MRS. GLORIA ANN PRZYGODA (NPI# 1427661552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427661552 |
| Entity Type | Individual |
| Full Name | MRS. GLORIA ANN PRZYGODA |
| Credential | DNP, FNP-BC |
| Practice Address |
1506 W Reynolds St Pontiac IL 61764-9674 |
| Mailing Address |
413 E Timber St Pontiac IL 61764-2130 |
| Practice Telephone | 8158446123 |
| Mailing Telephone | 6183143492 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.021673 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1506 W REYNOLDS ST |
| City | PONTIAC |
| State | IL |
| Zip Code | 61764-9674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700823556 | Sharon R. Wissler | Nurse Practitioner | 1506 W Reynolds St, Pontiac, IL 61764 | 2006-06-01 |
| 1407335854 | Crystal Ann Cargill | Nurse Practitioner | 1506 W Reynolds St, Pontiac, IL 61764-9674 | 2018-08-07 |
| 1154558732 | Calvin Moy | Family Medicine | 1506 W Reynolds St, Pontiac, IL 61764-9674 | 2009-06-22 |
| 1013144021 | Lacey Dively Moy | Family Medicine | 1506 W Reynolds St, Pontiac, IL 61764-9674 | 2009-06-17 |
| 1104087394 | Tom Murphy | Family Medicine | 1506 W Reynolds St, Pontiac, IL 61764-9674 | 2008-06-19 |
| 1700966116 | Angelito Fernandez | Family Medicine | 1506 W Reynolds St, Pontiac, IL 61764 | 2006-10-17 |
| 1982797254 | Lisa M. Watson | Nurse Practitioner | 1506 W Reynolds St, Pontiac, IL 61764 | 2006-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497165211 | Barbara Kay Browning | Counselor | 310 E. Torrance Ave, Pontiac, IL 61764 | 2014-05-01 |
| 1407287121 | Institute for Human Resources of Livingston County, Il | Community/Behavioral Health | 301 E Torrance Ave, Pontiac, IL 61764 | 2013-12-05 |
| 1982031241 | Annette G Franzen | Psychologist | 700 W Lincoln St # 406, Pontiac, IL 61764 | 2013-10-02 |
| 1871739185 | Woodridge of Ponitac LLC | Assisted Living Facility | 120 North Deerfield Road, Pontiac, IL 61764 | 2008-12-17 |
| 1861601171 | William Earl Hammond | Chiropractor | 210b Ladd, Pontiac, IL 61764 | 2007-05-22 |
| 1932259983 | Amy Duffy | Counselor | 210 W Water St Ste 1, Pontiac, IL 61764 | 2007-01-11 |
| 1326123340 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 1034 W. Reynolds Street, Pontiac, IL 61764 | 2006-10-26 |
| 1205932977 | Gary Merl Leverton | Dentist | 518 West Madison St, Pontiac, IL 61764 | 2006-09-16 |
| 1891899886 | Robert E Heins | Family Medicine | 520 West Madison, Madison Street Clinic PC, Pontiac, IL 61764 | 2006-09-11 |
| 1710081708 | Kenneth N Jordan | Family Medicine | 520 West Madison Street, Madison Street Clinic PC, Pontiac, IL 61764 | 2006-09-11 |
| Find all providers in zip 61764 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710538947 | Kaitlyn Elizabeth Kus | Nurse Practitioner | 64 N Saginaw St, Pontiac, MI 48342-2155 | 2019-09-29 |
| 1174096887 | Lisa Anne Brannack | Nurse Practitioner | 989 University Dr Ste 101, Pontiac, MI 48342-1885 | 2019-01-04 |
| 1457850414 | Krystal Richardson | Nurse Practitioner | 461 W. Huron Suite 107, Pontiac, MI 48341 | 2018-02-06 |
| 1356866842 | Brandi Jones | Nurse Practitioner | 1296 Oaklawn Dr, Pontiac, MI 48341-3604 | 2017-08-07 |
| 1821466277 | Cheryl Elaine Nickolaou | Nurse Practitioner | 46156 Woodward Ave Ste B, Pontiac, MI 48342-5033 | 2015-09-02 |
| 1962000539 | Belinda Becker | Nurse Practitioner | 50 N Perry St, Pontiac, MI 48342-2217 | 2020-10-15 |
| 1932729274 | Justin Rodnez | Nurse Practitioner | 181 State St, Pontiac, MI 48341-1453 | 2020-04-16 |
| 1760012637 | Stacey M Merrill | Nurse Practitioner | 2500 W Reynolds St, Pontiac, IL 61764-9784 | 2020-01-20 |
| 1154968667 | Samantha M Johnson | Nurse Practitioner | 50 N Perry St, Pontiac, MI 48342-2217 | 2019-12-03 |
| 1649824681 | Marisa Stroster | Nurse Practitioner | 50 N Perry St, Pontiac, MI 48342-2217 | 2019-07-29 |
| Find all providers in PONTIAC | ||||
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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.