MS. REGINA SUE BONNELL (NPI# 1568803237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568803237 |
| Entity Type | Individual |
| Full Name | MS. REGINA SUE BONNELL |
| Credential | LMT |
| Practice Address |
6905 E State St Rockford IL 61108-2692 |
| Mailing Address |
Po Box 6107 Rockford IL 61125-1107 |
| Practice Telephone | 8153974142 |
| Mailing Telephone | 8153974142 |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2013-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NATIONAL CERTIFIED IN THERAPEUTIC MASSAGE AND BODYWORK | 610557-11 | 01 | |
| IL | LICENSED MASSAGE THERAPIST | 227013896 | 01 |
| Street Address |
6905 E STATE ST |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61108-2692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093716318 | Medchoice Medical Center Ltd | Physical Therapist | 6905 E State St, Rockford, IL 61108-2692 | 2005-08-09 |
| 1598106031 | Kristine Ann Wold | Technician, Other | 6905 E State St, Rockford, IL 61108-2692 | 2013-07-12 |
| 1164863817 | Laura Lynn Andrews | Technician, Other | 6905 E State St, Rockford, IL 61108-2692 | 2013-07-10 |
| 1649611385 | Nelly Rathsamai | Technician, Other | 6905 E State St, Rockford, IL 61108-2692 | 2013-07-10 |
| 1063766285 | Brittany Nichole Jenkins | Technician, Other | 6905 E State St, Rockford, IL 61108-2692 | 2012-11-09 |
| 1225382443 | Jennifer Michelle Shull | Technician, Other | 6905 E State St, Rockford, IL 61108-2692 | 2012-11-09 |
| 1942554167 | Vanessa Michele Shabani | Technician, Other | 6905 E State St, Rockford, IL 61108-2692 | 2012-11-09 |
| 1750632543 | Erika Kristin Nordlof | Radiologic Technologist | 6905 E State St, Rockford, IL 61108-2692 | 2012-09-20 |
| 1871844662 | Katie Lynn Thornton | Radiologic Technologist | 6905 E State St, Rockford, IL 61108-2692 | 2012-09-20 |
| 1710237953 | Jenifer E. Johnson | Radiologic Technologist | 6905 E State St, Rockford, IL 61108-2692 | 2012-09-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952862617 | Isr Enterprises, Inc. | Homemaker | 129 Phelps Ave, Bldg 10, Ste 1008, Rockford, IL 61108 | 2019-03-26 |
| 1003306465 | Adrienne Nicole Black | Behavior Technician | 519 Woodland Dr, Woodland Dr, Rockford, IL 61108 | 2018-05-11 |
| 1184085201 | Integrative Healing Center, LLC | Clinic/Center | 6019 Fincham Drive, Rockford, IL 61108 | 2016-03-17 |
| 1730547936 | Perryville Dentist PC | Dentist | 845 S Perryville Rd, Unit 119, Rockford, IL 61108 | 2016-02-02 |
| 1023489853 | Nicole Ping Ticknor | Counselor | 433 S. Phelps Ave., Suite 2, Rockford, IL 61108 | 2015-10-20 |
| 1275940348 | Northwest Home Care, Inc. | Home Health | 1437 S. Bell School Road, Suite 7, Rockford, IL 61108 | 2014-07-21 |
| 1487072922 | Alecia Greenlee | Psychiatry & Neurology | Rosecrance Community Mental Health, 3815 Harrison Avenue, Rockford, IL 61108 | 2014-04-02 |
| 1871925446 | Maria Laura Gustafson | Interpreter | 3208 Wesleyan Ave., Rockford, IL 61108 | 2013-08-06 |
| 1346582822 | Joseph Peevey | Pathology | 5666 E State Street, Department of Pathology, Rockford, IL 61108 | 2013-03-21 |
| 1134466923 | James Henry Peck | Hearing Instrument Specialist | 2424 Charles St, Rockford, IL 61108 | 2013-01-14 |
| Find all providers in zip 61108 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447727698 | Kailyn Standiford | Technician, Other | 6900 Young Ave Ne, Rockford, MI 49341-9414 | 2018-10-25 |
| 1386127959 | Alexander Donovan | Technician, Other | 6090 Strathmoor Dr Ste 2, Rockford, IL 61107-5200 | 2018-09-10 |
| 1962953083 | Linda Leatherman | Technician, Other | 1360 Shaw Ct Ne, Rockford, MI 49341-9787 | 2016-10-24 |
| 1710433578 | Kelsey Warner | Technician, Other | 11375 Heintzelman Ave Ne, Rockford, MI 49341-9534 | 2016-08-31 |
| 1194175919 | Madison Levine | Technician, Other | 146 Glen Eagle Dr Ne, Rockford, MI 49341-1182 | 2016-06-13 |
| 1790131191 | Andrea Bray | Technician, Other | 6272 Arroyo Vista Dr Ne, Rockford, MI 49341-9487 | 2016-05-04 |
| 1598106031 | Kristine Ann Wold | Technician, Other | 6905 E State St, Rockford, IL 61108-2692 | 2013-07-12 |
| 1164863817 | Laura Lynn Andrews | Technician, Other | 6905 E State St, Rockford, IL 61108-2692 | 2013-07-10 |
| 1649611385 | Nelly Rathsamai | Technician, Other | 6905 E State St, Rockford, IL 61108-2692 | 2013-07-10 |
| 1063766285 | Brittany Nichole Jenkins | Technician, Other | 6905 E State St, Rockford, IL 61108-2692 | 2012-11-09 |
| Find all providers in ROCKFORD | ||||
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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.