KELLY MARIE JUNG (NPI# 1316592256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316592256 |
| Entity Type | Individual |
| Full Name | KELLY MARIE JUNG |
| Credential | APRN |
| Practice Address |
25 N Winfield Rd Ste 500 Winfield IL 60190 |
| Mailing Address |
25 N Winfield Rd Ste 500 Winfield IL 60190-1222 |
| Practice Telephone | 6302320280 |
| Practice Fax Number | 6302323895 |
| Mailing Telephone | 6302320280 |
| Mailing Fax Number | 6302323895 |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2020-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209018725 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.018725 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 351 Delnor Dr Ste 302, Geneva, IL 60134 | 6302320280 | 6303151469 |
| Street Address |
25 N WINFIELD RD STE 500 |
| City | WINFIELD |
| State | IL |
| Zip Code | 60190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063046092 | Mayowa Ogunfowokan | Nurse Practitioner | 25 N Winfield Rd Ste 500, Winfield, IL 60190-1379 | 2020-02-28 |
| 1093347171 | Tammy J Kirk | Nurse Practitioner | 25 N Winfield Rd Ste 500, Winfield, IL 60190-1222 | 2020-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003379660 | Genevieve Goro | Speech-Language Pathologist | In220 Pleasant Hill Rd, Winfield, IL 60190 | 2019-04-10 |
| 1730670175 | Brian J Fischer | Physical Therapist | 26w228 Geneva Road, Winfield, IL 60190 | 2018-05-22 |
| 1730625500 | Johnson Medical Services S.c. | Family Medicine | 27 W 132 Barnes Ave/, Winfield, IL 60190 | 2017-01-17 |
| 1992253843 | Dr. Roy Settergren S.c. | Chiropractor | 27w123 Redbud Lane, Winfield, IL 60190 | 2016-09-20 |
| 1952855223 | Terri Hannemann | Nurse Practitioner | 25 North Winfield Road, Central Dupage Hospital, Winfield, IL 60190 | 2016-08-04 |
| 1154730737 | Cynthia Koeppen | Registered Nurse | 27w281 Winfield Rd, Winfield, IL 60190 | 2014-08-07 |
| 1992117634 | Jonathan Wang | Internal Medicine | 25 N Winfield Rd Ste 202, Winfield, IL 60190 | 2014-05-29 |
| 1689005977 | Erin Sands | Physician Assistant | 25 N Winfield Rd Ste 519, Winfield, IL 60190 | 2013-12-11 |
| 1790120285 | Clarity Health & Wellness | Social Worker | 1 N. 121 County Farm Road, Suite 220, Winfield, IL 60190 | 2013-05-09 |
| 1538434188 | Hearing Professionals of America LLC | Hearing Aid Equipment | 27 W. 183 Geneva Road, Winfield, IL 60190 | 2012-03-15 |
| Find all providers in zip 60190 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699309120 | Tammy L Cullum | Nurse Practitioner | 11663 182nd Rd, Winfield, KS 67156-7907 | 2020-02-24 |
| 1124395199 | Jucy Tiesenga | Nurse Practitioner | 25 N Winfield Rd Ste 420, Winfield, IL 60190-1222 | 2011-11-18 |
| 1538330477 | Patricia L Calvin | Nurse Practitioner | 27w411 Providence Ln, Winfield, IL 60190-1074 | 2008-03-19 |
| 1740361195 | Kimberly Sue Warren | Nurse Practitioner | 25 N Winfield Rd Ste 103, Winfield, IL 60190-1222 | 2006-10-18 |
| 1912015678 | Kimberley A Adams-mcdarty | Nurse Practitioner | 1230 E 6th Ave Ste 1b, Winfield, KS 67156-3144 | 2006-08-25 |
| 1316967607 | Lynnetta F Ward | Nurse Practitioner | 3625 Quail Ridge Dr., Winfield, KS 67156-8881 | 2006-07-20 |
| 1063046092 | Mayowa Ogunfowokan | Nurse Practitioner | 25 N Winfield Rd Ste 500, Winfield, IL 60190-1379 | 2020-02-28 |
| 1093347171 | Tammy J Kirk | Nurse Practitioner | 25 N Winfield Rd Ste 500, Winfield, IL 60190-1222 | 2020-02-06 |
| 1376038166 | Brittany Wienkes | Nurse Practitioner | 25 N Winfield Rd, Winfield, IL 60190-1222 | 2018-06-25 |
| 1346743234 | Pamela Trotta | Nurse Practitioner | 25 N Winfield Rd Ste 424, Winfield, IL 60190-1222 | 2018-03-16 |
| Find all providers in WINFIELD | ||||
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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.