SARA SNARR (NPI# 1790180164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790180164 |
Entity Type | Individual |
Full Name | SARA SNARR |
Credential | APN |
Practice Address |
4909 N Glen Park Place Rd Peoria IL 61614-4676 |
Practice Telephone | 3096747546 |
Practice Fax Number | 3096919286 |
Mailing Telephone | 3096747546 |
Mailing Fax Number | 3096919286 |
Enumeration Date | 2014-10-28 |
Last Update Date | 2014-10-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
209012108 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
4909 N GLEN PARK PLACE RD |
City | PEORIA |
State | IL |
Zip Code | 61614-4676 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174599260 | Chen Wang | Pathology | 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 | 2006-02-27 |
1700209160 | Sarah Christensen | Physician Assistant | 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 | 2014-01-21 |
1134481054 | Nour Almardini | Pathology | 4909 N Glen Park Place Rd, Peoria, IL 61614-4689 | 2012-06-15 |
1922313238 | Stephanie M Ellis | Physician Assistant | 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 | 2010-08-11 |
1245490382 | Tesfu Hailu | Dermatology | 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 | 2008-06-12 |
1477743813 | Michelle L Roth | Physician Assistant | 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 | 2007-08-01 |
1073655676 | James Murray Jeffries IIi | Surgery | 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 | 2007-02-12 |
1912017245 | Michael L Hayes | Dermatology | 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 | 2006-08-30 |
1871506931 | John R Soderstrom | Physician Assistant | 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 | 2006-08-13 |
1710931670 | Soderstrom Dermatology Center S C | Pathology | 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 | 2006-05-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548818511 | Christine Svoboda | Social Worker | 6919 N Knoxville Ave Ste 100 and 202, Peoria, IL 61614 | 2019-09-03 |
1639649007 | Kathy Karouzos Counseling, LLC | Clinic/Center | 330 W. Ivy Ln., Peoria, IL 61614 | 2018-11-28 |
1205312790 | Kathleen Marie Hendricks | Nurse Practitioner | 2809 W Willow Knolls Dr, Peoria, IL 61614 | 2018-07-17 |
1629563937 | Mary Elizabeth Cunningham | Counselor | 6219 N. Eldorado Dr., Peoria, IL 61614 | 2018-06-28 |
1861937955 | Angela Gilles | Social Worker | 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 | 2016-12-27 |
1467994897 | Melissa Saxsma | Specialist | 5009 N Executive Dr, Peoria, IL 61614 | 2016-11-16 |
1902258874 | Rashid Plastic Surgery, LLC | Plastic Surgery | 804 W Trailcreek Drive, Peoria, IL 61614 | 2016-07-05 |
1215313143 | Melissa Lynn Phelan | Nurse Practitioner | 122 E Morningside Dr, Peoria, IL 61614 | 2015-08-03 |
1811380165 | All Ways Caring Services, Inc. | In Home Supportive Care | 6919 N Knoxville Ave, Suite 102, Peoria, IL 61614 | 2015-03-11 |
1568875920 | Schuler & Arkwell Orthodontic Partnership | Dentist | 2425 Cornerstone Ct. Ste. A, Peoria, IL 61614 | 2014-06-03 |
Find all providers in zip 61614 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275171340 | James John Newman | Nurse Practitioner | 8267 W Bloomfield Rd, Peoria, AZ 85381-8191 | 2019-12-19 |
1356990774 | Patricia Ellen Williams | Nurse Practitioner | 9645 W Ross Ave, Peoria, AZ 85382-5150 | 2019-09-09 |
1073015319 | Sara Kristine Rosenbery | Nurse Practitioner | 515 Ne Glen Oak Ave Ste 202, Peoria, IL 61603 | 2018-03-02 |
1619373529 | Rachael Devita | Nurse Practitioner | 10052 W Patrick Ln, Peoria, AZ 85383-2890 | 2014-11-05 |
1235418385 | Matthew R Carr | Nurse Practitioner | 736 Sw Washington, Suite 2a, Peoria, IL 61602-1653 | 2011-08-08 |
1518294925 | Joy Christine Schramm | Nurse Practitioner | 1oo Ne Adams St, Peoria, IL 61629-1410 | 2009-11-05 |
1336164805 | Lisa D. Menzie | Nurse Practitioner | 7733 W North Ln, Peoria, AZ 85345-6600 | 2006-07-13 |
1265030548 | Christina David | Nurse Practitioner | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2020-10-09 |
1306443056 | Austyn Powers | Nurse Practitioner | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 | 2020-10-06 |
1164045225 | Blaine Romero | Nurse Practitioner | 13640 N Plaza Del Rio Blvd Ste 340, Peoria, AZ 85381-4846 | 2020-05-24 |
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.