MARY E ANDRIS (NPI# 1710074414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710074414 |
Entity Type | Individual |
Full Name | MARY E ANDRIS |
Practice Address |
108 W Market Bloomington IL 61701 |
Mailing Address |
309 E Northtown Rd Normal IL 61761 |
Practice Telephone | 3098275351 |
Practice Fax Number | 3098296808 |
Mailing Telephone | 3094545634 |
Enumeration Date | 2006-10-06 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
IL | Nursing Service Providers |
Street Address |
108 W MARKET |
City | BLOOMINGTON |
State | IL |
Zip Code | 61701 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770140964 | County of Mclean | Community/Behavioral Health | 200 W Front St, 1st Floor Sw, C/o 200 W Front St, Suite 400f, Bloomington, IL 61701 | 2019-05-22 |
1023525292 | Karli Johnson | Counselor | 200 W Monroe St Ste C7, Bloomington, IL 61701 | 2018-01-09 |
1487172409 | Melody Ann Bauman | Physician Assistant | 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701 | 2017-08-30 |
1215396288 | Heidi Larsen | Social Worker | 902 S East St, Bloomington, IL 61701 | 2016-02-18 |
1558735126 | Andrea E. Andrews Counseling LLC | Counselor | 200 W. Monroe St., Ste 302 C, Bloomington, IL 61701 | 2015-11-19 |
1174924856 | Carole Hahn | Dietitian, Registered | 1406 Forrest St, Bloomington, IL 61701 | 2014-09-12 |
1558786392 | Valerie Colleen Parker | Counselor | 109 W. Mulberry St., Bloomington, IL 61701 | 2014-03-04 |
1124459219 | Matilde Francois | Surgery | 1505 Eastland Dr Ste 2300, Bloomington, IL 61701 | 2013-11-27 |
1922435114 | Smitha H Shivaprasad | Pharmacist | 2611 East Oakland Avenue, Bloomington, IL 61701 | 2013-10-02 |
1295161941 | Ashvin Patel | Obstetrics & Gynecology | 31 Country Club Pl, Bloomington, IL 61701 | 2013-09-25 |
Find all providers in zip 61701 |
Taxonomy Code | 163WP0808X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164816260 | Andrea Mary Groves | Registered Nurse | 10210 Portland Ave S, Bloomington, MN 55420-5432 | 2015-03-26 |
1316910367 | Thelma Lynn Young-bolden | Registered Nurse | 4323 E 3rd St, Bloomington, IN 47401-5551 | 2006-02-09 |
1215438148 | Taylor Mae Griem | Registered Nurse | 108 W Market St, Bloomington, IL 61701-3918 | 2018-02-26 |
1316455108 | Allison Ziegler Fields | Registered Nurse | 108 W Market St, Bloomington, IL 61701-3918 | 2018-01-16 |
1861920738 | Hollie Ann Flesher | Registered Nurse | 108 W Market St, Bloomington, IL 61701-3918 | 2017-05-23 |
1720443906 | Lori Zielinski | Registered Nurse | 108 W Market St, Bloomington, IL 61701-3918 | 2015-12-15 |
1609253350 | Whitney Aaron | Registered Nurse | 108 W Market St, Bloomington, IL 61701-3918 | 2015-05-01 |
1447658851 | Emily Barker | Registered Nurse | 108 W Market St, Bloomington, IL 61701-3918 | 2014-12-17 |
1336542828 | Cassandra Bray | Registered Nurse | 108 W Market St, Bloomington, IL 61701-3918 | 2014-09-29 |
1871902882 | Brigitte Lamar | Registered Nurse | 108 W Market St, Bloomington, IL 61701-3918 | 2014-08-05 |
Find all providers in BLOOMINGTON |
City | BLOOMINGTON |
Zip Code | 61701 |
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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.