CHRISTINA MAYBERRY (NPI# 1700360914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700360914 |
| Entity Type | Individual |
| Full Name | CHRISTINA MAYBERRY |
| Credential | RN |
| Practice Address |
130 W 7th St Mount Carmel IL 62863-1439 |
| Practice Telephone | 6182633873 |
| Mailing Telephone | 6182633873 |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2020-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 041467744 | IL | Nursing Service Providers |
| N | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
L-162013 | IL | Nursing Service Providers |
| Street Address |
130 W 7TH ST |
| City | MOUNT CARMEL |
| State | IL |
| Zip Code | 62863-1439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912906306 | Wabash County Health Department | Public Health or Welfare | 130 W 7th St, Mount Carmel, IL 62863-1439 | 2005-07-18 |
| 1629447677 | Barbara Escobedo | Registered Nurse | 130 W 7th St, Mount Carmel, IL 62863-1439 | 2015-09-21 |
| 1306195516 | Patricia Ann Skees | Public Health or Welfare | 130 W 7th St, Mount Carmel, IL 62863-1439 | 2012-09-04 |
| 1447537675 | Kendra S Grounds | Registered Nurse | 130 W 7th St, Mount Carmel, IL 62863-1439 | 2011-11-16 |
| 1144507369 | Elizabeth Jane Davis | Registered Nurse | 130 W 7th St, Mount Carmel, IL 62863-1439 | 2011-11-16 |
| 1457638678 | Amanda Jo Mccoy | Registered Nurse | 130 W 7th St, Mount Carmel, IL 62863-1439 | 2011-11-16 |
| 1811274046 | Candace Keen Kemper | Registered Nurse | 130 W 7th St, Mount Carmel, IL 62863-1439 | 2011-11-16 |
| 1306123518 | Rita Miller | Registered Nurse | 130 W 7th St, Mount Carmel, IL 62863-1439 | 2011-11-16 |
| 1720387855 | Wabash County Health Department | Community/Behavioral Health | 130 W 7th St, Mount Carmel, IL 62863-1439 | 2011-03-15 |
| 1114257003 | Teri N Stangle | Counselor | 130 W 7th St, Mount Carmel, IL 62863-1439 | 2009-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295200319 | Beth Marie Fischer | Physician Assistant | 1527 College Dr., Mt. Carmel, IL 62863 | 2018-10-04 |
| 1386194744 | Kayla Marie Wilcox | Physician Assistant | 1527 College Drive, Mt. Carmel, IL 62863 | 2016-10-10 |
| 1144495961 | Karsten B Slater | Family Medicine | 1527 College Dr, Mount Carmel, IL 62863 | 2008-04-23 |
| 1417147760 | Keesha L. Peterson | Speech-Language Pathologist | 1418 College Drive, Physical Medicine Department, Mount Carmel, IL 62863 | 2007-08-01 |
| 1740488139 | Wabash Area Vocational Enterprises, Inc. | Day Training, Developmentally Disabled Services | 1420 West Third Street, Mt. Carmel, IL 62863 | 2007-07-06 |
| 1972649390 | David Ray Miller | Dentist | 325 East 13th Street, Mount Carmel, IL 62863 | 2007-01-30 |
| 1356406748 | Enrique V Bouffard IIi | Radiology | 326 West 3rd St, Mt Carmel, IL 62863 | 2006-12-26 |
| 1417028168 | General Baptist Nursing Home of Illinois | Skilled Nursing Facility | 1320 W. 9th Street, Mt. Carmel, IL 62863 | 2006-11-13 |
| 1316055130 | Richland Radiology Ltd | Clinic/Center | 326 W 3rd Street, Mount Carmel, IL 62863 | 2006-08-29 |
| 1760986392 | Deaconess Specialty Physicians, Inc | Internal Medicine | 1418 College Dr, Mount Carmel, IL 62863 | 2018-03-20 |
| Find all providers in zip 62863 | ||||
| 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 |
|---|---|---|---|---|
| 1578507315 | Tina L Lents | Registered Nurse | 130 West 7th Street, Mount Carmel, IL 62863-1439 | 2006-06-15 |
| 1629447677 | Barbara Escobedo | Registered Nurse | 130 W 7th St, Mount Carmel, IL 62863-1439 | 2015-09-21 |
| 1447537675 | Kendra S Grounds | Registered Nurse | 130 W 7th St, Mount Carmel, IL 62863-1439 | 2011-11-16 |
| 1144507369 | Elizabeth Jane Davis | Registered Nurse | 130 W 7th St, Mount Carmel, IL 62863-1439 | 2011-11-16 |
| 1457638678 | Amanda Jo Mccoy | Registered Nurse | 130 W 7th St, Mount Carmel, IL 62863-1439 | 2011-11-16 |
| 1811274046 | Candace Keen Kemper | Registered Nurse | 130 W 7th St, Mount Carmel, IL 62863-1439 | 2011-11-16 |
| 1306123518 | Rita Miller | Registered Nurse | 130 W 7th St, Mount Carmel, IL 62863-1439 | 2011-11-16 |
| 1316166861 | Susan Lynn Fuller-keneipp | Registered Nurse | 130 W 7th St, Mount Carmel, IL 62863-1439 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962720 | Christine Nance | Registered Nurse | 125 W 109th St, Chicago, IL 60628-3432 | 2020-11-04 |
| 1538769773 | Erica Guerrero | Registered Nurse | 1071 W 15th St Unit 202, Chicago, IL 60608-2783 | 2020-10-27 |
| 1306446836 | Amir W Raad | Registered Nurse | 5613 Dunham Rd, Downers Grove, IL 60516-1247 | 2020-10-26 |
| 1083213037 | Johanna Gordon | Registered Nurse | 820 Timbers Edge Ln, Northbrook, IL 60062-3100 | 2020-10-21 |
| 1457959470 | Gretchen Marie Clavey | Registered Nurse | 1711 Mayfair Rd, Champaign, IL 61821-5522 | 2020-10-12 |
| 1336747526 | Samantha Cappetto | Registered Nurse | 437 Thomas Jefferson Ct, Aurora, IL 60504-2013 | 2020-10-11 |
| 1508464736 | Jessica Young | Registered Nurse | 2648 W 21st St Apt 2f, Chicago, IL 60608-4080 | 2020-10-10 |
| 1912514654 | Marlon Viloria | Registered Nurse | 4557 Jenna Rd, Glenview, IL 60025-1403 | 2020-09-27 |
| 1114534047 | Sheri Pierce | Registered Nurse | 24513 S Serrano Ct, Channahon, IL 60410-5289 | 2020-09-24 |
| 1396351961 | Jasmin Rose Joy | Registered Nurse | 1761 E Corktree Ln, Mount Prospect, IL 60056-1859 | 2020-09-19 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT CARMEL |
| Zip Code | 62863 |
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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.