ABIGAIL LYNN ANDERSON (NPI# 1881084705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881084705 |
| Entity Type | Individual |
| Full Name | ABIGAIL LYNN ANDERSON |
| Practice Address |
232 Given Dr Flora IL 62839-1094 |
| Mailing Address |
7313 Old Boonville Hwy Evansville IN 47715-1743 |
| Practice Telephone | 6186628381 |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2018-11-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 605 County Road 1600 N, Albion, IL 628064128 | 8124590325 | |
| 7313 Old Boonville Hwy, Evansville, IN 477151743 | 8124730265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477001337 | Abigail Kathryn Anderson | Social Worker | 3982 Salisbury Pl, Las Vegas, NV 89121 | 2016-09-20 |
| 1538771878 | Abigail May Anderson | Pharmacist | 20741 Bruce B Downs Blvd, Tampa, FL 33647-2913 | 2020-08-18 |
| 1972149623 | Abigail Nancy Anderson | Physician Assistant | 927 Trettel Ln, Cloquet, MN 55720-1345 | 2019-11-18 |
| 1881156347 | Abigail Beverlyann Anderson | Community Health Worker | 2399 E Walton Blvd, Auburn Hills, MI 48326-1955 | 2019-04-03 |
| 1922579028 | Abigail Anderson | Social Worker | 311 N Midland Ave Ste 3, Nyack, NY 10960-1638 | 2018-12-16 |
| 1588155899 | Abigail R Anderson | Physical Therapist | 257 W Saint George Ave, Grantsburg, WI 54840-7827 | 2018-05-22 |
| 1376946079 | Abigail M Anderson | Nurse Practitioner | 9500 Euclid Ave # Deska81, Cleveland, OH 44195-0001 | 2014-10-08 |
| 1386053510 | Abigail Anderson | Social Worker | 1141 E 3900 S Ste A170, Salt Lake City, UT 84124-1250 | 2014-08-13 |
| 1629408018 | Abigail Anderson | Physical Therapist | 5601 W Eugie Ave, Suite 202, Glendale, AZ 85304-1255 | 2013-11-21 |
| 1659642304 | Abigail Lynn Anderson | Physician Assistant | 200 University Ave E, Saint Paul, MN 55101-2507 | 2012-01-25 |
| Street Address |
232 GIVEN DR |
| City | FLORA |
| State | IL |
| Zip Code | 62839-1094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326004136 | Petersen Management Company, LLC | Skilled Nursing Facility | 232 Given Dr, Flora, IL 62839-1094 | 2006-04-21 |
| 1154895852 | Shaimaa Raheem | Speech-Language Pathologist | 232 Given Dr, Flora, IL 62839-1094 | 2019-01-15 |
| 1548795479 | Brittney Howell | Speech-Language Pathologist | 232 Given Dr, Flora, IL 62839-1094 | 2017-04-28 |
| 1932350170 | Petersen Health Care II, Inc | Skilled Nursing Facility | 232 Given Dr, Flora, IL 62839-1094 | 2008-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467887455 | Gayla Kay Dunaway | Occupational Therapist | 232 Givens Dr, Flora, IL 62839 | 2013-09-09 |
| 1952652349 | Health Care Management Corporation | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 408 E 4th St, Rosewood Estates, Flora, IL 62839 | 2012-09-25 |
| 1437445947 | Gaurav Nigam | Family Medicine | 911 Stacy Burk Drive, Flora, IL 62839 | 2011-06-22 |
| 1831413947 | Philip K.c. Chung | Obstetrics & Gynecology | 116 East 4th, Floria, IL 62839 | 2010-03-18 |
| 1669672465 | Heritage Woods LLC | Assisted Living Facility | 1003 West 4th Street, Flora, IL 62839 | 2007-07-19 |
| 1043365968 | Martin Dental Associates PC | Dentist | 501 North Main Street, Flora, IL 62839 | 2007-01-23 |
| 1518047356 | Linda L Robards | Registered Nurse | Clay Medical Center, 201 E N Avenue, Flora, IL 62839 | 2006-10-16 |
| 1144312000 | Valerie Jill Henderson | Registered Nurse | 201 E N Avenue, Clay Medical Center, Flora, IL 62839 | 2006-09-29 |
| 1164523221 | Kimberly Ann Greenwalt | Licensed Practical Nurse | 201 E N Ave, Clay Medical Center, Flora, IL 62839 | 2006-09-25 |
| 1558879676 | Melissa Kay Laslie | Registered Nurse | 911 Stacy Burk Drive, Flora, IL 62839 | 2018-01-11 |
| Find all providers in zip 62839 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992310247 | Direct Mobile Pt and Wellness, LLC | Physical Therapist | 0n553 Dorchester Ave, Wheaton, IL 60187-1709 | 2020-09-14 |
| 1285259507 | Sheila Valencia Punzalan | Physical Therapist | 7825 Crawford Ave, Skokie, IL 60076-3609 | 2020-06-11 |
| 1912471913 | Heidi Moyer | Physical Therapist | 665 W North Ave Ste 500, Lombard, IL 60148-1135 | 2019-01-14 |
| 1801362314 | Eric John Grahn | Physical Therapist | 655 White Oak Way, Yorkville, IL 60560-9581 | 2018-10-23 |
| 1588139141 | Marc Brown | Physical Therapist | 930 Monroe St, Galesburg, IL 61401-2538 | 2018-10-10 |
| 1215388244 | Shefali Chandnani | Physical Therapist | 332 Veneto, Bloomingdale, IL 60108-1036 | 2016-06-30 |
| 1154777373 | Tejaswini Savarkar | Physical Therapist | 1412 Frenchmans Bend Dr, Naperville, IL 60564-9714 | 2016-05-06 |
| 1760879969 | Joseph Albert De Mesa Montemayor | Physical Therapist | 3639 N Ottawa Ave, Unit 2, Chicago, IL 60634-3108 | 2015-04-25 |
| 1740686229 | Cynthia Valaitis | Physical Therapist | 17 Ottawa Ct, Oswego, IL 60543-9165 | 2014-11-11 |
| 1538563671 | Jigeeh Mantujac | Physical Therapist | 4559 Imperial Dr, 3e, Richton Park, IL 60471-2437 | 2014-10-17 |
| Find all providers with the same taxonomy | ||||
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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.