MS. MARY KATHERINE CONKLEN (NPI# 1831167592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831167592 |
| Entity Type | Individual |
| Full Name | MS. MARY KATHERINE CONKLEN |
| Credential | APN |
| Practice Address |
710 N 8th St Springfield IL 62702-6324 |
| Practice Telephone | 2175251064 |
| Practice Fax Number | 2175251651 |
| Mailing Telephone | 2175251064 |
| Mailing Fax Number | 2175251651 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RAILROAD MEDICARE | P00088386 | 01 |
| Street Address |
710 N 8TH ST |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62702-6324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548248180 | Philip D Pan | Psychiatry & Neurology | 710 N 8th St, Springfield, IL 62702-6324 | 2006-01-04 |
| 1982211967 | Alicia C Urven | Counselor | 710 N 8th St, Springfield, IL 62702-6324 | 2020-09-24 |
| 1144856022 | Jon M Bormann | Counselor | 710 N 8th St, Springfield, IL 62702-6324 | 2020-03-23 |
| 1619500352 | Bryanna R Hea | Social Worker | 710 N 8th St, Springfield, IL 62702-6324 | 2020-02-21 |
| 1407489685 | Benjamin L Yamnitz | Social Worker | 710 N 8th St, Springfield, IL 62702-6324 | 2020-02-17 |
| 1861031163 | Leaha K Jones | Counselor | 710 N 8th St, Springfield, IL 62702-6324 | 2020-01-03 |
| 1386125060 | Melissa E. Norville | Counselor | 710 N 8th St, Springfield, IL 62702-6324 | 2018-08-22 |
| 1144710286 | Bridget Palmatier | Counselor | 710 N 8th St, Springfield, IL 62702-6324 | 2018-05-15 |
| 1932606225 | Alishia Williams | Counselor | 710 N 8th St, Springfield, IL 62702-6324 | 2018-04-12 |
| 1619474905 | Sarah Siegel | Social Worker | 710 N 8th St, Springfield, IL 62702-6324 | 2018-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
| 1871986414 | Rachel Hoselton | Nurse Practitioner | 400 N 9th St Fl 4, Springfield, IL 62702 | 2015-03-06 |
| 1548697774 | Alyssa Wilson | Behavioral Analyst | 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 | 2013-10-02 |
| 1174965446 | Amy Wilson | Speech-Language Pathologist | 2120 West Washington Street, Springfield, IL 62702 | 2013-07-26 |
| 1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
| 1427327733 | Brook D Croke | Genetic Counselor, MS | 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 | 2011-12-16 |
| 1629352604 | Renae M Sanchez | Pharmacist | 3216 East Clearlake Ave, Springfield, IL 62702 | 2011-10-07 |
| 1982915302 | William Leland Zelkovich | Radiology | 701 N 1st, Springfield, IL 62702 | 2010-06-30 |
| Find all providers in zip 62702 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356625966 | Vine Street Clinical Associates, LLC | Clinical Nurse Specialist | 3225 Hedley Rd, Springfield, IL 62711-6248 | 2011-09-30 |
| 1043458011 | Kathy S Lee | Clinical Nurse Specialist | 710 N 8th St, Springfield, IL 62702-6324 | 2009-01-29 |
| 1861670812 | Linda L. Gourlay | Clinical Nurse Specialist | 759 Chestnut St, Springfield, MA 01107-1619 | 2008-02-01 |
| 1780719336 | Barbara K Sprague | Clinical Nurse Specialist | 3300 Main St, 3rd Floor, Suite C & D, Springfield, MA 01107-1112 | 2007-02-23 |
| 1457486144 | Susan Marie Megas | Clinical Nurse Specialist | 3300 Main St, Springfield, MA 01107-1112 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376102814 | Rl Group | Clinical Nurse Specialist | 2008 N Lawler Ave, Chicago, IL 60639-3136 | 2019-06-09 |
| 1184090847 | Logan Health & Healing Center, Inc | Clinical Nurse Specialist | 5844 Elaine Dr, Suite B, Rockford, IL 61108-2494 | 2015-08-18 |
| 1669620480 | Cynthia Hodson Kerber | Clinical Nurse Specialist | 1 Westbrook Corporate Ctr Ste 300, Westchester, IL 60154-5709 | 2008-09-04 |
| 1467624775 | Laureen Lewis | Clinical Nurse Specialist | 4750 N Sheridan Rd, #434, Chicago, IL 60640-7528 | 2008-03-26 |
| 1114197324 | Rhonda Fried | Clinical Nurse Specialist | 265 Stonegate Rd Ste 102, Algonquin, IL 60102-5614 | 2008-03-04 |
| 1689603177 | Ellen Maxson | Clinical Nurse Specialist | Hines Veterans Administration, Hines, IL 60141-9910 | 2006-06-30 |
| 1669472379 | Mary Lee Dunning | Clinical Nurse Specialist | 126 S Lincoln Blvd, Centralia, IL 62801-3654 | 2005-07-22 |
| 1710519335 | Linq Care Inc | Clinical Nurse Specialist | 50 S Main St Ste 200, Naperville, IL 60540-5485 | 2020-02-11 |
| 1215365036 | Joyce Azzaline | Clinical Nurse Specialist | 1401 Lakewood Dr, Ste A, Morris, IL 60450-3352 | 2013-10-15 |
| 1073801189 | Mary Jane Welch | Clinical Nurse Specialist | 2150 W Harrison St, Chicago, IL 60612-3706 | 2011-07-11 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 62702 |
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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.