JACQUELINE JO KLOSSING (NPI# 1790262822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790262822 |
| Entity Type | Individual |
| Full Name | JACQUELINE JO KLOSSING |
| Practice Address |
1412 Us Highway 45 N Eldorado IL 62930-3766 |
| Practice Telephone | 6182733326 |
| Mailing Telephone | 6182733326 |
| Enumeration Date | 2018-07-21 |
| Last Update Date | 2018-07-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 252Y00000X | Early Intervention Provider Agency | Agencies |
| Street Address |
1412 US HIGHWAY 45 N |
| City | ELDORADO |
| State | IL |
| Zip Code | 62930-3766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588662605 | Egyptian Health Department | Community/Behavioral Health | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2005-07-12 |
| 1174136253 | Taylor Lauer | Counselor | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2020-08-28 |
| 1699388793 | Zachary David Stearns | Counselor | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2020-08-28 |
| 1639632417 | Sarah Dickinson | Psychologist | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2019-04-09 |
| 1619438058 | Heather Marie Lacey | Counselor | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2019-03-28 |
| 1962963777 | Ernie Fowler | Counselor | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2019-03-26 |
| 1225599160 | Kathryn Bangs | Psychologist | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2019-03-25 |
| 1689157646 | Egyptian Health Department | Case Manager/Care Coordinator | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2018-09-14 |
| 1326551987 | Alyssa Payne | Registered Nurse | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2017-11-06 |
| 1821500547 | Brenda Whitler | Registered Nurse | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2017-11-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164951802 | Jeanette Long X | Licensed Practical Nurse | 70 Alexander St, Eldorado, IL 62930 | 2017-06-07 |
| 1720510514 | Mckayla Addison Wren | Counselor | 1412 Us. 45n, Eldorado, IL 62930 | 2017-03-30 |
| 1407394901 | Melody Jo Smith | Licensed Practical Nurse | 2260 Raleigh Road, Eldorado, IL 62930 | 2017-02-03 |
| 1205250412 | Becks Long Term Care Pharmacy Inc | Pharmacy | 1413 Locust Street, Eldorado, IL 62930 | 2014-02-07 |
| 1346559283 | Danny Ray Phillips | Pharmacist | 1021 Us Hwy 45 North, Eldorado, IL 62930 | 2010-09-27 |
| 1447434477 | Elana Ruth Floyd-kennett | Social Worker | 1007 Route 45, Eldorado, IL 62930 | 2007-12-27 |
| 1417150376 | Luke Tyler Hall | Family Medicine | 1407 Locust St, Eldorado, IL 62930 | 2007-06-07 |
| 1134320039 | Eldorado Community Unit School District #4 | Local Education Agency (LEA) | 1040 Washington, Eldorado, IL 62930 | 2007-05-29 |
| 1013071026 | Marion Eye Centers Ltd. | Durable Medical Equipment & Medical Supplies | 1204 U.S. 45 N., Eldorado, IL 62930 | 2006-12-21 |
| 1467536557 | Debra Dian Rumsey | Licensed Practical Nurse | 607 4th Street, Eldorado Rural Health Clinic, Eldorado, IL 62930 | 2006-10-25 |
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| Taxonomy Code | 252Y00000X |
| Grouping | Agencies |
| Classification | Early Intervention Provider Agency |
| Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. |
| Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679190763 | Suzanne Mraz | Early Intervention Provider Agency | 4007 Sterling Rd, Downers Grove, IL 60515-2220 | 2020-07-06 |
| 1023632338 | Lutz Therapy, LLC | Early Intervention Provider Agency | 10550 Braeburn Rd, Barrington, IL 60010-9674 | 2020-06-02 |
| 1235751991 | Cynthia Dressler | Early Intervention Provider Agency | 7794 Sherwood Cir S, Hanover Park, IL 60133-2561 | 2020-05-15 |
| 1619599446 | Kids Evolve Early Development LLC | Early Intervention Provider Agency | 6009 S Laflin St, Chicago, IL 60636-2309 | 2020-05-14 |
| 1609401298 | Pamela Taylor | Early Intervention Provider Agency | 7611 S Crandon Ave, Chicago, IL 60649-4116 | 2020-03-04 |
| 1114550720 | Naima Johnson | Early Intervention Provider Agency | 233 W Country Ct, Bourbonnais, IL 60914-2119 | 2020-02-21 |
| 1407489578 | Elizabeth Piotrowski | Early Intervention Provider Agency | 729 Old Westbury Rd, Crystal Lake, IL 60012-3770 | 2020-02-18 |
| 1144850827 | Hyrin Owens | Early Intervention Provider Agency | 16014 Sawyer Ave, Markham, IL 60428-4528 | 2020-01-22 |
| 1417587569 | Heartland Medical Care | Early Intervention Provider Agency | 30 S Wacker Dr Fl 22, Chicago, IL 60606-7452 | 2020-01-16 |
| 1083254874 | Play & Learn Developmental Company | Early Intervention Provider Agency | 4518 W Van Buren St, Chicago, IL 60624-3050 | 2020-01-09 |
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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.