MRS. MARA LAYNE BESSINE (NPI# 1508219361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508219361 |
| Entity Type | Individual |
| Full Name | MRS. MARA LAYNE BESSINE |
| Credential | NP-C |
| Practice Address |
235 E Penn Ave Roseville IL 61473-5006 |
| Mailing Address |
113 S Main St Sheffield IL 61361-9752 |
| Practice Telephone | 3094262128 |
| Practice Fax Number | 3094262455 |
| Mailing Telephone | 8154542811 |
| Mailing Fax Number | 8154542832 |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2020-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209014465 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
235 E PENN AVE |
| City | ROSEVILLE |
| State | IL |
| Zip Code | 61473-5006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922166347 | Ward Scott Jones | Dentist | 235 E Penn Ave, Roseville, IL 61473-0079 | 2006-12-05 |
| 1730788902 | Osf Healthcare System | Clinic/Center | 235 E Penn Ave, Roseville, IL 61473-5006 | 2020-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760562177 | Ronald Leonard | Family Medicine | 235 East Penn Avenue, Roseville, IL 61473 | 2006-10-17 |
| 1255344883 | Axlines Inc | Pharmacy | 125 North Main St, Roseville, IL 61473 | 2006-08-14 |
| 1710389077 | Brittni Zimmerman | Speech-Language Pathologist | 271 68th St, Roseville, IL 61473-9395 | 2014-09-18 |
| 1225079684 | 527 Capital Group | Skilled Nursing Facility | 145 S Chamberlain St, Roseville, IL 61473-9581 | 2006-06-09 |
| 1710201793 | Petersen Health Care Roseville LLC | Skilled Nursing Facility | 145 S Chamberlain St, Roseville, IL 61473-9581 | 2010-03-20 |
| 1336384338 | Daniel Edward Gall | Physical Therapy Assistant | 145 S Chamberlain St, Roseville, IL 61473-9581 | 2008-12-05 |
| 1801091301 | Amy B Huston IIi | Developmental Therapist | 560 S Main St, Roseville, IL 61473-9619 | 2007-06-15 |
| 1598833915 | Roseville Area Ambulance Svc | Ambulance | 571 State Highway 116, Roseville, IL 61473-9666 | 2006-12-01 |
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659996478 | Mary Ann Thomas | Nurse Practitioner | 1856 Hillmont Way, Roseville, CA 95661-5818 | 2020-06-08 |
| 1205465564 | Sonja Brockman | Nurse Practitioner | 2685 Long Lake Rd Ste 105, Roseville, MN 55113-1117 | 2020-04-07 |
| 1972162931 | Georgette Marie Aneed | Nurse Practitioner | 18303 E 10 Mile Rd Ste 100, Roseville, MI 48066-4989 | 2019-06-12 |
| 1710460282 | Gerlinda Marie Gordon | Nurse Practitioner | 28811 Felician St, Roseville, MI 48066-7442 | 2018-09-11 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1205342391 | Stephanie Ridgley | Nurse Practitioner | 108 Mcmindes Ct, Roseville, CA 95747-5853 | 2017-12-27 |
| 1285148528 | Hyacinth Joy Lumapas Cassion | Nurse Practitioner | 701 Pleasant Grove Blvd Ste 125, Roseville, CA 95678-6194 | 2017-11-23 |
| 1326565789 | Renee Suzette Hoelzeman | Nurse Practitioner | 18472 Meier St, Roseville, MI 48066 | 2017-08-27 |
| 1265960272 | Giovannina Dillon | Nurse Practitioner | 151 N Sunrise Ave Ste 1201, Roseville, CA 95661-2961 | 2017-06-02 |
| 1467802934 | Bethany Berryhill | Nurse Practitioner | 1410 Lorimer Way, Roseville, CA 95747-6036 | 2016-06-15 |
| Find all providers in ROSEVILLE | ||||
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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.