LATISHA KANIKA ANAMI (NPI# 1629481411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629481411 |
| Entity Type | Individual |
| Full Name | LATISHA KANIKA ANAMI |
| Credential | PA-C |
| Practice Address |
1530 N Randall Rd Ste 210 Elgin IL 60123-7879 |
| Mailing Address |
6400 Industrial Loop Greendale WI 53129-2452 |
| Practice Telephone | 2247607322 |
| Mailing Telephone | 4148584106 |
| Mailing Fax Number | 4144234134 |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2018-11-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
085005005 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1530 N RANDALL RD STE 210 |
| City | ELGIN |
| State | IL |
| Zip Code | 60123-7879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003802281 | Merrie Viscarra | Physical Medicine & Rehabilitation | 1530 N Randall Rd Ste 210, Elgin, IL 60123-7879 | 2005-09-23 |
| 1548726912 | Daniel Joseph Ritz | Nurse Practitioner | 1530 N Randall Rd Ste 210, Elgin, IL 60123-7879 | 2019-02-11 |
| 1699263731 | Tracy Shadley | Nurse Practitioner | 1530 N Randall Rd Ste 210, Elgin, IL 60123-7879 | 2018-04-24 |
| 1356711584 | William Larsen | Physician Assistant | 1530 N Randall Rd Ste 210, Elgin, IL 60123-7879 | 2015-09-30 |
| 1164845152 | Elizabeth Jarrin | Nurse Practitioner | 1530 N Randall Rd Ste 210, Elgin, IL 60123-7879 | 2014-01-27 |
| 1184987497 | Jennifer K Barham | Nurse Practitioner | 1530 N Randall Rd Ste 210, Elgin, IL 60123-7879 | 2012-06-21 |
| 1487910121 | Sondra L Krahel | Registered Nurse | 1530 N Randall Rd Ste 210, Elgin, IL 60123 | 2012-04-06 |
| 1730342593 | Neil Kishor Patel | Physical Medicine & Rehabilitation | 1530 N Randall Rd Ste 210, Elgin, IL 60123-7879 | 2008-07-02 |
| 1396922936 | Judith M Rossbach | Physician Assistant | 1530 N Randall Rd Ste 210, Elgin, IL 60123 | 2008-01-25 |
| 1942372537 | Jason J Graf | Physician Assistant | 1530 N Randall Rd Ste 210, Elgin, IL 60123-7879 | 2006-11-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625736 | Edna Lopez | Social Worker | 1140 N. Mclean Blvd #1, Elgin, IL 60123 | 2019-08-22 |
| 1003472259 | Katelyn Lee O'connell | Counselor | 695 S. Sate Street, Elgin, IL 60123 | 2019-05-14 |
| 1598235152 | Katie Elizabeth Dwyer | Counselor | 695 S. State Street, Elgin, IL 60123 | 2018-11-27 |
| 1174002778 | James M Accetta | Counselor | 52 Surry Drive, Elgin, IL 60123 | 2018-08-14 |
| 1770086175 | Griswold Home Care | Adult Companion | 707 A Davis Road, Suite 203, Elgin, IL 60123 | 2018-03-12 |
| 1003315706 | Danielle Bryant | Nurse Practitioner | 745 Fletcher Dr Ste 101, Elgin, IL 60123 | 2018-02-08 |
| 1912421470 | Deborah Foshager | Counselor | 680 Shenandoah Trail, Elgin, IL 60123 | 2017-07-26 |
| 1760903470 | Miguel Camargo | Specialist/Technologist | 12 N Aldine St, Elgin, IL 60123 | 2017-07-03 |
| 1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
| 1649719618 | Faheem Unisa Syed | Clinical Nurse Specialist | 1990 Larkin Ave., Elgin, IL 60123 | 2017-02-23 |
| Find all providers in zip 60123 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427367978 | Courtney A Papciak | Physician Assistant | 1990 Larkin Ave Ste 3, Elgin, IL 60123-5827 | 2010-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169522 | Priority Assist Pllc | Physician Assistant | 48 Glenda Ln, Plano, IL 60545-9652 | 2020-09-23 |
| 1154944478 | Diana Goldak | Physician Assistant | 3855 N Parkway Dr Apt 3a, Northbrook, IL 60062-7218 | 2020-05-20 |
| 1033742580 | Colleen Courtney | Physician Assistant | 218 S Driftwood Trl, Mchenry, IL 60050-5454 | 2020-02-12 |
| 1326678962 | Nina Kodros | Physician Assistant | 301 Madison St Ste 280, Joliet, IL 60435-6672 | 2020-01-23 |
| 1689218190 | Jennifer Richman | Physician Assistant | 1890 Silver Cross Blvd Ste 410, New Lenox, IL 60451-9547 | 2019-10-29 |
| 1710547625 | Nadia Khan | Physician Assistant | 4543 N Malden St Apt 1s, Chicago, IL 60640-5687 | 2019-06-13 |
| 1962065516 | Jorge Mantilla | Physician Assistant | 5540 N Kimball Ave Apt 3e, Chicago, IL 60625-4674 | 2019-04-18 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1770041949 | Laura Ann Ryan | Physician Assistant | 840 S Wood St Ste 417, Chicago, IL 60612-4325 | 2019-03-06 |
| 1548739782 | Helen Finke | Physician Assistant | 880 W Central Rd Ste 3300, Arlington Heights, IL 60005-2366 | 2018-11-16 |
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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.