LYNESSA A ALONSO (NPI# 1679665020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679665020 |
| Entity Type | Individual |
| Full Name | LYNESSA A ALONSO |
| Credential | D.O. |
| Practice Address |
10 Saint Clare Ct Washington IL 61571-9239 |
| Practice Telephone | 3098864003 |
| Mailing Telephone | 3098864003 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2012-02-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
036-111658 | IL | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 036111658 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCMA/HUM | 000023044Z | 01 | |
| NCMA/SIHO | 101430 | 01 | |
| NCMA/ANTHEM | 000000597576 | 01 | |
| KY | 7100079490 | 05 | |
| IL | 036111658 | 05 | |
| RAILROAD MEDICARE | P00736603 | 01 |
| Street Address |
10 SAINT CLARE CT |
| City | WASHINGTON |
| State | IL |
| Zip Code | 61571-9239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982159901 | Ashley M Getz | Nurse Practitioner | 10 Saint Clare Ct, Washington, IL 61571-9239 | 2016-08-19 |
| 1194197186 | Katherine J Engelke | Nurse Practitioner | 10 Saint Clare Ct, Washington, IL 61571-9239 | 2015-10-29 |
| 1194161992 | Jessica E. Garceau | Nurse Practitioner | 10 Saint Clare Ct, Washington, IL 61571-9239 | 2013-05-20 |
| 1871862888 | Stephanie L Mccabe | Nurse Practitioner | 10 Saint Clare Ct, Washington, IL 61571-9239 | 2011-12-20 |
| 1578848925 | Alyse C Ringenberg | Nurse Practitioner | 10 Saint Clare Ct, Washington, IL 61571-9239 | 2011-10-18 |
| 1881974541 | Sarah Anderson Joseph | Pediatrics | 10 Saint Clare Ct, Washington, IL 61571-9239 | 2011-08-25 |
| 1457671745 | Jay Tyler Rohde | Internal Medicine | 10 Saint Clare Ct, Washington, IL 61571-9239 | 2010-06-09 |
| 1578645347 | David Hall | Internal Medicine | 10 Saint Clare Ct, Washington, IL 61571-9239 | 2006-10-20 |
| 1871675645 | Rhett Miller | Internal Medicine | 10 Saint Clare Ct, Washington, IL 61571-9239 | 2006-10-20 |
| 1184706988 | Shelly Shallat | Pediatrics | 10 Saint Clare Ct, Washington, IL 61571-9239 | 2006-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164904504 | Kelly Hornberger | Physical Therapist | 1201 Newcastle Rd., Washington, IL 61571 | 2018-09-01 |
| 1073050407 | Jillyn Cross | Occupational Therapist | 14 Oxford Court, Washington, IL 61571 | 2017-01-24 |
| 1639410772 | Stephen L Dejaynes | Counselor | 100 Hillcrest Drive, Washington, IL 61571 | 2013-03-14 |
| 1184998692 | One Counseling and Wellness | Counselor | 1003 North Cummings Lane, Washington, IL 61571 | 2012-03-01 |
| 1871878371 | M Lisa Kim | Pharmacist | 1700 Saddleridge Ct, Washington, IL 61571 | 2011-10-15 |
| 1073805156 | Skill Sprout International | Behavioral Analyst | 102 Walnut Street, Washington, IL 61571 | 2011-05-09 |
| 1659600948 | Skill Sprout, LLC | Behavioral Analyst | 128 Washington Square, Washington, IL 61571 | 2009-12-15 |
| 1700024916 | Julie Adams | Developmental Therapist | 700 S. Elm, Washington, IL 61571 | 2009-01-26 |
| 1851595128 | Michael John Herman | Dentist | 106 So Cummings Lane, Washington, IL 61571 | 2007-06-12 |
| 1861539132 | Gary Lee Cunningham | Dentist | 5 Laurel Ct., Washington, IL 61571 | 2007-01-30 |
| Find all providers in zip 61571 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598362113 | Mebe District of Columbia | Pediatrics | 6218 Georgia Ave Nw Ste 1, Washington, DC 20011-5125 | 2020-10-06 |
| 1821606443 | Theresa R Watkins-bryant | Pediatrics | Howard Univ Hospital 2041 Georgia Ave Nw, Washington, DC 20060-0001 | 2020-07-20 |
| 1487273751 | Lynn Rose Goldman | Pediatrics | 950 New Hampshire Ave Nw Fl 7, Washington, DC 20037-2301 | 2020-04-15 |
| 1144787276 | Spring Valley Pediatrics, Pllc | Pediatrics | 4900 Massachusetts Ave Nw Lowr Level, Washington, DC 20016-4358 | 2019-02-25 |
| 1831670900 | Sweeney & Daniel Pediatrics Pllc | Pediatrics | 3301 New Mexico Ave Nw Ste 238, Washington, DC 20016-3610 | 2018-08-27 |
| 1710331673 | Margarita Ramos | Pediatrics | 111 Michigan Ave Nw Ste 700a, Washington, DC 20010 | 2016-04-18 |
| 1679914410 | Roger Cole Herdman | Pediatrics | 4710 Windom Pl Nw, Washington, DC 20016-2406 | 2013-07-09 |
| 1215371000 | Zeina Dalu Nieto | Pediatrics | 100 Wellness Way Bldg 2, Washington, PA 15301-9706 | 2013-04-23 |
| 1790028850 | Omar Jaber | Pediatrics | 650 Pennsylvania Ave Se Ste C100, Washington, DC 20003-4368 | 2013-03-27 |
| 1356680201 | Jacqueline Duvall Williams-mcmorris | Pediatrics | 1227 25th St., N.w., Washington, DC 20037 | 2013-02-12 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 61571 |
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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.