BREANNA REGGUINTI (NPI# 1871002048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871002048 |
| Entity Type | Individual |
| Full Name | BREANNA REGGUINTI |
| Practice Address |
621 W Jackson St Morton IL 61550-1535 |
| Practice Telephone | (309) 263-4343 |
| Mailing Telephone | 3092634343 |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2017-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209016598 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | LICENSE | 209016598 | 01 |
| Street Address |
621 W JACKSON ST |
| City | MORTON |
| State | IL |
| Zip Code | 61550-1535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629180799 | Belcrest Services, Ltd | Clinic/Center | 621 W Jackson St, Morton, IL 61550-1535 | 2006-08-31 |
| 1205935848 | Matthew A Stetter | Family Medicine | 621 W Jackson St, Morton, IL 61550 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497398648 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 853 W Jackson Plaza, Morton, IL 61550 | 2019-10-21 |
| 1760924732 | The Center for Youth and Family Solutions | Residential Treatment Facility, Emotionally Disturbed Children | 260 E. Queenwood Rd., Cyfs Educational Building, Morton, IL 61550 | 2016-11-08 |
| 1770983181 | Jennifer Vissering | Nurse Practitioner | 435 Maxine Drive Suite #4, Morton, IL 61550 | 2014-09-04 |
| 1316387236 | Saint Johns Hospital | Rehabilitation Hospital | 141 E Maywood Street, Morton, IL 61550 | 2013-06-25 |
| 1801145610 | Nancy J. Anderson | Counselor | 42 Jasper Drive, Morton, IL 61550 | 2012-09-07 |
| 1689894834 | Kevin Littlefield | Dentist | 320 E Jackson, Morton, IL 61550 | 2007-04-30 |
| 1215081765 | Krueger & Associates LLC | Dentist | 213 S Clifton Street, Morton, IL 61550 | 2007-01-22 |
| 1073686218 | Darin Scott Hoffmire | Social Worker | 2401 South Fourth Street, Morton, IL 61550 | 2006-11-16 |
| 1629161856 | William Edwards | Pediatrics | 435 Maxine Drive, Suites 3 & 4, Morton, IL 61550 | 2006-10-02 |
| 1396844932 | G Gene Sidler | Internal Medicine | 619 Jackson St, Morton, IL 61550 | 2006-09-21 |
| Find all providers in zip 61550 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679188940 | Shannon Kunkle | Nurse Practitioner | 83 Sapphire Pt, Morton, IL 61550-3609 | 2020-09-13 |
| 1801244702 | Amber Gunn | Nurse Practitioner | 317 Old Highway 13 S, Morton, MS 39117-9181 | 2016-06-01 |
| 1548617293 | Telehealthone LLC | Nurse Practitioner | 5186 Hwy 80, Morton, MS 39117 | 2016-05-23 |
| 1740615814 | Daniel M Walker | Nurse Practitioner | 347 S Fourth St, Morton, MS 39117-3407 | 2013-09-09 |
| 1275895914 | Regina Veronica Luberti | Nurse Practitioner | 17 Amosland Rd, Morton, PA 19070-1121 | 2012-06-08 |
| 1194830398 | Ruby L Lucroy | Nurse Practitioner | 321 Highway 13 S, Morton, MS 39117-3353 | 2006-08-20 |
| 1932106994 | Richard Henry Levitt | Nurse Practitioner | 201 E Grant Ave, Morton, TX 79346-3444 | 2005-07-06 |
| 1851901409 | Ashley Nicole Davidson | Nurse Practitioner | 201 E Grant Ave, Morton, TX 79346-3444 | 2020-08-07 |
| 1205485364 | Kami Maurer | Nurse Practitioner | 612 W Jackson St, Morton, IL 61550 | 2019-09-10 |
| 1992294003 | Lori Meints Gudat | Nurse Practitioner | 411 Maxine Dr, Morton, IL 61550-2495 | 2018-05-03 |
| Find all providers in MORTON | ||||
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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.