ALISA RENEE PRANTNER (NPI# 1629530043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629530043 |
Entity Type | Individual |
Full Name | ALISA RENEE PRANTNER |
Other Name | ALISA RENEE PONTARELLI |
Credential | APN, PMHNP-CS |
Practice Address |
1650 Moon Lake Blvd Hoffman Estates IL 60169-1010 |
Mailing Address |
315 N Beverly Ln Arlington Heights IL 60004-6242 |
Practice Telephone | 8004325005 |
Mailing Telephone | 8473400765 |
Enumeration Date | 2019-04-04 |
Last Update Date | 2019-06-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
209019075 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1650 MOON LAKE BLVD |
City | HOFFMAN ESTATES |
State | IL |
Zip Code | 60169-1010 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376578039 | Kwan Bo Jin | Psychiatry & Neurology | 1650 Moon Lake Blvd, Att: Dr Jin, Hoffman Estates, IL 60194-1010 | 2006-07-11 |
1134754815 | Sarah Louise Briley | Counselor | 1650 Moon Lake Blvd, Hoffman Estates, IL 60169-1010 | 2020-03-03 |
1093352080 | Jennifer Jedrzejczak | Psychologist | 1650 Moon Lake Blvd, Hoffman Estates, IL 60169-1010 | 2019-12-09 |
1770141319 | Alice Nicole Schruba | Psychologist | 1650 Moon Lake Blvd, Hoffman Estates, IL 60169-1010 | 2019-05-29 |
1780159996 | Jessica Lynn Vogt | Nurse Practitioner | 1650 Moon Lake Blvd, Hoffman Estates, IL 60169-1010 | 2018-10-04 |
1003323114 | Sevil Arin | Counselor | 1650 Moon Lake Blvd, Hoffman Estates, IL 60169-1010 | 2018-01-10 |
1053657270 | Kimberly Ann Mulvey | Nurse Practitioner | 1650 Moon Lake Blvd, Hoffman Estates, IL 60169-1010 | 2012-12-15 |
1346549193 | Carla Ferguson | Nurse Practitioner | 1650 Moon Lake Blvd, Hoffman Estates, IL 60169-1010 | 2011-03-18 |
1417267832 | Heather L Finnegan | Nurse Practitioner | 1650 Moon Lake Blvd, Hoffman Estates, IL 60169-1010 | 2010-10-19 |
1407187115 | Janet D Childs | Registered Nurse | 1650 Moon Lake Blvd, Hoffman Estates, IL 60169-1010 | 2010-01-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538639109 | Kathryn Grace Simpson | Behavioral Analyst | 2500 W Higgins Rd Suite 870, Hoffman Estates, IL 60169 | 2018-11-27 |
1821507195 | Anna Catsaros | Speech-Language Pathologist | 1030 W. Higgins Road, Hoffman Estates, IL 60169 | 2017-09-29 |
1831628908 | Htgr, Ltd | Dentist | 2200 N. Higgins Rd, Ste 335, Hoffman Estates, IL 60169 | 2017-06-12 |
1023541521 | Tamara M Nowak | Counselor | 2455 Dean St., Suite 3g, St. Charles, IL 60169 | 2017-04-11 |
1275995813 | Eraj Din | Pediatrics | 2500 W Higgins Rd Ste 440, Hoffman Estates, IL 60169 | 2016-03-23 |
1871965764 | Hameed U. Baig | Family Medicine | 1446 Della Drive, Hoffman Estates, IL 60169 | 2015-10-30 |
1316365620 | Eye See Optical Inc. | Clinical Medical Laboratory | 1071 W. Golf Rd., Hoffman Estates, IL 60169 | 2014-04-03 |
1093132284 | Elizabeth Sita | Psychiatry & Neurology | 1786 Moon Lake Blvd Ste 104, Hoffman Estates, IL 60169 | 2014-03-25 |
1881017895 | Katie Forsythe | Counselor | 990 Grand Canyon Pkwy Ste 420, Hoffman Estates, IL 60169 | 2014-01-27 |
1831447432 | Suma Karandikar | Counselor | 2500 W Higgins Rd Ste 570, Hoffman Estates, IL 60169 | 2012-08-29 |
Find all providers in zip 60169 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801376744 | Morgan Leigh Probst | Nurse Practitioner | 1786 Moon Lake Blvd Ste 104, Hoffman Estates, IL 60169-1016 | 2018-08-20 |
1386162238 | Susy Wanjiro Ojwang | Nurse Practitioner | 1786 Moon Lake Blvd Ste 104, Hoffman Estates, IL 60169-1016 | 2017-08-30 |
1205207925 | Huong Iodice | Nurse Practitioner | 1786 Moon Lake Blvd, Suite 104, Hoffman Estates, IL 60169-5029 | 2015-10-08 |
1982020087 | Vincent Donlon | Nurse Practitioner | 1786 Moon Lake Blvd, Suite 104, Hoffman Estates, IL 60169-5029 | 2014-03-13 |
1346543832 | Stacey N. Paul | Nurse Practitioner | 1786 Moon Lake Blvd, Suite 104, Hoffman Estates, IL 60169-5029 | 2010-12-06 |
1063420230 | Karen S Dicken | Nurse Practitioner | 1786 Moon Lake Blvd, #104, Hoffman Estates, IL 60169-5029 | 2006-08-04 |
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1790384451 | Ghea Tiping Degillo | Nurse Practitioner | 4711 Golf Rd Ste 500, Skokie, IL 60076-1208 | 2020-10-22 |
1750989620 | Rodney J Pena Jr. | Nurse Practitioner | 1362 Trotters Ln, Bourbonnais, IL 60914-4519 | 2020-10-13 |
1609482231 | Crystal Lynn Jordan | Nurse Practitioner | 638 Oakbrook Ave, Chatham, IL 62629 | 2020-09-18 |
1497369672 | Mojisola Abayemi Akinfe | Nurse Practitioner | 8572 Stone Creek Blvd, Frankfort, IL 60423-9338 | 2020-09-03 |
1508475039 | Hilary Eichie | Nurse Practitioner | 20025 Division St., Crest Hill, IL 60403 | 2020-07-30 |
1518585942 | Tabs Behavioral Health Inc | Nurse Practitioner | 13316 Vicarage Dr, Plainfield, IL 60585-5050 | 2020-07-13 |
1154946788 | Latisha Trenice Stennis | Nurse Practitioner | 8106 Carol Dr, East Saint Louis, IL 62203-1838 | 2020-06-09 |
1114549755 | Maria Andreea Bordeianu | Nurse Practitioner | 6050 N California Ave, Chicago, IL 60659-3916 | 2020-05-16 |
1104448968 | Abosede Rachel Babalola | Nurse Practitioner | 2214 Monarch St, Bourbonnais, IL 60914-2780 | 2020-05-14 |
1659909406 | Mudira Temilola Oyewole | Nurse Practitioner | 493 Leslie Ct, Des Plaines, IL 60016-8818 | 2020-03-28 |
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City | HOFFMAN ESTATES |
Zip Code | 60169 |
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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.