301 | Kari Kristine Hullinger | Student in an Organized Health Care Education/Training Program | Alumni Hall Room 2117, Edwardsville, IL 62026-0001 | 2020-06-21 |
| 1962028407 | Melissa Welge | Student in an Organized Health Care Education/Training Program | Southern Illinois University 6 Hairpin Dr, Edwardsville, IL 62026-0001 | 2020-06-21 |
| 1447876974 | Bailey Johnston | Student in an Organized Health Care Education/Training Program | 1 Hairpin Dr, Edwardsville, IL 62026-0001 | 2020-06-20 |
| 1649896374 | Abigail Kirstie Brohammer | Student in an Organized Health Care Education/Training Program | Siue School of Nursing Alumni Hall Room 2117, Edwardsville, IL 62026-0001 | 2020-06-18 |
| 1609498633 | Jenny Lieu | Student in an Organized Health Care Education/Training Program | 1 Hairpin Drive, Edwardsville, IL 62026-0001 | 2020-05-13 |
| 1174858005 | Sheryl L Salaris | Psychiatry & Neurology | Siue Health Counseling Services, Student Success Center, Rm. 0220, Edwardsville, IL 62026-0001 | 2009-10-09 |
| 1962659664 | Stacey M Thacker | Clinic/Center | 200 University Park Dr, Campus Box 2000, Edwardsville, IL 62026-0001 | 2008-08-25 |
| 1427182658 | Brian Shin | Dentist | 195 University Park Dr, Edwardsville, IL 62026-0001 | 2007-03-16 |
| 1164490736 | Gerald L Schlemer | Specialist/Technologist | Southern Illinois University Edwardsville, Campus Box 1129 Athletics, Edwardsville, IL 62026-0001 | 2006-03-09 |
| 1245847276 | Mai-linh Thi Nguyen | Student in an Organized Health Care Education/Training Program | 1 Hairpin Dr, Edwardsville, IL 62026-0001 | 2020-09-24 |
| Find all providers in zip 62026 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861018301 | Kari Kristine Hullinger | Student in an Organized Health Care Education/Training Program | Alumni Hall Room 2117, Edwardsville, IL 62026-0001 | 2020-06-21 |
| 1962028407 | Melissa Welge | Student in an Organized Health Care Education/Training Program | Southern Illinois University 6 Hairpin Dr, Edwardsville, IL 62026-0001 | 2020-06-21 |
| 1447876974 | Bailey Johnston | Student in an Organized Health Care Education/Training Program | 1 Hairpin Dr, Edwardsville, IL 62026-0001 | 2020-06-20 |
| 1649896374 | Abigail Kirstie Brohammer | Student in an Organized Health Care Education/Training Program | Siue School of Nursing Alumni Hall Room 2117, Edwardsville, IL 62026-0001 | 2020-06-18 |
| 1609498633 | Jenny Lieu | Student in an Organized Health Care Education/Training Program | 1 Hairpin Drive, Edwardsville, IL 62026-0001 | 2020-05-13 |
| 1245847276 | Mai-linh Thi Nguyen | Student in an Organized Health Care Education/Training Program | 1 Hairpin Dr, Edwardsville, IL 62026-0001 | 2020-09-24 |
| 1174140321 | Jane Marie Brown | Student in an Organized Health Care Education/Training Program | 6 Hairpin Dr, Edwardsville, IL 62026-1000 | 2020-07-02 |
| 1740806058 | Brooke Anne Buffington | Student in an Organized Health Care Education/Training Program | 35 Circle Dr, Edwardsville, IL 62025-9015 | 2020-06-23 |
| 1245856657 | Tyler R Tanzyus | Student in an Organized Health Care Education/Training Program | 6 Hairpin Dr, Edwardsville, IL 62026-1000 | 2020-06-22 |
| 1013533579 | Amanda Lorin Taylor Hawkins | Student in an Organized Health Care Education/Training Program | 6 Hairpin Dr, Edwardsville, IL 62026-1000 | 2020-06-22 |
| Find all providers in EDWARDSVILLE | ||||
| City | EDWARDSVILLE |
| Zip Code | 62026 |
Please comment or provide details below to improve the information on MRS. KAITLYN SUE MCGOUGH.
| 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.