REBECCA LYNN HARRIS (NPI# 1669022182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669022182 |
| Entity Type | Individual |
| Full Name | REBECCA LYNN HARRIS |
| Practice Address |
50 Northgate Industrial Dr Granite City IL 62040-6805 |
| Mailing Address |
Po Box 52 Saint Jacob IL 62281-0052 |
| Practice Telephone | 6189784487 |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2019-12-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.019266 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
209019266 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417405077 | Rebecca Welch Harris | Physical Therapist | 1827 Autumn Bluff Rd, Knoxville, TN 37932-1584 | 2016-09-13 |
| 1861868408 | Rebecca Harris | Nurse Practitioner | 49 Montvieu Ct, Cockeysville, MD 21030-2648 | 2015-08-18 |
| 1356723969 | Rebecca Harris | Internal Medicine | 3722 S Harlem Ave Ste Ll34, Riverside, IL 60546 | 2015-06-19 |
| 1851521041 | Rebecca Schleter Harris | Optometrist | 125 Collin Dr, Harrodsburg, KY 40330-1168 | 2009-07-22 |
| 1871621441 | Rebecca Lyn Harris | Occupational Therapist | 5484 S Michigan Ave, Springfield, MO 65810-2695 | 2007-03-02 |
| 1629014352 | Rebecca Harris | Nurse Practitioner | 1890 Al Highway 157 Ste 300, Cullman, AL 35058-0689 | 2006-06-21 |
| 1659986248 | Rebecca Lynn Harris | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-09-10 |
| 1386292076 | Rebecca Harris | Occupational Therapist | 1034 N 500 W, Provo, UT 84604-3380 | 2019-08-27 |
| 1033767876 | Rebecca Ann Harris | Social Worker | 90 E 200 N, Logan, UT 84321-4034 | 2019-08-26 |
| 1164076139 | Rebecca Harris | Behavior Technician | 5 Revere Dr Ste 120, Northbrook, IL 60062-8005 | 2019-07-29 |
| Street Address |
50 NORTHGATE INDUSTRIAL DR |
| City | GRANITE CITY |
| State | IL |
| Zip Code | 62040-6805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619921665 | Chestnut Health Systems Inc | Community Based Residential Treatment Facility, Mental Illness | 50 Northgate Industrial Dr, Granite City, IL 62040-6805 | 2006-05-22 |
| 1881207884 | Laura Beth Marcum | Social Worker | 50 Northgate Industrial Dr, Granite City, IL 62040-6805 | 2020-08-28 |
| 1063023943 | Min Shin | Social Worker | 50 Northgate Industrial Dr, Granite City, IL 62040-6805 | 2020-08-13 |
| 1184244261 | Lisa M Saunders | Social Worker | 50 Northgate Industrial Dr, Granite City, IL 62040-6805 | 2020-04-20 |
| 1487280616 | Haley Staats | Counselor | 50 Northgate Industrial Dr, Granite City, IL 62040-6805 | 2020-03-19 |
| 1861027724 | Anne Marie Calvert | Counselor | 50 Northgate Industrial Dr, Granite City, IL 62040-6805 | 2020-03-11 |
| 1447883954 | Lori Epley | Social Worker | 50 Northgate Industrial Dr, Granite City, IL 62040-6805 | 2020-02-13 |
| 1487286720 | John Ritcheson | Counselor | 50 Northgate Industrial Dr, Granite City, IL 62040-6805 | 2020-02-05 |
| 1235779208 | Candyce Hurd | Counselor | 50 Northgate Industrial Dr, Granite City, IL 62040-6805 | 2020-01-08 |
| 1841838737 | Kate E Timmermann | Social Worker | 50 Northgate Industrial Dr, Granite City, IL 62040-6805 | 2019-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043736705 | Christine S Bieniecki Canada | Speech-Language Pathologist | 2300 West 25th St, Granite City, IL 62040 | 2017-08-15 |
| 1881085819 | James Watson | Counselor | 50 Northgate Industrial Drive, Granite City, IL 62040 | 2015-02-12 |
| 1518208719 | Chestnut Health Systems | Clinic/Center | 110 Northagte Industrial Drive, Granite City, IL 62040 | 2013-03-13 |
| 1952651697 | Victor Manuel Pinones | Dentist | 2130 Johnson Rd., Granite City, IL 62040 | 2012-09-10 |
| 1427360502 | Erin K Boerm | Occupational Therapist | 3540 Village Lane, Granite City, IL 62040 | 2010-07-06 |
| 1659503027 | Toni Lyn Siler | Counselor | 101 Whitsell Way, Apt 102, Pontoon Beach, IL 62040 | 2009-08-18 |
| 1871741462 | Fountain View Manor LLC | Alzheimer Center (Dementia Center) | 3432 Village Lane, Granite City, IL 62040 | 2008-09-08 |
| 1083880595 | Christina Marie Darin | Chiropractor | 2013 Johnson Road, Suite C & D, Granite City, IL 62040 | 2008-05-05 |
| 1629244322 | Julia Elaine Uhring Green | Counselor | 2429 Washinton Ave, Granite City, IL 62040 | 2008-05-02 |
| 1578786117 | John K Parker | Preventive Medicine | Veeder Health Center, 20th and Iowa, Granite City, IL 62040 | 2007-04-11 |
| Find all providers in zip 62040 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588283360 | Bridget Burwell | Nurse Practitioner | 2100 Madison Ave, Granite City, IL 62040-4713 | 2020-04-13 |
| 1811527120 | Christina Radosevich | Nurse Practitioner | 2861 Madison Ave, Granite City, IL 62040-3614 | 2020-01-25 |
| 1558904508 | Debra J Connell-dent | Nurse Practitioner | 50 Northgate Industrial Dr, Granite City, IL 62040-6805 | 2019-10-22 |
| 1245871243 | Alice M Halliday | Nurse Practitioner | 2861 Madison Ave, Granite City, IL 62040 | 2019-10-01 |
| 1366090573 | Donald Lee Clark IIi | Nurse Practitioner | 2100 Madison Ave, Granite City, IL 62040-4713 | 2019-08-30 |
| 1790345726 | Gillian K Long | Nurse Practitioner | 2861 Madison Ave, Granite City, IL 62040-3614 | 2019-06-20 |
| 1700350170 | Kimberly J Mitchell | Nurse Practitioner | 5 Kennedy Dr, Granite City, IL 62040 | 2019-01-18 |
| 1750830451 | Brandy Eichelberger | Nurse Practitioner | 2100 Madison Ave, Granite City, IL 62040 | 2016-09-23 |
| 1073973863 | Amanda Hemphill | Nurse Practitioner | 2120 Madison Ave, Suite 404, Granite City, IL 62040-4744 | 2016-03-07 |
| 1578970505 | Joellen Juenger | Nurse Practitioner | 50 Northgate Industrial Dr, Granite City, IL 62040-6805 | 2014-07-22 |
| Find all providers in GRANITE CITY | ||||
| City | GRANITE CITY |
| Zip Code | 62040 |
Please comment or provide details below to improve the information on REBECCA LYNN HARRIS.
| 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.