WENDY BURK (NPI# 1336654748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336654748 |
Entity Type | Individual |
Full Name | WENDY BURK |
Credential | FNP-C |
Practice Address |
102 N Logan Ave Danville IL 61832-8513 |
Mailing Address |
636 Sedgegrass Dr Champaign IL 61822-2035 |
Practice Telephone | 2174425863 |
Mailing Telephone | 2176213488 |
Enumeration Date | 2017-12-07 |
Last Update Date | 2017-12-07 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
209.016962 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
102 N LOGAN AVE |
City | DANVILLE |
State | IL |
Zip Code | 61832-8513 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417033705 | Sabeeha Haque Ali | Pediatrics | 102 N Logan Ave, Danville, IL 61832-8513 | 2006-10-29 |
1972937480 | Sabeeha Haque Ali Md LLC | Clinic/Center | 102 N Logan Ave, Danville, IL 61832-8513 | 2013-09-03 |
1649402702 | Bhirom Buranakul Md LLC | Clinic/Center | 102 N Logan Ave, Danville, IL 61832-8513 | 2009-08-21 |
1275703803 | Leann Carpenter | Nurse Practitioner | 102 N Logan Ave, Danville, IL 61832-8513 | 2008-03-11 |
1255526687 | Provena Service Corporation | Pediatrics | 102 N Logan Ave, Danville, IL 61832-8513 | 2007-09-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316593957 | Margaret Jean Heath | Technician | 310 N North St, Danville, IL 61832 | 2019-08-09 |
1215494620 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 3653 N Vermilion Dr, Danville, IL 61832 | 2019-02-22 |
1003263104 | Bayview Family Clinic | Nurse Practitioner | 3595 N Vermillion Street, Danville, IL 61832 | 2016-05-18 |
1194179499 | Kinisha Vasser | Social Worker | 1900 E. Main Steet, Danville, IL 61832 | 2016-04-22 |
1023497237 | Alpha Omega Counseling Services | Community/Behavioral Health | 120 N Vermilion, Danville, IL 61832 | 2015-05-20 |
1437557568 | Terri D. Dunn | Hearing Instrument Specialist | 733 N. Logan #4, Audibel Hearing Aids, Danville, IL 61832 | 2014-12-05 |
1518361682 | Rosemarie Renee Eck | Nurse Practitioner | 1900 E Main St, Bldg 101-171, Va Illiana Health Care System, Danville, IL 61832 | 2014-10-17 |
1497181747 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 3649 N. Vermillion St., Danville, IL 61832 | 2013-09-18 |
1598000770 | Bayview Family Clinic Ltd | Health Maintenance Organization | 405 N. Sheridan St., Danville, IL 61832 | 2012-11-29 |
1992052666 | Katharine Lorraine Lerner | Pharmacist | 3649 N Vermilion St, Danville, IL 61832 | 2012-08-13 |
Find all providers in zip 61832 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104461870 | Swanson Family Practice LLC | Nurse Practitioner | 733 N Logan Ave Ste 1, Danville, IL 61832-4378 | 2019-11-16 |
1669016044 | Sara Childress Weaver | Nurse Practitioner | 201 S Main St Ste 1100, Danville, VA 24541-2938 | 2019-10-29 |
1497252811 | Hannah High | Nurse Practitioner | 1415 Woodridge Dr, Danville, IL 61832-1669 | 2018-04-11 |
1376152553 | Amy Houston Cera | Nurse Practitioner | 100 N Academy Ave, Danville, PA 17822-9800 | 2020-07-23 |
1255982906 | Lisa Marie Bradner | Nurse Practitioner | 109 Bridge St Ste 202, Danville, VA 24541-1222 | 2019-09-24 |
1255865333 | Michael Pittmon | Nurse Practitioner | 949 Piney Forest Rd, Danville, VA 24540-1591 | 2017-04-17 |
1912369489 | Viola Jones | Nurse Practitioner | 501 Rison St, Danville, VA 24541-2425 | 2016-03-24 |
1568722866 | Ann Marie Thomas Knight | Nurse Practitioner | 125 Executive Dr, Suite H, Danville, VA 24541-4155 | 2012-05-21 |
1639386683 | Dianne Elizabeth Elliott | Nurse Practitioner | 101 Holbrook St, Danville, VA 24541-1732 | 2007-05-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225636475 | Monika Sitko | Nurse Practitioner | 3 E 14th Pl, Lombard, IL 60148-4574 | 2020-10-10 |
1134735343 | Michael Fitz | Nurse Practitioner | 6205 Westminster Ct, Springfield, IL 62711-6728 | 2020-09-22 |
1013521038 | Eziaha R Georgewill | Nurse Practitioner | 17800 Kedzie Ave # A, Hazel Crest, IL 60429-2029 | 2020-09-08 |
1447870274 | 15 Park Place LLC | Nurse Practitioner | 15 Park Pl Ste 1, Swansea, IL 62226-2918 | 2020-04-22 |
1861021248 | Elizabeth Horan | Nurse Practitioner | 125 S Green St Apt 1005a, Chicago, IL 60607-3717 | 2020-04-07 |
1699315697 | Kelsey L Proehl | Nurse Practitioner | 70 Meadowview Ctr Ste 300, Kankakee, IL 60901-2062 | 2020-01-08 |
1992343248 | Maryanne M Smith | Nurse Practitioner | 805 W Deyoung St Ste D, Marion, IL 62959-1602 | 2019-12-17 |
1730724451 | Suzana None Nikitovic | Nurse Practitioner | 2815 Regner Rd, Mchenry, IL 60051-6942 | 2019-11-18 |
1205471083 | Sylvia Coleman | Nurse Practitioner | 20 W Kinzie St Ste 17, Chicago, IL 60654-6393 | 2019-11-15 |
1194374637 | Elena Ignatiev | Nurse Practitioner | 1626 W Farwell Ave Apt 3g, Chicago, IL 60626-3641 | 2019-09-07 |
Find all providers with the same taxonomy |
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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.