MRS. ANN SHEREE PRINDAVILLE (NPI# 1760590319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760590319 |
Entity Type | Individual |
Full Name | MRS. ANN SHEREE PRINDAVILLE |
Credential | RN |
Practice Address |
325 Illinois Route 2 Dixon IL 61021 |
Mailing Address |
604 E Fellows St Dixon IL 61021-2242 |
Practice Telephone | 8152846611 |
Practice Fax Number | 8152846641 |
Mailing Telephone | 8152887071 |
Enumeration Date | 2006-08-25 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
IL | Nursing Service Providers |
Street Address |
325 ILLINOIS ROUTE 2 |
City | DIXON |
State | IL |
Zip Code | 61021 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235669243 | Sara Elizabeth Hannan | Counselor | 325 Illinois Route 2, Dixon, IL 61021 | 2017-06-13 |
1295019941 | Chelsa Everley Krech | Nurse Practitioner | 325 Illinois Route 2, Dixon, IL 61021 | 2011-09-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699331082 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1600 South Galena Ave, Dixon, IL 61021 | 2019-05-12 |
1285135590 | Richard Allen Sibert | Counselor | 325 Il Route 2,dixon Il, Dixon, IL 61021 | 2018-02-22 |
1518485432 | Madeline Luniewicz | Counselor | 325 Il-2, Dixon, IL 61021 | 2017-08-30 |
1669992566 | Nicole Marie Shaffer | Specialist/Technologist | 650 Reynoldswood Road, Dixon, IL 61021 | 2017-06-21 |
1346660446 | Lydia Sitter | Audiologist | 215 3. 1st Street, Suite 317, Ksb Medical Group, Dixon, IL 61021 | 2014-04-16 |
1053600080 | Janet I. Malmberg | Nurse Practitioner | 309 South Galena Ave, Suite 100, Dixon, IL 61021 | 2011-03-30 |
1376775262 | Kelly L Klein | Optometrist | 511 Palmyra Street, Ksb Eye & Vision Care, Dixon, IL 61021 | 2009-08-11 |
1013119106 | Michael Joseph Sarno | Physical Therapist | 401 E. First Street, Dixon, IL 61021 | 2007-06-01 |
1891905600 | Thomas G. Gehlbach | Internal Medicine | 215 E 1st St Ste 111, Dixon, IL 61021 | 2007-05-23 |
1699987230 | Sameer Jain | Family Medicine | 102 S. Hennepin Ave., Ksb Medical Group, Dixon, IL 61021 | 2007-05-04 |
Find all providers in zip 61021 |
Taxonomy Code | 163WC1500X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Community Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952921918 | Sarah E Franks | Registered Nurse | 823 Michigan Ave Apt 3, Evanston, IL 60202-4403 | 2020-04-20 |
1225675267 | Agnes Callao Virata-delgado | Registered Nurse | 4321 North Sawyer Ave, Chicago, IL 60618-1211 | 2019-12-10 |
1598293375 | Beverly Christina Bohus | Registered Nurse | 836 W Wellington Ave # G330, Chicago, IL 60657-5147 | 2017-05-24 |
1861855744 | Valerie Marie Mullen | Registered Nurse | 997 N. York St., Martinsville, IL 62442-0266 | 2016-03-30 |
1366839532 | Lisa Shira Herranz | Registered Nurse | 5125 N Kostner Ave, Chicago, IL 60630-2608 | 2015-04-24 |
1740607332 | Maureen Mclachlan | Registered Nurse | 151 N Kenilworth Ave Apt 6i, Oak Park, IL 60301-1224 | 2014-03-21 |
1982905071 | Tanya Melich-munyan | Registered Nurse | 1032 Elgin Ave, Forest Park, IL 60130-2331 | 2010-11-05 |
1831390459 | Township of Wheeling | Registered Nurse | 1616 No Arlington Heights Rd, Arlington Heights, IL 60004 | 2007-05-30 |
1386796605 | Barbara Bugner | Registered Nurse | 20772 N Florence Ave, Lincolnshire, IL 60069-9664 | 2007-01-17 |
1588731046 | Sharon A Foy | Registered Nurse | 8036 Lawler Ave, Burbank, IL 60459-2139 | 2006-11-29 |
Find all providers with the same taxonomy |
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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.