SHERIDAN KEETER


Address: 1340 S Damen Ave, Ste 210, Chicago, IL 60608-1169
Phone: 7732924800

SHERIDAN KEETER (NPI# 1316389570) 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) 1316389570
Entity Type Individual
Full Name SHERIDAN KEETER
Credential NP
Practice Address 1340 S Damen Ave
Ste 210
Chicago
IL 60608-1169
Practice Telephone 7732924800
Practice Fax Number 7733847053
Mailing Telephone 7732924800
Mailing Fax Number 7733847053
Enumeration Date 2013-07-29
Last Update Date 2015-10-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 95001343 CA Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
209010426 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1340 S DAMEN AVE
STE 210
City CHICAGO
State IL
Zip Code 60608-1169

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811998438 Home Physicians PC Podiatrist 1340 S Damen Ave, Suite 210, Chicago, IL 60608-1169 2005-08-04
1619477965 David Clayton Walthall Nurse Practitioner 1340 S Damen Ave, Chicago, IL 60608-1169 2018-02-13
1649722174 Sonja Boone Internal Medicine 1340 S Damen Ave, Suite 400, Chicago, IL 60608-1169 2016-11-01
1982093738 Melissa Louise Hetzel Registered Nurse 1340 S Damen Ave, Suite 400, Chicago, IL 60608-1169 2015-01-16
1265830442 Thelma Michelle Holt-nicholson Nurse Practitioner 1340 S Damen Ave, Chicago, IL 60608-1169 2014-12-20
1043614597 Kavitha Wagner Nurse Practitioner 1340 S Damen Ave, Suite 400, Chicago, IL 60608-1169 2014-10-13
1982007878 Christine Agostino Registered Nurse 1340 S Damen Ave, Suite 210, Chicago, IL 60608-1169 2014-10-06
1952703795 Deborah M Bryant Registered Nurse 1340 S Damen Ave, Suite 210, Chicago, IL 60608-1169 2014-09-24
1851700637 Chiriss Mcgraw Nurse Practitioner 1340 S Damen Ave, Chicago, IL 60608-1169 2014-08-06
1780012245 Robin Anderson Nurse Practitioner 1340 S Damen Ave, Chicago, IL 60608-1169 2013-10-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699390047 Bethuna Shields Occupational Therapist 1401 South California Ave, Chicago, IL 60608 2020-06-11
1861024176 Mount Sinai Community Foundation Clinic/Center 1414 S Fairfield, Chicago, IL 60608 2020-02-05
1205481058 Joshua Hartman Pharmacist 345 Csb Mc 884, 840 S. Wood St, Chicago, IL 60608 2019-08-08
1194386706 Mount Sinai Hospital, Chicago Internal Medicine Mount Sinai Hospital, 1500 S Fairfield Ave, Chicago, IL 60608 2019-06-25
1841754256 Julia Bates Occupational Therapist 1640 W. Roosevelt Rd., 415 Dhsp (mc 726), Chicago, IL 60608 2019-01-30
1194205781 Anais J Robles Contractor 1626 S Allport St, Chicago, IL 60608 2018-08-14
1114412970 Dmitri Zbarsky Internal Medicine 1500 South Fairfield Ave., F-914, Chicago, IL 60608 2018-06-25
1740773050 Alexia Ilian Derma Salazar Speech-Language Pathologist 2301 W 19th St - 3rd Floor Rear, Chicago, IL 60608 2018-06-11
1912424730 Pareen Modi Pharmacist 2539 South Western Avenue, Chicago, IL 60608 2017-08-23
1952824302 Raquel Gonzalez Heredia Surgery 1500 South Fairfield Ave, Chicago, IL 60608 2017-07-18
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477151272 Yolanda K Bradford Nurse Practitioner 2700 S California Ave, Chicago, IL 60608-5108 2020-10-14
1073125431 Faith M Langtiw Nurse Practitioner 2704 W Catalpa Ave, Chicago, IL 60625-3216 2020-08-18
1871114025 Quickcare, Pllc Nurse Practitioner 6419 W Touhy Ave Apt 4a, Chicago, IL 60646-1040 2020-04-29
1376170894 Julia Jekli Nurse Practitioner 365 N Halsted St Apt 3009, Chicago, IL 60661-1379 2020-03-25
1821623281 Rina Delapena Nurse Practitioner 5630 N Sheridan Rd Apt 319, Chicago, IL 60660-4810 2020-03-06
1902439193 Iwona Boska Nurse Practitioner 676 N St.clair Street, Suite 2140, Chicago, IL 60611 2020-02-17
1962032813 Sonia Ivelis Fernandez Nurse Practitioner 6129 N Campbell Ave Apt 1, Chicago, IL 60659-2809 2020-01-20
1164060257 Julie Ann Daniels Nurse Practitioner 5808 W Eddy St, Chicago, IL 60634-4351 2019-12-19
1720625593 Bogdana Gryniv Nurse Practitioner 5758 S Maryland Ave Ste 5a, Chicago, IL 60637-1426 2019-11-29
1023669835 Carlette Bailey Nurse Practitioner 6700 S Oglesby Ave Apt 1204, Chicago, IL 60649-1373 2019-09-23
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Competitor

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City CHICAGO
Zip Code 60608

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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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