JENNIFER GREENWOOD (NPI# 1316492432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316492432 |
| Entity Type | Individual |
| Full Name | JENNIFER GREENWOOD |
| Other Name | JENNIFER BOARD |
| Practice Address |
1001 Main St Ste 500a Peoria IL 61606 |
| Mailing Address |
1001 Main St Ste 500a Peoria IL 61606-2038 |
| Practice Telephone | 3096724980 |
| Mailing Telephone | 3096724980 |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2020-01-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209014527 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1001 Main St Ste 500a, Peoria, IL 61606 | 3096724980 | |
| 900 Main St Ste 630, Peoria, IL 616025024 | 3096724433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528474244 | Jennifer Greenwood | Social Worker | 481 Union St, Franklin, MA 02038-2408 | 2014-07-02 |
| 1780810945 | Jennifer A Greenwood | Massage Therapist | 7606 Sw 110th Ter, Gainesville, FL 32608-5748 | 2009-06-02 |
| 1063898070 | Jennifer Greenwood | Counselor | 75 San Remo Dr, South Burlington, VT 05403-6385 | 2015-08-03 |
| 1902141070 | Jennifer Marie Greenwood | Social Worker | 2626 Charles Dr, Chalmette, LA 70043-3779 | 2012-11-30 |
| 1568656064 | Jennifer Greenwood | Social Worker | 4266 Sunbeam Rd, Jacksonville, FL 32257-2425 | 2007-08-29 |
| 1649298456 | Jennifer Greenwood | Nurse Anesthetist, Certified Registered | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2006-07-18 |
| Street Address |
1001 MAIN ST STE 500A |
| City | PEORIA |
| State | IL |
| Zip Code | 61606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942773155 | Connor Thomas Schuler | Physician Assistant | 1001 Main St Ste 500a, Peoria, IL 61606-2038 | 2019-01-10 |
| 1649765835 | Illinois Gastroenterology Institute, Pllc | Nurse Anesthetist, Certified Registered | 1001 Main St Ste 500a, Peoria, IL 61606-2038 | 2018-06-29 |
| 1174025357 | Amy M Durst | Nurse Practitioner | 1001 Main St Ste 500a, Peoria, IL 61606 | 2018-03-05 |
| 1386158822 | Kerry Maloney | Nurse Practitioner | 1001 Main St Ste 500a, Peoria, IL 61606-2038 | 2017-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194292334 | Kelley Stork | Speech-Language Pathologist | 807 W Columbia Terrace, Peoria, IL 61606 | 2018-10-25 |
| 1689140519 | Emma Cristine Tully | Speech-Language Pathologist | 1619 W. Fredonia Ave, Peoria, IL 61606 | 2018-10-18 |
| 1104944974 | Robert I Martin | Preventive Medicine | 1127 N North Street, Peoria, IL 61606 | 2007-03-27 |
| 1023062312 | Saint Francis Medical Center | Physical Medicine & Rehabilitation | 100 Ne Randoph Street, Peoria, IL 61606 | 2006-05-20 |
| 1174573307 | Cpo Services, Inc | Prosthetic/Orthotic Supplier | 741 West Main Street, Peoria, IL 61606 | 2006-05-10 |
| 1538471099 | Jacob Royle Hopping | Surgery | 1001 Main St Ste 300, Peoria, IL 61606 | 2010-07-12 |
| 1881906410 | Heather Jefford | Clinical Nurse Specialist | 1001 Main St, 3rd Floor, Peoria, IL 61606 | 2010-07-12 |
| 1306874128 | David L Crawford | Surgery | 1001 Main Street, Suite 300, Peoria, IL 61606 | 2006-06-29 |
| 1205864170 | Norman C Estes | Surgery | 1001 Main Street, Suite 300, Peoria, IL 61606 | 2006-06-29 |
| 1093751257 | Julius P. Bonello | Surgery | 1001 Main Street, Suite 300, Peoria, IL 61606 | 2006-06-22 |
| Find all providers in zip 61606 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295541 | Britney Julia Durst | Nurse Practitioner | 5905 N Prospect Rd, Peoria, IL 61614-4311 | 2020-11-07 |
| 1598362980 | Courtney Klein | Nurse Practitioner | 1306 N. Berkley Ave, Peoria, IL 61603 | 2020-10-08 |
| 1699390039 | Steven Joel Schlink | Nurse Practitioner | 12920 W Roy Rogers Rd, Peoria, AZ 85383-5334 | 2020-06-11 |
| 1457986929 | Chanelle Christine Maclin | Nurse Practitioner | 504 E Kansas St, Peoria, IL 61603-2554 | 2020-03-05 |
| 1225677495 | Michelle Chacon | Nurse Practitioner | 23201 N 87th Dr, Peoria, AZ 85383-1860 | 2020-01-05 |
| 1689218042 | Patricia Nwakaego Ayemoba | Nurse Practitioner | 16018 N 74th Dr, Peoria, AZ 85382-1810 | 2019-10-29 |
| 1144877267 | Eunice Wright | Nurse Practitioner | 26826 N 85th Dr, Peoria, AZ 85383-3624 | 2019-08-22 |
| 1861057507 | Shawnee Renee Fudurich | Nurse Practitioner | 10230 W Happy Valley Pkwy Ste 100, Peoria, AZ 85383-4255 | 2019-05-08 |
| 1265096895 | Razel Espiritu Hernandez | Nurse Practitioner | 25435 N 115th Ave, Peoria, AZ 85383-9789 | 2019-04-29 |
| 1619435310 | Jennifer Gayle Ries-clark | Nurse Practitioner | 8009 W Salter Dr, Peoria, AZ 85382-4440 | 2019-03-12 |
| Find all providers in PEORIA | ||||
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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.