MRS. LINDA S PIETRZAK


Address: 1900 E Lake Shore Dr, Suite 330, Decatur, IL 62521-3824
Phone: 2174232889

MRS. LINDA S PIETRZAK (NPI# 1316253578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316253578
Entity Type Individual
Full Name MRS. LINDA S PIETRZAK
Other Name MISS LINDA S COMPTON
Credential NP
Practice Address 1900 E Lake Shore Dr
Suite 330
Decatur
IL 62521-3824
Practice Telephone 2174232889
Practice Fax Number 2174232923
Mailing Telephone 2174232889
Mailing Fax Number 2174232923
Enumeration Date 2010-08-26
Last Update Date 2011-03-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
209006076 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1900 E LAKE SHORE DR
SUITE 330
City DECATUR
State IL
Zip Code 62521-3824

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992704332 Samir A Patel Pediatrics 1900 E Lake Shore Dr, Suite 330, Decatur, IL 62521-3824 2005-07-19
1306238746 Crystal Louise Zeigler Specialist/Technologist 1900 E Lake Shore Dr, Decatur, IL 62521-3824 2015-02-23
1881935435 Deepthi Seekuri Manoj Pediatrics 1900 E Lake Shore Dr, Decatur, IL 62521-3824 2013-03-06
1811274889 Sherrie Knutson Specialist/Technologist 1900 E Lake Shore Dr, Decatur, IL 62521-3824 2011-11-04
1639458623 Tracy Pulliam Social Worker 1900 E Lake Shore Dr, Suite 201, Decatur, IL 62521-3824 2011-08-09
1790961977 Kare4kids Sc Pediatrics 1900 E Lake Shore Dr, Suite 330, Decatur, IL 62521-3824 2008-01-17
1174702708 St. Marys Hospital Decatur of The Hospital Sisters of The Third Order Physician Assistant 1900 E Lake Shore Dr, Suite 200, Decatur, IL 62521-3824 2007-10-31
1861680704 Zachary Lee Sowa Physician Assistant 1900 E Lake Shore Dr, Suite 200, Decatur, IL 62521-3846 2007-10-04
1407055353 Amy L Kindred Johnson Nurse Practitioner 1900 E Lake Shore Dr, Suite 330, Decatur, IL 62521-3848 2007-07-12
1144437195 David L Holtzscher Specialist/Technologist 1900 E Lake Shore Dr, Suite 150, Decatur, IL 62521-3824 2007-05-17
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NPI Name Taxonomy Address Enumeration
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1154848034 Zack Shaw Physical Therapist 4855-57 East 36, Decatur, IL 62521 2017-08-23
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1659992899 Mallory Maryruth Gray Nurse Practitioner 350 Winn Way, Decatur, GA 30030-2106 2020-04-28
1245656768 Gayla Woodson Nurse Practitioner 2785 Lawrenceville Hwy, Suite 207, Decatur, GA 30033-2515 2014-03-07
1073946141 Gabrielle K. Sauder Nurse Practitioner 2905 N Main St, Decatur, IL 62526-4274 2013-08-13
1154646917 Camille N Cobb Nurse Practitioner 2000 S Fm 51, Decatur, TX 76234-3702 2010-04-05
1568627255 Anderia Shirrell Rhodes-bigham Nurse Practitioner 2855 Candler Rd, Suite 9, Decatur, GA 30034-1415 2008-07-23
1407055353 Amy L Kindred Johnson Nurse Practitioner 1900 E Lake Shore Dr, Suite 330, Decatur, IL 62521-3848 2007-07-12
1134194160 Lisa Smith Nurse Practitioner 2905 N Main St, Decatur, IL 62526-4274 2006-02-22

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1508475294 Diedra M Ahlert Nurse Practitioner 1320 Lexington Dr, Collinsville, IL 62234-4348 2020-07-28
1679182802 Danielle L Shubert Nurse Practitioner 9423 Holy Cross Ln Ste 111, Breese, IL 62230-3510 2020-07-23
1154962900 Janna Hoppe Nurse Practitioner 24600 W 127th St Ste 345, Plainfield, IL 60585-9507 2019-10-02
1841858529 Katherine R Conkling Nurse Practitioner 4941 Benchmark Centre Dr Ste 100, Swansea, IL 62226-2038 2019-05-29
1942767280 Danielle R Wetzel Nurse Practitioner 2040 Ogden Ave Ste 215, Aurora, IL 60504-7205 2019-02-22
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1568939684 Katelyn Marie Reed Nurse Practitioner 415 N 9th St Ste 4w64, Springfield, IL 62702-5303 2018-10-26
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Competitor

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City DECATUR
Zip Code 62521

Improve Information

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Dataset Information

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.

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