NATE SANDROCK (NPI# 1477759108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477759108 |
Entity Type | Individual |
Full Name | NATE SANDROCK |
Practice Address |
325 Il Route 2 Dixon IL 61021-9118 |
Mailing Address |
8681 Hickory Hills Rd Rock Falls IL 61071-9556 |
Practice Telephone | 8152846611 |
Enumeration Date | 2007-06-21 |
Last Update Date | 2007-07-08 |
Gender Code | M |
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 |
Street Address |
325 IL ROUTE 2 |
City | DIXON |
State | IL |
Zip Code | 61021-9118 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922114115 | Sinnissippi Centers, Inc. | Voluntary or Charitable | 325 Il Route 2, Dixon, IL 61021-9118 | 2006-08-21 |
1669073987 | Stephanie Ann Raimonde | Counselor | 325 Il Route 2, Dixon, IL 61021-9118 | 2020-11-03 |
1134728934 | Holly Noel Muntean | Counselor | 325 Il Route 2, Dixon, IL 61021-9118 | 2020-10-22 |
1467069864 | Stephanie Reitzel | Social Worker | 325 Il Route 2, Dixon, IL 61021-9118 | 2020-09-29 |
1205442977 | Rebecca Rose Feick | Counselor | 325 Il Route 2, Dixon, IL 61021-9118 | 2020-09-18 |
1528672466 | Julie Lynn Kirchhoff | Counselor | 325 Il Route 2, Dixon, IL 61021-9118 | 2020-09-08 |
1558974576 | Lara Jean Petersen | Counselor | 325 Il Route 2, Dixon, IL 61021-9118 | 2020-08-28 |
1528671062 | Emily Sheaffer | Counselor | 325 Il Route 2, Dixon, IL 61021-9118 | 2020-08-25 |
1326665795 | Maryn E Palmer | Counselor | 325 Il Route 2, Dixon, IL 61021-9118 | 2020-07-01 |
1871124826 | Emily Marie Carroll | Licensed Practical Nurse | 325 Il Route 2, Dixon, IL 61021-9118 | 2020-01-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699331082 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1600 South Galena Ave, Dixon, IL 61021 | 2019-05-12 |
1285135590 | Richard Allen Sibert | Counselor | 325 Il Route 2,dixon Il, Dixon, IL 61021 | 2018-02-22 |
1518485432 | Madeline Luniewicz | Counselor | 325 Il-2, Dixon, IL 61021 | 2017-08-30 |
1669992566 | Nicole Marie Shaffer | Specialist/Technologist | 650 Reynoldswood Road, Dixon, IL 61021 | 2017-06-21 |
1346660446 | Lydia Sitter | Audiologist | 215 3. 1st Street, Suite 317, Ksb Medical Group, Dixon, IL 61021 | 2014-04-16 |
1053600080 | Janet I. Malmberg | Nurse Practitioner | 309 South Galena Ave, Suite 100, Dixon, IL 61021 | 2011-03-30 |
1376775262 | Kelly L Klein | Optometrist | 511 Palmyra Street, Ksb Eye & Vision Care, Dixon, IL 61021 | 2009-08-11 |
1013119106 | Michael Joseph Sarno | Physical Therapist | 401 E. First Street, Dixon, IL 61021 | 2007-06-01 |
1891905600 | Thomas G. Gehlbach | Internal Medicine | 215 E 1st St Ste 111, Dixon, IL 61021 | 2007-05-23 |
1699987230 | Sameer Jain | Family Medicine | 102 S. Hennepin Ave., Ksb Medical Group, Dixon, IL 61021 | 2007-05-04 |
Find all providers in zip 61021 |
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 |
---|---|---|---|---|
1225401482 | Skyla Strum | Student in an Organized Health Care Education/Training Program | 1097 Lost Nation Rd, Dixon, IL 61021-9519 | 2015-11-09 |
1093211955 | Maxwell Martin Hayden | Student in an Organized Health Care Education/Training Program | 215 E 1st St Ste 310, Dixon, IL 61021-3190 | 2018-03-31 |
1205088671 | Lisa M Denobriga | Student in an Organized Health Care Education/Training Program | 102 S Hennepin Ave, Dixon, IL 61021-3083 | 2008-10-16 |
1649428517 | Nadeem Muhammad Mian | Student in an Organized Health Care Education/Training Program | 102 S Hennepin Ave, Dixon, IL 61021-3083 | 2008-09-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134720436 | April Renee Gallik | Student in an Organized Health Care Education/Training Program | 8807 S 79th Ave Apt 18, Hickory Hills, IL 60457-1597 | 2020-11-03 |
1932709706 | Samantha Klosak | Student in an Organized Health Care Education/Training Program | 8144 Old Mill Rd, Frankfort, IL 60423-8675 | 2020-10-29 |
1508466624 | Carly Belle Mitchell | Student in an Organized Health Care Education/Training Program | 870 Appletree Ct, Northbrook, IL 60062-3402 | 2020-10-28 |
1144829813 | Payton Collins | Student in an Organized Health Care Education/Training Program | 5103 S Brookstone Dr, Rochelle, IL 61068-9131 | 2020-10-22 |
1821697830 | Mayuri Prashant Shende | Student in an Organized Health Care Education/Training Program | 2160 S. First Ave., Bldg. 105, Suite 2840a, Marywood, IL 60135 | 2020-10-21 |
1922607001 | Katherine Chen | Student in an Organized Health Care Education/Training Program | 2305 Mohawk Ln, Glenview, IL 60026-1035 | 2020-10-20 |
1922606995 | Cassia Yuechun Weigel | Student in an Organized Health Care Education/Training Program | 601 N Main St Apt 5s, Normal, IL 61761-1576 | 2020-10-13 |
1679171888 | Manuel J Ramirez | Student in an Organized Health Care Education/Training Program | 714 W Woodland Rd, Lake Bluff, IL 60044-1652 | 2020-10-12 |
1205443975 | Nickolas Armstrong | Student in an Organized Health Care Education/Training Program | 2828 N Pine Grove Ave Apt 618, Chicago, IL 60657-6137 | 2020-09-28 |
1871109496 | Morgan Elizabeth Westjohn | Student in an Organized Health Care Education/Training Program | 111 Mound St, Sainte Marie, IL 62459 | 2020-09-18 |
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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.