MARTHA C LINDSTROM (NPI# 1861706160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861706160 |
| Entity Type | Individual |
| Full Name | MARTHA C LINDSTROM |
| Other Name | MARTHA E CRONIN |
| Credential | N.P. |
| Practice Address |
801 S Milwaukee Ave Libertyville IL 60048-3204 |
| Mailing Address |
111 E Wisconsin Ave Suite 2000 Milwaukee WI 53202-4815 |
| Practice Telephone | 4142906720 |
| Practice Fax Number | 4142906755 |
| Mailing Telephone | 4142906720 |
| Mailing Fax Number | 4142906755 |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2012-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 41341644 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363L00000X | Nurse Practitioner | 209-008244 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | TRICARE NORTH REGION | 1861706160 | 01 |
| IL | MEDICARE RAILROAD | P00932260 | 01 |
| Street Address |
801 S MILWAUKEE AVE |
| City | LIBERTYVILLE |
| State | IL |
| Zip Code | 60048-3204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043213911 | Condell Medical Center | General Acute Care Hospital | 801 S Milwaukee Ave, Libertyville, IL 60048-3199 | 2005-05-24 |
| 1356957658 | Alyson Favela | Nurse Practitioner | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2020-09-22 |
| 1467087486 | Julianna Williams | Emergency Medicine | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2020-03-10 |
| 1366073645 | Nicole Marie Locascio | Physician Assistant | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2020-01-27 |
| 1477198026 | Julia Margret Malloy | Nurse Practitioner | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2019-11-07 |
| 1396225280 | Steffanie A Francis | Physician Assistant | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2018-08-20 |
| 1639665193 | Antonette Renee Knar | Physician Assistant | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2018-07-09 |
| 1316448947 | Cheryl A Pahl | Clinical Nurse Specialist | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2018-02-28 |
| 1295235307 | Linda S Doyle | Nurse Practitioner | 801 S Milwaukee Ave, Libertyville, IL 60048 | 2018-02-15 |
| 1366958878 | Lindsay Mckenzie | Nurse Practitioner | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2017-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184119950 | Park Avenue Dental Professionals, PC | Dentist | 1001 W. Park Avenue, Libertyville, IL 60048 | 2018-06-25 |
| 1437643525 | Shanna Coyle | Registered Nurse | 1128 Jaimee Ln, Libertyville, IL 60048 | 2018-06-21 |
| 1366943672 | Jackie Rayyan | Behavior Technician | 917 Sherwood Drive, Suite 201, Lake Bluff, IL 60048 | 2018-02-22 |
| 1851804850 | Mary E. Linsey | Counselor | 34180 Highway 45, Libertyville, IL 60048 | 2017-11-13 |
| 1962929018 | Affinity Integrated Healthcare | Chiropractor | 736 Florsheim Dr, St 12, Libertyville, IL 60048 | 2017-08-29 |
| 1164946471 | Christianna Patterson | Speech-Language Pathologist | 1870 W Winchester Rd #203, Libertyville, IL 60048 | 2017-07-28 |
| 1962938407 | Kyle Winiger | Specialist/Technologist | 4551 West Gavin Lane, Libertyville, IL 60048 | 2017-05-03 |
| 1396291530 | Karyn Kolner | Physical Therapist | 860 W Winchester Rd, #108, Libertyville, IL 60048 | 2016-08-28 |
| 1477900785 | Medlogic LLC | Clinic/Center | 114 West Rockland Road, Suite 201, Libertyville, IL 60048 | 2016-05-17 |
| 1477926343 | Robert Mcnulty | Student in an Organized Health Care Education/Training Program | 1313 Crane Blvd, Libertyville, IL 60048 | 2015-11-02 |
| Find all providers in zip 60048 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508415951 | Brianna Wicinski | Nurse Practitioner | 755 S Milwaukee Ave Ste 164, Libertyville, IL 60048-3267 | 2019-09-09 |
| 1306086491 | Christel Diamond | Nurse Practitioner | 1400 S Milwaukee Ave # 106, Libertyville, IL 60048-3796 | 2009-03-02 |
| 1174664882 | Proactive Alternatives PC | Nurse Practitioner | 14044 W Petronella Dr, Suite 3, Libertyville, IL 60048-9656 | 2007-02-08 |
| 1083753180 | Carol A Batson Armstrong | Nurse Practitioner | 1850 Winchester Rd, Suite 220, Libertyville, IL 60048 | 2007-02-05 |
| 1427141563 | Michelle Joan Wolff | Nurse Practitioner | 1500 S Milwaukee, Libertyville, IL 60048 | 2006-10-02 |
| 1477198026 | Julia Margret Malloy | Nurse Practitioner | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2019-11-07 |
| 1205387552 | Laura Friedrich | Nurse Practitioner | 720 Florsheim Dr, Libertyville, IL 60048-3757 | 2016-10-21 |
| 1417300161 | Eric Jeffries | Nurse Practitioner | 1880 W Winchester Rd, Suite 101, Libertyville, IL 60048-5341 | 2016-07-18 |
| 1164845483 | Sarah L Wojtowicz | Nurse Practitioner | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2014-01-22 |
| 1952416018 | Linda S Taylor | Nurse Practitioner | 1800 Hollister Dr, Suite 206, Libertyville, IL 60048-5263 | 2006-08-20 |
| Find all providers in LIBERTYVILLE | ||||
| City | LIBERTYVILLE |
| Zip Code | 60048 |
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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.