DEBRA J HAYDEN


Address: 70 Meadowview Ctr, Suite 300, Kankakee, IL 60901-2047
Phone: 8158020022

DEBRA J HAYDEN (NPI# 1528167103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528167103
Entity Type Individual
Full Name DEBRA J HAYDEN
Credential NP
Practice Address 70 Meadowview Ctr
Suite 300
Kankakee
IL 60901-2047
Practice Telephone 8158020022
Practice Fax Number 8158020011
Mailing Telephone 8158020022
Mailing Fax Number 8158020011
Enumeration Date 2006-09-21
Last Update Date 2015-10-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
209-003859 IL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL STATE LICENSE 20-9003859 01

Office Location

Street Address 70 MEADOWVIEW CTR
SUITE 300
City KANKAKEE
State IL
Zip Code 60901-2047

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518915388 Catherine R Koebel Specialist/Technologist 70 Meadowview Ctr, Kankakee, IL 60901-2047 2006-05-04
1437680402 Robert A. Raley Dpm Sc Podiatrist 70 Meadowview Ctr, Suite 401, Kankakee, IL 60901-2047 2017-03-22
1376979815 Lisa K Rounds Nurse Practitioner 70 Meadowview Ctr, Suite 300, Kankakee, IL 60901-2047 2013-09-16
1992092753 First Care Family Clinic, S.c. Family Medicine 70 Meadowview Ctr, Suite 200, Kankakee, IL 60901-2047 2011-06-30
1326225954 Leigh Elizabeth Sterling Pediatrics 70 Meadowview Ctr, Suite 300, Kankakee, IL 60901-2047 2008-01-25
1437211562 Robert Alan Raley Podiatrist 70 Meadowview Ctr, Suite 401, Kankakee, IL 60901-2047 2006-12-14
1861569170 Trapp Medical Associates, S.c. Pediatrics 70 Meadowview Ctr, Suite 303, Kankakee, IL 60901-2047 2006-11-29
1164511580 Harris Waheed Family Medicine 70 Meadowview Ctr, Suite 200, Kankakee, IL 60901-2047 2006-10-12
1629178264 Saadia A Zaheer Pediatrics 70 Meadowview Ctr, Suite 300, Kankakee, IL 60901-2047 2006-09-24
1629180666 Riverview Physicians, S.c. Internal Medicine 70 Meadowview Ctr, Suite 300, Kankakee, IL 60901-2047 2006-08-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558978841 William Mitsos Dds Dentist 1291 S. 7th Ave, Kankakee, IL 60901 2020-09-30
1922653682 Jody Mcguyer, Lcpc, Cadc Counseling Services, LLC Counselor 315 W. Court St., Kankakee, IL 60901 2019-08-08
1700346327 Sarah Elizabeth Toma Speech-Language Pathologist 200 E Court St #708, Kankakee, IL 60901 2019-03-20
1710473160 Small Talk Speech Services, LLC Clinic/Center 1439 W Vanmeter St, Kankakee, IL 60901 2018-07-09
1124538004 Amy J Green Physical Therapist 350 N. Wall Street, Kankakee, IL 60901 2017-10-05
1013457514 Elizabeth Ann Smith Registered Nurse 292 Charlton Lane, Kankakee, IL 60901 2017-03-02
1861931461 Stacey E. Brown Nurse Practitioner 207 N. Schuyler Ave., Kankakee, IL 60901 2017-02-15
1417352105 Provider Healthcare Services, Inc Home Health 555 South Schuyler, Suite 275, Kankakee, IL 60901 2014-10-24
1265850655 Ronald George Testa Dentist 202 N. Schuyler Ave, Kankakee, IL 60901 2014-04-02
1245587898 Mary Beth Wertz Registered Nurse 100 N Jeffery Street, Kankakee, IL 60901 2012-08-13
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376979815 Lisa K Rounds Nurse Practitioner 70 Meadowview Ctr, Suite 300, Kankakee, IL 60901-2047 2013-09-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1740881291 Sarah Zeigler Olsen Nurse Practitioner 600 S Randall Rd Ste 220, Algonquin, IL 60102-5937 2020-11-02
1467051151 Mallory Jo Brooks Nurse Practitioner 2306 E County Road 1800 N, Carthage, IL 62321-3101 2020-10-22
1508475294 Diedra M Ahlert Nurse Practitioner 1320 Lexington Dr, Collinsville, IL 62234-4348 2020-07-28
1679182802 Danielle L Shubert Nurse Practitioner 9423 Holy Cross Ln Ste 111, Breese, IL 62230-3510 2020-07-23
1154962900 Janna Hoppe Nurse Practitioner 24600 W 127th St Ste 345, Plainfield, IL 60585-9507 2019-10-02
1841858529 Katherine R Conkling Nurse Practitioner 4941 Benchmark Centre Dr Ste 100, Swansea, IL 62226-2038 2019-05-29
1942767280 Danielle R Wetzel Nurse Practitioner 2040 Ogden Ave Ste 215, Aurora, IL 60504-7205 2019-02-22
1669937231 Colleen Ann Larkin Nurse Practitioner 10939 S Troy St, Chicago, IL 60655-2211 2019-02-07
1568939684 Katelyn Marie Reed Nurse Practitioner 415 N 9th St Ste 4w64, Springfield, IL 62702-5303 2018-10-26
1255813218 Michelle Christine Bollinger Nurse Practitioner 415 N 9th St Ste 4w16, Springfield, IL 62702-5303 2018-09-05
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Competitor

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City KANKAKEE
Zip Code 60901

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Dataset Information

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.

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