MISS KATHY S MOSSMAN (NPI# 1518068691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518068691 |
| Entity Type | Individual |
| Full Name | MISS KATHY S MOSSMAN |
| Credential | LPN |
| Practice Address |
1306 Maple St Doctors Clinic Eldorado IL 62930 |
| Mailing Address |
Po Box 155 Rea Clinic Christopher IL 62822 |
| Practice Telephone | 6182732360 |
| Mailing Telephone | 6187242401 |
| Mailing Fax Number | 6187242571 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | IL | Nursing Service Providers |
| Street Address |
1306 MAPLE ST DOCTORS CLINIC |
| City | ELDORADO |
| State | IL |
| Zip Code | 62930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902886583 | Christopher Greater Area Rural Health Planning Corp | Family Medicine | 1306 Maple St, Doctors Clinic, Eldorado, IL 62930 | 2006-01-19 |
| 1346711553 | Meghan A Mitchell | Nurse Practitioner | 1306 Maple St, Eldorado, IL 62930-1662 | 2018-12-16 |
| 1194207258 | Caitlyn E Karns | Nurse Practitioner | 1306 Maple St, Eldorado, IL 62930 | 2018-09-05 |
| 1124561394 | Emily E Goemaat | Nurse Practitioner | 1306 Maple St, Eldorado, IL 62930-1662 | 2016-11-21 |
| 1154691319 | Casey L Carlile | Nurse Practitioner | 1306 Maple St, Eldorado, IL 62930 | 2012-01-05 |
| 1013299395 | Ferrell Hospital Community Foundation | Clinic/Center | 1306 Maple St, Eldorado, IL 62930-1662 | 2011-09-13 |
| 1306074042 | Ferrell Hospital Family Practice | Clinic/Center | 1306 Maple St, Eldorado, IL 62930-1662 | 2009-07-01 |
| 1457586620 | Ferrell Hospital Community Foundation | General Practice | 1306 Maple St, Eldorado, IL 62930-1662 | 2009-05-18 |
| 1922259993 | Linda Redick | Physician Assistant | 1306 Maple St, Eldorado, IL 62930-1662 | 2008-10-08 |
| 1265592455 | Jason D Churchill | Physician Assistant | 1306 Maple St, Eldorado, IL 62930-1662 | 2006-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164951802 | Jeanette Long X | Licensed Practical Nurse | 70 Alexander St, Eldorado, IL 62930 | 2017-06-07 |
| 1720510514 | Mckayla Addison Wren | Counselor | 1412 Us. 45n, Eldorado, IL 62930 | 2017-03-30 |
| 1407394901 | Melody Jo Smith | Licensed Practical Nurse | 2260 Raleigh Road, Eldorado, IL 62930 | 2017-02-03 |
| 1205250412 | Becks Long Term Care Pharmacy Inc | Pharmacy | 1413 Locust Street, Eldorado, IL 62930 | 2014-02-07 |
| 1346559283 | Danny Ray Phillips | Pharmacist | 1021 Us Hwy 45 North, Eldorado, IL 62930 | 2010-09-27 |
| 1447434477 | Elana Ruth Floyd-kennett | Social Worker | 1007 Route 45, Eldorado, IL 62930 | 2007-12-27 |
| 1417150376 | Luke Tyler Hall | Family Medicine | 1407 Locust St, Eldorado, IL 62930 | 2007-06-07 |
| 1134320039 | Eldorado Community Unit School District #4 | Local Education Agency (LEA) | 1040 Washington, Eldorado, IL 62930 | 2007-05-29 |
| 1013071026 | Marion Eye Centers Ltd. | Durable Medical Equipment & Medical Supplies | 1204 U.S. 45 N., Eldorado, IL 62930 | 2006-12-21 |
| 1467536557 | Debra Dian Rumsey | Licensed Practical Nurse | 607 4th Street, Eldorado Rural Health Clinic, Eldorado, IL 62930 | 2006-10-25 |
| Find all providers in zip 62930 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651829 | Walker Lee Shavez | Licensed Practical Nurse | 420 Goolsby Rd, Eldorado, IL 62930-3647 | 2018-12-30 |
| 1164951802 | Jeanette Long X | Licensed Practical Nurse | 70 Alexander St, Eldorado, IL 62930 | 2017-06-07 |
| 1740728674 | Katie Rawlings | Licensed Practical Nurse | 72 Alexander St, Eldorado, IL 62930-3390 | 2017-02-11 |
| 1184162273 | Alexandra Jean Barton | Licensed Practical Nurse | 405 Country Acres Ln, Eldorado, IL 62930-3430 | 2017-02-08 |
| 1407394901 | Melody Jo Smith | Licensed Practical Nurse | 2260 Raleigh Road, Eldorado, IL 62930 | 2017-02-03 |
| 1114182417 | Joann O Overholser | Licensed Practical Nurse | 351 Maple St., Eldorado, OH 45321-0176 | 2008-07-25 |
| 1467536557 | Debra Dian Rumsey | Licensed Practical Nurse | 607 4th Street, Eldorado Rural Health Clinic, Eldorado, IL 62930 | 2006-10-25 |
| 1902989429 | Barbara L Kreps | Licensed Practical Nurse | 6007 4th Street, Eldorado Rural Health Clinic, Eldorado, IL 62930 | 2006-10-21 |
| 1386727808 | Brigitte D Browning | Licensed Practical Nurse | B06 Maple Street, Doctors Clinic, Eldorado, IL 62930 | 2006-10-21 |
| 1881795953 | Vickie L Bowers | Licensed Practical Nurse | 1306 Maple, Doctors Clinic, Eldorado, IL 62930 | 2006-09-25 |
| Find all providers in ELDORADO | ||||
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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.