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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
209006076 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1900 E LAKE SHORE DR SUITE 330 |
City | DECATUR |
State | IL |
Zip Code | 62521-3824 |
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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1053927988 | Caleb David Braasch | Pharmacist | 1818 South Airport Rd, Decatur, IL 62521 | 2020-09-16 |
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1396300638 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 E Central Ave, Decatur, IL 62521 | 2019-05-02 |
1679138911 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 East Central Ave, Decatur, IL 62521 | 2019-05-02 |
1154848034 | Zack Shaw | Physical Therapist | 4855-57 East 36, Decatur, IL 62521 | 2017-08-23 |
1790032852 | Prashant Morolia | Family Medicine | 4775 E Maryland St, Decatur, IL 62521 | 2012-08-08 |
1003188913 | Evergreen Place Decatur, LLC | Assisted Living Facility | 4825 E Evergreen Court, Decatur, IL 62521 | 2012-02-08 |
1104133099 | Suzette Marie Shafer | Occupational Therapy Assistant | 1790 S. Fairview Ave., Decatur, IL 62521 | 2010-09-13 |
1467784090 | Community Health Improvement Center | Clinic/Center | 1221 East Condit Street, Decatur, IL 62521 | 2010-02-08 |
1982839056 | Kelly Clark Dds PC | Dentist | 3737 Us Rt 36 E, Decatur, IL 62521 | 2009-05-19 |
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Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
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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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1740881291 | Sarah Zeigler Olsen | Nurse Practitioner | 600 S Randall Rd Ste 220, Algonquin, IL 60102-5937 | 2020-11-02 |
1467051151 | Mallory Jo Brooks | Nurse Practitioner | 2306 E County Road 1800 N, Carthage, IL 62321-3101 | 2020-10-22 |
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 |
1669937231 | Colleen Ann Larkin | Nurse Practitioner | 10939 S Troy St, Chicago, IL 60655-2211 | 2019-02-07 |
1568939684 | Katelyn Marie Reed | Nurse Practitioner | 415 N 9th St Ste 4w64, Springfield, IL 62702-5303 | 2018-10-26 |
1255813218 | Michelle Christine Bollinger | Nurse Practitioner | 415 N 9th St Ste 4w16, Springfield, IL 62702-5303 | 2018-09-05 |
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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.