MS. DANNEILLE C TRUJILLO-HANSEN (NPI# 1538150107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538150107 |
| Entity Type | Individual |
| Full Name | MS. DANNEILLE C TRUJILLO-HANSEN |
| Other Name | DANNEILLE C HANSEN |
| Credential | APRNBC |
| Practice Address |
1506 Sioux Dr Marion IL 62959-5209 |
| Mailing Address |
109 California St Carterville IL 62918-1923 |
| Practice Telephone | 6189975270 |
| Practice Fax Number | 6189975029 |
| Mailing Telephone | 6189858221 |
| Mailing Fax Number | 6189856860 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2012-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
209004760 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
041223102 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 370966854011 | 05 | |
| IL | 370966854023 | 05 | |
| IL | MEDICARE RR | CF3444 | 01 |
| IL | LICENSE NUMBER | 04122312 | 01 |
| Street Address |
1506 SIOUX DR |
| City | MARION |
| State | IL |
| Zip Code | 62959-5209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306497052 | Shawnee Health Service and Development Corp | Clinic/Center | 1506 Sioux Dr, Marion, IL 62959-5209 | 2019-09-24 |
| 1063991206 | Holly Ann Gates | Nurse Practitioner | 1506 Sioux Dr, Marion, IL 62959 | 2018-08-08 |
| 1134582471 | Tiffany Todd | Social Worker | 1506 Sioux Dr, Marion, IL 62959-5209 | 2016-04-04 |
| 1770770133 | Nicky R Turner | Nurse Practitioner | 1506 Sioux Dr, Marion, IL 62959 | 2007-10-01 |
| 1205036696 | Michael W Adams | Clinic/Center | 1506 Sioux Dr, Marion, IL 62959-5209 | 2007-07-23 |
| 1528178860 | Kathryn Marie Mcmurphy | Physician Assistant | 1506 Sioux Dr, Marion, IL 62959-5209 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513486 | Sarah Benitone | Counselor | 11264 Il-37, Marion, IL 62959 | 2020-03-13 |
| 1528609328 | Patricia E Murphy | Radiology | 4503 1/2 W Deyoung, Suite 3a, Marion, IL 62959 | 2019-10-02 |
| 1366007007 | Centerstone of Illinois, Inc | Community/Behavioral Health | 202 S Bentley St, Marion, IL 62959 | 2019-05-08 |
| 1649752064 | Sydney Seiter | Occupational Therapist | 906 Skyline Suite 100, Marion, IL 62959 | 2018-09-01 |
| 1497279848 | Brooke Alisa Osman | Licensed Practical Nurse | 11531 Sunderland Road, Marion, IL 62959 | 2017-07-27 |
| 1912436429 | Joy L. Kee | Social Worker | 509 South Bentley Street, Marion, IL 62959 | 2017-06-08 |
| 1386181170 | Susan Smothers | Counselor | 1305 West Main Street, Marion, IL 62959 | 2017-01-31 |
| 1205280922 | Harish Kempegowda | Orthopaedic Surgery | 3331 W Deyoung St Ste 201, Marion, IL 62959 | 2016-04-19 |
| 1942609227 | Casey Hill | Social Worker | 1604 W. Walnut St., Marion, IL 62959 | 2014-08-22 |
| 1306252812 | Justin M White | Chiropractor | 1603 W Kimmel, Marion, IL 62959 | 2014-07-03 |
| Find all providers in zip 62959 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780233940 | Esperanza Clinic for Behavioral Health LLC | Clinical Nurse Specialist | 1100 W Northwest Hwy Ste 114, Mount Prospect, IL 60056-2272 | 2019-09-10 |
| 1194371104 | Pamela Sue Fassbinder | Clinical Nurse Specialist | 939 Galena Square Drive, Galena, IL 61036 | 2019-08-15 |
| 1245384239 | Lynette R Swedberg | Clinical Nurse Specialist | 760 Foxpointe Dr, Sycamore, IL 60178-3221 | 2007-01-23 |
| 1902996168 | Marsha Daniels Snyder | Clinical Nurse Specialist | Mile Square Health Center, 2045 W. Washington Blvd., Ihc, 2nd Floor, Family Medicine, Chicago, IL 60612 | 2006-10-16 |
| 1841225588 | Deena Alleria Nardi | Clinical Nurse Specialist | 200 Milburn Ave, Crete, IL 60417-2301 | 2006-07-11 |
| 1285187393 | Annette Halemeyer Mata | Clinical Nurse Specialist | 5841 S Maryland Ave, Mc 3077, B440, Chicago, IL 60637-1447 | 2016-07-26 |
| 1740694314 | Barbara Moran | Clinical Nurse Specialist | 3815 Highland Ave, N. Pavilion 2nd Floor, Downers Grove, IL 60515-1500 | 2014-06-11 |
| 1740596543 | Jean M Tucker | Clinical Nurse Specialist | 1375 E Schaumburg Rd, Suite 220, Schaumburg, IL 60194-5166 | 2010-08-31 |
| 1972744589 | Margaret A Hahn | Clinical Nurse Specialist | 919 N Plum Grove Rd, Suite C, Schaumburg, IL 60173-5144 | 2009-03-11 |
| 1003031576 | Alyson G Wolz | Clinical Nurse Specialist | 202 S. Pershing St., Goya Health, Ltd, Energy, IL 62933 | 2007-04-17 |
| Find all providers with the same taxonomy | ||||
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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.