MRS. KELLIE J GIBBONS (NPI# 1609173434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609173434 |
| Entity Type | Individual |
| Full Name | MRS. KELLIE J GIBBONS |
| Other Name | KELLIE J MEYER |
| Credential | ANP-BC |
| Practice Address |
650 W State Street Winnebago County Jail Medical Unit Rockford IL 61102-0000 |
| Practice Telephone | 8153196630 |
| Practice Fax Number | 8159626425 |
| Mailing Telephone | 8153196630 |
| Mailing Fax Number | 8159626425 |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2011-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 041335792 | IL | Nursing Service Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
209008646 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RN LICENSE | 041335792 | 01 |
| Street Address |
650 W STATE STREET WINNEBAGO COUNTY JAIL MEDICAL UNIT |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61102-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205115383 | Renee Lynn Keeney | Advanced Practice Midwife | 1200 W. State Street, Crusader Community Health, Rockford, IL 61102 | 2011-08-08 |
| 1689895906 | Linda Lou O'reilly | Local Education Agency (LEA) | 1515 S. Meridian Road, Rockford, IL 61102 | 2007-05-02 |
| 1801012992 | Jennifer Anne Boyd | Developmental Therapist | Nia 1515 S. Meridian Rd., Rockford, IL 61102 | 2007-04-17 |
| 1447751623 | Cynthia Uwase | Dentist | 1200 W State St, Rockford, IL 61102 | 2018-02-23 |
| 1033591847 | Jithinraj Edakkanambeth Varayil | Family Medicine | 1200 W State St, Rockford, IL 61102 | 2015-06-29 |
| 1194106849 | Naomi Thompson | Family Medicine | 1200 W State St, Rockford, IL 61102 | 2015-06-17 |
| 1811377617 | Serene Antoinette Bethune | Family Medicine | 1200 W State St, Rockford, IL 61102 | 2015-06-05 |
| 1013188408 | Gary Patrick Fernando | Pediatrics | 1200 W State St, Rockford, IL 61102 | 2008-03-13 |
| 1265602130 | Martin A Ganan | Pharmacist | 1200 W State St, Pharmacy, Rockford, IL 61102 | 2008-03-07 |
| 1275708752 | Mercy Ambulance Service LLC | Ambulance | 1025 Campton Dr, Rockford, IL 61102-1066 | 2008-04-25 |
| Find all providers in zip 61102 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902436504 | Sonia Lanier Eichstaedt | Registered Nurse | 5584 Tasselbury Close, Rockford, IL 61114-4983 | 2020-01-22 |
| 1790320737 | Beth Ann Todd | Registered Nurse | 1068 Olympia Ln, Rockford, IL 61108-4497 | 2019-11-13 |
| 1851862676 | Gladys Kerubo Machogu | Registered Nurse | 7085 Sterling Dr, Rockford, MN 55373-4588 | 2018-12-06 |
| 1700365137 | Stephanie L Bertram | Registered Nurse | 815 Marchesano Dr, Rockford, IL 61102-3521 | 2018-08-07 |
| 1912407966 | Carrie Ann Adamany | Registered Nurse | 703 Larkfield Cir, Rockford, IL 61107-3553 | 2018-02-16 |
| 1417486663 | Tracy A Stevens | Registered Nurse | 1401 E State St Fl 2, Rockford, IL 61104-2315 | 2017-06-09 |
| 1770021271 | Sally Fricke | Registered Nurse | 7520 Larwinn Dr, Rockford, IL 61107-5221 | 2017-02-03 |
| 1912300369 | Noel N. Kamal | Registered Nurse | 5668 E State St Ste 1000, Rockford, IL 61108-2464 | 2014-09-30 |
| 1386982346 | Heidi Marie Jost | Registered Nurse | 5438 Inverness Dr, Rockford, IL 61107-3768 | 2013-01-26 |
| 1134404601 | Rizalyn Andres | Registered Nurse | 720 Arnold Ave, Rockford, IL 61108-2322 | 2011-10-17 |
| 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.