MS. DEBORAH RACHEL DANIELS (NPI# 1740533744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740533744 |
| Entity Type | Individual |
| Full Name | MS. DEBORAH RACHEL DANIELS |
| Credential | APN |
| Practice Address |
221 Ne Glen Oak Ave Peoria IL 61636-0001 |
| Practice Telephone | 3096725522 |
| Mailing Telephone | 3096725522 |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2020-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 209.009600 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
209.009600 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | STATE OF LLLINOIS | 209.009600 | 01 |
| IL | CONTROLLED SUBSTANCE | 309.005984 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558791160 | Deborah Daniels | Licensed Practical Nurse | 150 Cougar Nation Dr, Walterboro, SC 29488-9327 | 2013-11-18 |
| 1497094239 | Deborah Sailor Daniels | Massage Therapist | 4304 Princeton Dr, Little River, SC 29566-7526 | 2013-02-13 |
| 1689964082 | Deborah Ann Daniels | Registered Nurse | 5752 Swauger Valley Rd, Portsmouth, OH 45662-8636 | 2011-04-19 |
| 1629529946 | Deborah Daniels | Registered Nurse | 1700 Education Ave, Punta Gorda, FL 33950-6222 | 2016-10-21 |
| 1962956268 | Deborah Ann Daniels | Nurse Practitioner | 1321 Cumberland Falls Hwy, Suite 3, Corbin, KY 40701-2720 | 2016-08-04 |
| 1952623167 | Deborah Daniels | Counselor | 500 Crown Point Cir, Suite 100, Grass Valley, CA 95945-9514 | 2010-02-16 |
| 1609012517 | Deborah Lynn Daniels | Nurse Practitioner | 28 Lord Rd, Middlesex Internal Medicine A, Marlboro, MA 01752 | 2008-12-23 |
| 1194786152 | Deborah A Daniels | Family Medicine | 2300 Manchester Expressway, Ste F2, Columbus, GA 31904 | 2006-03-30 |
| Street Address |
221 NE GLEN OAK AVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61636-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851384135 | John Alan Howerton | Pharmacist | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 | 2005-08-23 |
| 1437750130 | Vanezza Buendia | Physical Therapist | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 | 2020-11-08 |
| 1306443056 | Austyn Powers | Nurse Practitioner | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 | 2020-10-06 |
| 1396357091 | Christopher Legan | Counselor | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 | 2020-08-24 |
| 1417575853 | Joseph Babione | Psychologist | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 | 2020-07-13 |
| 1811512411 | Methodist | Counselor | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 | 2020-06-10 |
| 1760003230 | Alexandra Bryan | Dietitian, Registered | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 | 2020-05-06 |
| 1467080523 | Dustin Dariusz Pilat | Student in an Organized Health Care Education/Training Program | 221 Ne Glen Oak Ave, Peoria, IL 61636-5027 | 2020-04-01 |
| 1295363505 | Abigail Brea Sebald | Student in an Organized Health Care Education/Training Program | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 | 2020-03-31 |
| 1790313054 | Elizabeth Alexandra Edwards | Student in an Organized Health Care Education/Training Program | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 | 2020-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962767376 | Aman Deep Singh | Psychiatry & Neurology | 221 Ne Glen Oak Ave. 7 West, Dept. of Psych. and Behavior Health., Peoria, IL 61636 | 2012-07-11 |
| 1932490075 | Christine Ann Wigginton | Radiology | 221 Ne Glen Oak Ave Dept Of, Peoria, IL 61636 | 2011-04-24 |
| 1568901544 | Stephanie Ann Sullivan | Nurse Anesthetist, Certified Registered | Unity Point Health Methodist, 221 Ne Glen Oak Avenue, Peoria, IL 61636-0001 | 2017-02-23 |
| 1073066155 | Caroline Vanaman | Counselor | 221 Ne Glen Oak Ave # 7w, Peoria, IL 61636-0001 | 2016-07-26 |
| 1497141758 | Amber Hemminger | Registered Nurse | 200 Ne Glen Oak Ave, Peoria, IL 61636-0001 | 2015-04-13 |
| 1326288812 | Bradley Reatherford | Registered Nurse | 221 Northeast Ave, Peoria, IL 61636-0001 | 2009-02-24 |
| 1386784155 | Eric Hawkins | Anesthesiology | 22i Ne Glen Oak Ave, Methodist Medical Center Anesthesiology, Peoria, IL 61636-0001 | 2007-02-08 |
| 1386659241 | Central Illinois Radiological Associates, Ltd. | Radiology | Osf St Francis Medical Ctr, 530 N.e. Glen Oak, Peoria, IL 61636-0001 | 2006-07-29 |
| 1659345007 | Mary C Bruell | Social Worker | Dept of Psychiatry, 221 Ne Glen Oak 7 West, Peoria, IL 61636-0001 | 2006-02-14 |
| 1245203280 | University of Illinois | Psychiatry & Neurology | Department of Psychiatry, 221 Ne Glen Oak 7 West, Peoria, IL 61636-0001 | 2006-02-09 |
| Find all providers in zip 61636 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073141529 | Shannalee Senior | Nurse Practitioner | 12574 W Mazatzal Dr, Peoria, AZ 85383-0379 | 2020-03-31 |
| 1225501406 | Renae Springer | Nurse Practitioner | 736 Sw Washington St, Peoria, IL 61602-1665 | 2019-01-09 |
| 1962959346 | Paulina Simon | Nurse Practitioner | 14074 N 90th Dr, Peoria, AZ 85381-3678 | 2016-09-02 |
| 1952630311 | Laura Lynn Lefever | Nurse Practitioner | Honorhealth Medical Group West Thunderbird Road, 9191 W. Thunderbird Road Suite D-105, Peoria, AZ 85381 | 2009-12-15 |
| 1356404016 | Miao-ling Manns | Nurse Practitioner | 10315 W Robin Ln, Peoria, AZ 85383-2119 | 2006-12-17 |
| 1174508162 | Wayne A Weissinger | Nurse Practitioner | 13943 N 91st Ave, #h-101, Peoria, AZ 85381-3629 | 2005-12-13 |
| 1366444580 | Teresa L King | Nurse Practitioner | 9240 W Union Hills Dr Ste 100, Peoria, AZ 85382-8213 | 2005-06-01 |
| 1821444894 | Chp Care, PC | Nurse Practitioner | 25812 N 67th Dr, Peoria, AZ 85383-7135 | 2016-05-10 |
| 1053725879 | Jennifer Louise Simpson | Nurse Practitioner | 6818 W Thunderbird Rd, Peoria, AZ 85381-5025 | 2014-06-19 |
| 1609289743 | Jennifer Lynn Jacobs | Nurse Practitioner | 13128 N 94th Dr Ste 100, Peoria, AZ 85381-4252 | 2014-06-06 |
| Find all providers in PEORIA | ||||
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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.