PAMELA MADDEN (NPI# 1518419233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518419233 |
| Entity Type | Individual |
| Full Name | PAMELA MADDEN |
| Credential | FNP |
| Practice Address |
100 Ne Randolph Ave Peoria IL 61606-1919 |
| Mailing Address |
1577 2575th St Atlanta IL 61723-9345 |
| Practice Telephone | 3096248500 |
| Practice Fax Number | 3096248544 |
| Mailing Telephone | 3098387879 |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2016-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209014668 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639174329 | Pamela M Madden | Advanced Practice Midwife | 9000 N Main St, Suite 234, Dayton, OH 45415-1180 | 2005-06-17 |
| Street Address |
100 NE RANDOLPH AVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61606-1919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942220819 | Carrie A. Randell | Physical Therapist | 100 Ne Randolph Ave, Peoria, IL 61606-1919 | 2006-07-20 |
| 1497271035 | Ashley Nicole Workman | Nurse Practitioner | 100 Ne Randolph Ave, Peoria, IL 61606-1919 | 2017-08-15 |
| 1922544287 | Michael Holloway | Physical Therapist | 100 Ne Randolph Ave, Peoria, IL 61606-1919 | 2017-01-11 |
| 1710423033 | Lauren Raube | Physical Therapist | 100 Ne Randolph Ave, Peoria, IL 61606-1919 | 2017-01-10 |
| 1316482912 | Meredith Burd | Occupational Therapist | 100 Ne Randolph Ave, Peoria, IL 61606-1919 | 2017-01-05 |
| 1942745120 | Brittany Heidemann | Speech-Language Pathologist | 100 Ne Randolph Ave, Peoria, IL 61606-1919 | 2016-12-27 |
| 1063885556 | Jenny Wagner | Nurse Practitioner | 100 Ne Randolph Ave, Peoria, IL 61606-1919 | 2015-11-05 |
| 1164813515 | Connie E. Zurski | Nurse Practitioner | 100 Ne Randolph Ave, Peoria, IL 61606-1919 | 2015-02-06 |
| 1932505302 | Sally N. Coyle | Nurse Practitioner | 100 Ne Randolph Ave, Peoria, IL 61606-1919 | 2014-11-13 |
| 1356766786 | Vahid Tohidi | Psychiatry & Neurology | 100 Ne Randolph Ave, Peoria, IL 61606-1919 | 2014-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194292334 | Kelley Stork | Speech-Language Pathologist | 807 W Columbia Terrace, Peoria, IL 61606 | 2018-10-25 |
| 1689140519 | Emma Cristine Tully | Speech-Language Pathologist | 1619 W. Fredonia Ave, Peoria, IL 61606 | 2018-10-18 |
| 1316492432 | Jennifer Greenwood | Nurse Practitioner | 1001 Main St Ste 500a, Peoria, IL 61606 | 2016-08-18 |
| 1104944974 | Robert I Martin | Preventive Medicine | 1127 N North Street, Peoria, IL 61606 | 2007-03-27 |
| 1023062312 | Saint Francis Medical Center | Physical Medicine & Rehabilitation | 100 Ne Randoph Street, Peoria, IL 61606 | 2006-05-20 |
| 1174573307 | Cpo Services, Inc | Prosthetic/Orthotic Supplier | 741 West Main Street, Peoria, IL 61606 | 2006-05-10 |
| 1174025357 | Amy M Durst | Nurse Practitioner | 1001 Main St Ste 500a, Peoria, IL 61606 | 2018-03-05 |
| 1538471099 | Jacob Royle Hopping | Surgery | 1001 Main St Ste 300, Peoria, IL 61606 | 2010-07-12 |
| 1881906410 | Heather Jefford | Clinical Nurse Specialist | 1001 Main St, 3rd Floor, Peoria, IL 61606 | 2010-07-12 |
| 1306874128 | David L Crawford | Surgery | 1001 Main Street, Suite 300, Peoria, IL 61606 | 2006-06-29 |
| Find all providers in zip 61606 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295541 | Britney Julia Durst | Nurse Practitioner | 5905 N Prospect Rd, Peoria, IL 61614-4311 | 2020-11-07 |
| 1598362980 | Courtney Klein | Nurse Practitioner | 1306 N. Berkley Ave, Peoria, IL 61603 | 2020-10-08 |
| 1699390039 | Steven Joel Schlink | Nurse Practitioner | 12920 W Roy Rogers Rd, Peoria, AZ 85383-5334 | 2020-06-11 |
| 1457986929 | Chanelle Christine Maclin | Nurse Practitioner | 504 E Kansas St, Peoria, IL 61603-2554 | 2020-03-05 |
| 1225677495 | Michelle Chacon | Nurse Practitioner | 23201 N 87th Dr, Peoria, AZ 85383-1860 | 2020-01-05 |
| 1689218042 | Patricia Nwakaego Ayemoba | Nurse Practitioner | 16018 N 74th Dr, Peoria, AZ 85382-1810 | 2019-10-29 |
| 1144877267 | Eunice Wright | Nurse Practitioner | 26826 N 85th Dr, Peoria, AZ 85383-3624 | 2019-08-22 |
| 1861057507 | Shawnee Renee Fudurich | Nurse Practitioner | 10230 W Happy Valley Pkwy Ste 100, Peoria, AZ 85383-4255 | 2019-05-08 |
| 1265096895 | Razel Espiritu Hernandez | Nurse Practitioner | 25435 N 115th Ave, Peoria, AZ 85383-9789 | 2019-04-29 |
| 1619435310 | Jennifer Gayle Ries-clark | Nurse Practitioner | 8009 W Salter Dr, Peoria, AZ 85382-4440 | 2019-03-12 |
| Find all providers in PEORIA | ||||
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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.