CHRISTINA ANDERSON (NPI# 1477073674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477073674 |
| Entity Type | Individual |
| Full Name | CHRISTINA ANDERSON |
| Credential | MD |
| Practice Address |
815 Main St Ste A Peoria IL 61602-1080 |
| Practice Telephone | (309) 672-4977 |
| Mailing Telephone | 3096724977 |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2017-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LICENSE | 125.071192 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649798786 | Christina M Anderson | Behavioral Analyst | 560 Boston Tpke Ste 4, Shrewsbury, MA 01545-5970 | 2017-09-08 |
| 1568846434 | Christina Kaye Anderson | Internal Medicine | 1650 W Harrison St, Suite 466 Atrium, Chicago, IL 60612 | 2015-07-10 |
| 1912333568 | Christina Marie Anderson | Behavioral Analyst | 20515 Spring Creek Dr, Culpeper, VA 22701-8155 | 2013-09-15 |
| 1427304039 | Christina S Anderson | Counselor | 5310 Dtc Pkwy Ste G, Greenwood Village, CO 80111-3010 | 2012-08-01 |
| 1386950640 | Christina Anderson | Nurse Practitioner | 1409 Sawyer Dr, Opelika, AL 36801-3280 | 2010-08-25 |
| 1275165706 | Christina Anderson | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2020-02-12 |
| 1538710678 | Christina Michelle Anderson | Registered Nurse | 14850 Roscoe Blvd, Panorama City, CA 91402-4618 | 2019-09-20 |
| 1932752987 | Christina Anderson | Speech-Language Pathologist | 411 E Washington St, East Peoria, IL 61611-2663 | 2019-07-18 |
| 1346709813 | Christina Anderson | Registered Nurse | 1720 2nd Ave S, Birmingham, AL 35294-0004 | 2019-03-14 |
| 1427516541 | Christina Helen Anderson | Nurse Practitioner | 1400 S Arlington St Unit 38, Akron, OH 44306-3771 | 2019-03-07 |
| Street Address |
815 MAIN ST STE A |
| City | PEORIA |
| State | IL |
| Zip Code | 61602-1080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104928639 | Kelvin Earl Wynn | Family Medicine | 815 Main St Ste A, Peoria, IL 61602-1080 | 2006-09-04 |
| 1366963332 | Hanit Shah | Student in an Organized Health Care Education/Training Program | 815 Main St Ste A, Peoria, IL 61602-1080 | 2017-06-29 |
| 1578083887 | Andrew Noyce | Hospitalist | 815 Main St Ste A, Peoria, IL 61602-1080 | 2017-06-27 |
| 1982124137 | Balreet Kahlon | Student in an Organized Health Care Education/Training Program | 815 Main St Ste A, Peoria, IL 61602-1080 | 2017-06-20 |
| 1083134241 | Brenda Pecotte De Gonzalez | Student in an Organized Health Care Education/Training Program | 815 Main St Ste A, Peoria, IL 61602-1080 | 2017-06-20 |
| 1720508963 | Nathan Bates | Student in an Organized Health Care Education/Training Program | 815 Main St Ste A, Peoria, IL 61602-1080 | 2017-06-20 |
| 1437565561 | Taariq Goder | Family Medicine | 815 Main St Ste A, Peoria, IL 61602-1080 | 2014-07-09 |
| 1063828184 | Lauren Wallace | Family Medicine | 815 Main St Ste A, Peoria, IL 61602-1080 | 2014-07-09 |
| 1013323138 | Iram Yunus | Family Medicine | 815 Main St Ste A, Peoria, IL 61602-1080 | 2014-07-09 |
| 1700292828 | Prabhjot Singh | Family Medicine | 815 Main St Ste A, Peoria, IL 61602-1080 | 2014-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720574676 | Critical Care Rx, LLC | Pharmacy | 126 Oak St, Peoria, IL 61602 | 2018-07-03 |
| 1235675836 | Cheryl Beckman | Registered Nurse | 211 Fulton Street, Suite 207, One Technology Plaza, Peoria, IL 61602 | 2017-01-06 |
| 1063957942 | Rosemary Ince | Registered Nurse | 211 Fulton St. Suite 207, One Technology Plaza, Peoria, IL 61602 | 2016-12-30 |
| 1962674820 | Lisa Jean Burckhartzmeyer | Psychiatry & Neurology | 228 Ne Jefferson St, Peoria, IL 61602 | 2008-03-31 |
| 1669503587 | Jill Larson | Counselor | 330 Sw Washington Street, Peoria, IL 61602 | 2007-03-09 |
| 1265407399 | Cardiac Consultants Sc | Internal Medicine | 900 Main Street, Suite 320, Peoria, IL 61602 | 2006-02-22 |
| 1013364470 | Rafal Szymczuk | Student in an Organized Health Care Education/Training Program | 900 Main Street, Suite 720, Peoria, IL 61602 | 2016-05-16 |
| 1043693831 | Kari Beth Watts | Family Medicine | 815 Main St, Peoria, IL 61602 | 2015-06-30 |
| 1881072791 | Kristen Dent | Family Medicine | 815 Main St, Peoria, IL 61602 | 2015-05-12 |
| 1023422797 | Andrew Wang | Psychiatry & Neurology | 900 Main St Ste 580, Peoria, IL 61602 | 2014-06-20 |
| Find all providers in zip 61602 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821609751 | Amanda Ferreira | Student in an Organized Health Care Education/Training Program | 7421 W Shangri La Rd, Peoria, AZ 85345-5811 | 2020-08-13 |
| 1699396838 | Ashif Khaled Molla | Student in an Organized Health Care Education/Training Program | Osf St Francis Medical Center 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2020-04-28 |
| 1437779063 | Mena Henien | Student in an Organized Health Care Education/Training Program | 530 Ne Glen Oak Ave Bldg 5676, Peoria, IL 61637-0001 | 2020-04-23 |
| 1306465893 | Sarath Kumar Jaganathan Jaishankar | Student in an Organized Health Care Education/Training Program | 530 Ne Glenn Oak Avenue, Peoria, IL 61637-0001 | 2020-04-14 |
| 1952920522 | Phu Si Huynh | Student in an Organized Health Care Education/Training Program | 331 Fulton St Apt 302, Peoria, IL 61602-1436 | 2020-04-13 |
| 1730736604 | Gabriela C Isenia | Student in an Organized Health Care Education/Training Program | 9031 W Tonopah Dr, Peoria, AZ 85382-6445 | 2019-08-24 |
| 1831751643 | Noreen Khan | Student in an Organized Health Care Education/Training Program | 1501 W Coneflower Dr Apt 2212, Peoria, IL 61615-7465 | 2019-07-01 |
| 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 |
| Find all providers in PEORIA | ||||
Please comment or provide details below to improve the information on CHRISTINA ANDERSON.
| 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.