MRS. SHANNON RENEE FOILES (NPI# 1447444252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447444252 |
Entity Type | Individual |
Full Name | MRS. SHANNON RENEE FOILES |
Credential | APN |
Practice Address |
530 Ne Glen Oak Ave Peoria IL 61637-0001 |
Practice Telephone | 3096243096 |
Mailing Telephone | 3096243096 |
Enumeration Date | 2007-09-05 |
Last Update Date | 2007-09-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364SM0705X |
Clinical Nurse Specialist Specialization: Medical-Surgical |
IL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
530 NE GLEN OAK AVE |
City | PEORIA |
State | IL |
Zip Code | 61637-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346235777 | Jack Michael Gibson | Obstetrics & Gynecology | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2005-09-12 |
1053912188 | Janie Clary | Nurse Practitioner | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2020-11-04 |
1265030548 | Christina David | Nurse Practitioner | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2020-10-09 |
1033726831 | Corry Lynn Rediger | Occupational Therapist | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2020-09-25 |
1720694094 | Katelynn M Madden | Clinical Nurse Specialist | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2020-09-21 |
1568074474 | Amanda Diane Beoletto | Pharmacist | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2020-08-21 |
1881212892 | Mohammad Mousbah Al-tabbaa | Student in an Organized Health Care Education/Training Program | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2020-07-07 |
1750909693 | Mohammad Gareeb | Student in an Organized Health Care Education/Training Program | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2020-07-07 |
1376160846 | Bassel Elia Abouzeid | Student in an Organized Health Care Education/Training Program | 530 Ne Glen Oak Ave, Peoria, IL 61637 | 2020-07-01 |
1700403516 | Christina Marie Spurgeon | Nurse Practitioner | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2020-06-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780200865 | Kuang Chuen Liu | Pediatrics | 530 Ne Glen Oak Ave, Peoria, Peoria, IL 61637 | 2020-06-24 |
1174184527 | Manisha Tharoor | Student in an Organized Health Care Education/Training Program | 530 N.e Glen Oak Ave, Peoria, IL 61637 | 2019-06-26 |
1609436724 | Sriviji Senthil Kumaran | Student in an Organized Health Care Education/Training Program | 530. N.e Glen Oak Ave., Peoria, IL 61637 | 2019-06-20 |
1780240929 | Abuzar Ali Asif | Student in an Organized Health Care Education/Training Program | 530 N. E. Glen Oak Ave., Peoria, IL 61637 | 2019-05-14 |
1518328665 | Jenna Bishop | Dietitian, Registered | 600 Ne Water Street, Peoria, IL 61637 | 2016-03-17 |
1194133850 | Ashish Kumar Roy | Internal Medicine | 530 N.e. Glen Oak Ave, Peoria, IL 61637 | 2014-07-25 |
1265720510 | Reuben Antony | Pediatrics | 530 Ne Glen Oak Ave., C/o Ms Suzy Lewellen, Peoria, IL 61637 | 2011-07-20 |
1366673436 | Joseph William Hauter | Emergency Medicine | 830 Ne Glen Oak Ave, Peoria, IL 61637 | 2009-08-06 |
1437380748 | Jeremy R Monroe | Emergency Medicine | 530 Glen Oak, Osf St Francis Medical Center, Peoria, IL 61637 | 2009-08-04 |
1326244682 | Maria S. Parr | Psychiatry & Neurology | Osf Saint Francis Medical Center, 530 N.e.glen Oak Ave., Peoria, FL 61637 | 2007-06-25 |
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Taxonomy Code | 364SM0705X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Medical-Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881906410 | Heather Jefford | Clinical Nurse Specialist | 1001 Main St, 3rd Floor, Peoria, IL 61606 | 2010-07-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720419294 | Karen M. Blum | Clinical Nurse Specialist | 675 North Saint Clair Street, 17th Floor, Chicago, IL 60611 | 2013-12-09 |
1477994929 | Karen Jean Mahnke | Clinical Nurse Specialist | 6269 Old Farm Ln, Gurnee, IL 60031-4433 | 2013-07-12 |
1508089491 | Mary S. Ware Consulting Services, Incorporated | Clinical Nurse Specialist | 8300 S Dorchester Ave, Suite B, Chicago, IL 60619-6402 | 2007-04-10 |
1275689143 | Bobbie S Drodwell | Clinical Nurse Specialist | 9641 Brandt Ave, Oak Lawn, IL 60453-3024 | 2007-01-25 |
1932140167 | Nancy Lynn Schuller | Clinical Nurse Specialist | 4238 Park Ave, Brookfield, IL 60513-1910 | 2006-06-09 |
1114900289 | Elizabeth F Christian | Clinical Nurse Specialist | 222 S School St, Mount Prospect, IL 60056-3319 | 2005-11-22 |
1124352125 | Fely Ong | Clinical Nurse Specialist | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2009-09-23 |
1497989974 | Diane K Martin | Clinical Nurse Specialist | 1725 W Harrison St, Suite 1159, Chicago, IL 60612-3841 | 2009-05-12 |
1154572394 | Rosina Frazier | Clinical Nurse Specialist | 16601 Kilbourne Ave, Oak Forest, IL 60452-4621 | 2008-10-07 |
1841401452 | Jennifer Dore | Clinical Nurse Specialist | 2650 Ridge Ave, General Surgery Division, Burch 103, Evanston, IL 60201-1718 | 2007-05-24 |
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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.