TINA HALL (NPI# 1578039707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578039707 |
| Entity Type | Individual |
| Full Name | TINA HALL |
| Practice Address |
4107 S Water Tower Pl Mount Vernon IL 62864-6293 |
| Mailing Address |
2253 N Flamingo Ln Scheller IL 62883-3009 |
| Practice Telephone | 6182440031 |
| Practice Fax Number | 6182440056 |
| Mailing Telephone | 6183151757 |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2019-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 041.394076 | IL | Nursing Service Providers |
| N | 207N00000X | Dermatology | 209018461 | IL | Allopathic & Osteopathic Physicians |
| N | 363L00000X | Nurse Practitioner | 209018461 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.018461 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265762413 | Tina Teresa Hall | Nurse Practitioner | 29080 Marcus Ln, Highland, CA 92346-7763 | 2010-01-12 |
| 1942287743 | Tina D Hall | Nurse Practitioner | 1050 Freshour St, Ste A, Morristown, TN 37813-2210 | 2005-12-22 |
| 1114407392 | Tina Marie Hall | Counselor | 856 Texas Ave, Shreveport, LA 71101-3400 | 2018-08-17 |
| 1366848442 | Tina Hall | Nurse Practitioner | 3551 Roger Brooke Dr, Mche Qd (creds), Fort Sam Houston, TX 78234-4501 | 2014-11-17 |
| 1467663765 | Tina Andrea Hall | Social Worker | 1425 Starr Ave, Toledo, OH 43605-2456 | 2007-05-25 |
| 1932317625 | Tina Hall | Speech-Language Pathologist | 1518 Highway 71 Se, Mountainburg, AR 72946-3000 | 2007-05-18 |
| Street Address |
4107 S WATER TOWER PL |
| City | MOUNT VERNON |
| State | IL |
| Zip Code | 62864-6293 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215902986 | George T Nahass | Dermatology | 4107 S Water Tower Pl, Mount Vernon, IL 62864-6293 | 2006-02-17 |
| 1467955179 | United Skin Specialists Illinois Ltd, PC | Dermatology | 4107 S Water Tower Pl, Mount Vernon, IL 62864-6293 | 2018-03-09 |
| 1194225268 | United Skin Specialists Illinois Ltd, PC | Dermatology | 4107 S Water Tower Pl, Mount Vernon, IL 62864-6293 | 2018-02-15 |
| 1083015689 | Natalie Amason | Dermatology | 4107 S Water Tower Pl, Mount Vernon, IL 62864 | 2014-09-15 |
| 1669599841 | Skin Care Center of Southern Il LLC | Dermatology | 4107 S Water Tower Pl, Mount Vernon, IL 62864-6293 | 2007-03-23 |
| 1669559290 | Marilyn Stombaugh | Physician Assistant | 4107 S Water Tower Pl, Mount Vernon, IL 62864-6293 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438892 | Melissa Pryer | Dietitian, Registered | 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 | 2019-03-28 |
| 1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
| 1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
| 1871907790 | University Hematology Oncology Inc | Specialist | #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 | 2014-06-18 |
| 1457771677 | Dynamic Counseling and Consultation Services | Social Worker | 3600 S Water Tower Pl, Mt Vernon, IL 62864 | 2014-04-27 |
| 1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
| 1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
| 1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
| 1780978627 | Jamie M Orange | Physical Therapy Assistant | 19958 Fairfield Rd, Mt. Vernon, IL 62864 | 2011-06-08 |
| 1780978791 | Wendy Marie Claytor | Speech-Language Pathologist | 600 E Il Hwy 15, Mount Vernon, IL 62864 | 2011-06-07 |
| Find all providers in zip 62864 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003421066 | Amantha Theodore | Nurse Practitioner | 531 E Lincoln Ave Apt 4n, Mount Vernon, NY 10552-3743 | 2020-09-15 |
| 1093320392 | Ryan Michael Winder | Nurse Practitioner | 615 A Ave Se, Mount Vernon, IA 52314-1532 | 2020-09-14 |
| 1154969103 | Sarah Jacqueline Lim-dwyer | Nurse Practitioner | 1400 East Kincaid Street, Mount Vernon, WA 98274-4127 | 2019-12-19 |
| 1306481056 | Julie Marie Forbes-laborde | Nurse Practitioner | 27 Beekman Ave Apt 2, Mount Vernon, NY 10553-1491 | 2019-11-15 |
| 1447819305 | Gladys E Aideyan | Nurse Practitioner | 130 Stuyvesant Plz, Mount Vernon, NY 10552-1413 | 2019-06-13 |
| 1417467929 | Shernette T Suer | Nurse Practitioner | 105 Stevens Ave Ste 506, Mount Vernon, NY 10550-2683 | 2017-10-10 |
| 1194254946 | Amy Haibel | Nurse Practitioner | 206 S Mulberry St Ste B, Mount Vernon, OH 43050-3331 | 2017-06-06 |
| 1699216697 | Diana Mcnear | Nurse Practitioner | 421 S 3rd Ave, Mount Vernon, NY 10550-4507 | 2017-03-10 |
| 1598200867 | Vivienne Iona Bartley | Nurse Practitioner | 115 Primrose Avenue, Mount Vernon, NY 10552 | 2016-12-22 |
| 1144772955 | Tahiesha Tolbert | Nurse Practitioner | 153 Stevens Ave Ste 4, Mount Vernon, NY 10550-2543 | 2016-10-27 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 62864 |
Please comment or provide details below to improve the information on TINA HALL.
| 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.