CLARISSA A. REED (NPI# 1760046288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760046288 |
| Entity Type | Individual |
| Full Name | CLARISSA A. REED |
| Other Name | CLARISSA A. HENBY |
| Credential | PA-C |
| Practice Address |
2200 Wabash Ave Springfield IL 62704-5352 |
| Mailing Address |
1025 S 6th St Springfield IL 62703-2499 |
| Practice Telephone | 2175287541 |
| Practice Fax Number | 2177871377 |
| Mailing Telephone | 2175287541 |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2020-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085007042 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851436950 | Clarissa Lynn Reed | Counselor | 168 Husick Ln, Saxton, PA 16678-8678 | 2007-02-20 |
| 1316337611 | Clarissa Reed | Community Health Worker | 11643 Glenoaks Blvd, Pacoima, CA 91331-1050 | 2015-01-26 |
| Street Address |
2200 WABASH AVE |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62704-5352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003867342 | Julie C Hart | Physician Assistant | 2200 Wabash Ave, Springfield, IL 62704-5352 | 2006-05-12 |
| 1386208619 | Jessica J. Sanders | Registered Nurse | 2200 Wabash Ave, Springfield, IL 62704-5352 | 2019-04-22 |
| 1508354622 | Jennifer Colleen Gostowski | Social Worker | 2200 Wabash Ave, Springfield, IL 62704-5352 | 2018-04-24 |
| 1225541188 | Springfield Clinic LLP | Non-Pharmacy Dispensing Site | 2200 Wabash Ave, Springfield, IL 62704-5352 | 2017-11-14 |
| 1568832137 | Taylor M. Manning | Physician Assistant | 2200 Wabash Ave, Springfield, IL 62704-5352 | 2015-09-25 |
| 1740670736 | Heather N. Rothert | Nurse Practitioner | 2200 Wabash Ave, Springfield, IL 62704-5352 | 2015-01-28 |
| 1568877876 | Christopher Martinek | Family Medicine | 2200 Wabash Ave, Springfield, IL 62704-5352 | 2014-06-25 |
| 1033521323 | Jessica R. Stevens | Dietitian, Registered | 2200 Wabash Ave, Springfield, IL 62704-5352 | 2014-05-21 |
| 1295082261 | Melissa M. Osowski | Nurse Practitioner | 2200 Wabash Ave, Springfield, IL 62704-5352 | 2012-08-09 |
| 1770890162 | Bethany J. Mumbower | Physician Assistant | 2200 Wabash Ave, Springfield, IL 62704-5352 | 2010-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902394901 | Hillary Haaker | Occupational Therapist | 2035 W Iles, Suite C, Springfield, ID 62704 | 2018-04-25 |
| 1871095364 | Edward Doyle Slifer Sr. | Pathology | 2117 Greenside Drive, Spring Field, IL 62704 | 2018-03-01 |
| 1598263345 | Santarelli & Feller Dental Group | Dentist | 1140 Rickard Road, Suite B, Springfield, IL 62704 | 2018-01-26 |
| 1447774757 | Lisa Ann Rogers | Developmental Therapist | 2101 Lexington Dr, Apt 3, Springfield, IL 62704 | 2017-07-28 |
| 1730611286 | Mindi Rowe | Occupational Therapist | 2508 County Rd 4 1/2 E, Springfield, IL 62704 | 2017-04-03 |
| 1366992208 | Jayme Jordan | Contractor | 2409 Westchester Blvd, Springfield, IL 62704 | 2016-10-04 |
| 1154793974 | Dina Payne | Social Worker | 917 Clocktower Drive, Suite 600, Springfield, IL 62704 | 2015-10-21 |
| 1770959819 | James R Reynolds | Hearing Instrument Specialist | 2347 W Monroe St, Springfield, IL 62704 | 2015-08-12 |
| 1336576495 | Emily Jane Dungey | Counselor | 920 S Spring St Ste 1300, Springfield, IL 62704 | 2013-10-03 |
| 1942552161 | Jeannie Marie Hundley | Specialist/Technologist, Other | 2921 Monvale Drive, Springfield, IL 62704 | 2012-10-11 |
| Find all providers in zip 62704 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972123289 | Jared Anthony Dias | Physician Assistant | 52 Devens St, Springfield, MA 01151-2304 | 2020-04-16 |
| 1659990976 | Maham Siddiqui | Physician Assistant | 8632 Hillside Manor Dr, Springfield, VA 22152-2238 | 2020-04-16 |
| 1558994772 | Kayla Rice | Physician Assistant | 3640 Main St Ste 103, Springfield, MA 01107-1139 | 2020-02-17 |
| 1487286563 | Michayla Marcil | Physician Assistant | 280 Chestnut St Fl 2, Springfield, MA 01199-1001 | 2020-02-06 |
| 1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
| 1023670593 | Michael Peter Lembotesis | Physician Assistant | 629 Evans Rd, Springfield, PA 19064-3033 | 2019-07-03 |
| 1245795558 | Alexandra Marie Cutler | Physician Assistant | 1437 S Gelven Ave, Springfield, MO 65804-2124 | 2019-01-31 |
| 1598265894 | Kelsey L. Magill | Physician Assistant | 3231 S National Ave Ste 440, Springfield, MO 65807-7304 | 2018-02-14 |
| 1447759592 | Darrell Dewain Edwards | Physician Assistant | 4350 S National Ave Ste C200, Springfield, MO 65810-2782 | 2018-02-05 |
| 1164930087 | Ashley Jean Nichole Leutze | Physician Assistant | 1164 E Home Rd Ste J, Springfield, OH 45503-2726 | 2018-01-12 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62704 |
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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.