EMILY M ACKERMAN


Address: 751 N Rutledge St, Springfield, IL 62702-4968
Phone: 2175458000

EMILY M ACKERMAN (NPI# 1891352126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891352126
Entity Type Individual
Full Name EMILY M ACKERMAN
Credential FNP-C
Practice Address 751 N Rutledge St
Springfield
IL 62702-4968
Mailing Address Po Box 19639
Springfield
IL 62794-9639
Practice Telephone 2175458000
Mailing Telephone 2175458000
Enumeration Date 2019-05-22
Last Update Date 2020-10-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
209-017308 IL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL LICENSE 209-017308 01

Other Providers EMILY ACKERMAN

NPI Name Taxonomy Address Enumeration
1740256395 Emily Jane Ackerman Family Medicine 261 Main Street, Suite 102, N. Smithfield, RI 02896 2006-02-24
1821464603 Emily Nicole Ackerman Physical Therapist 5800 Fairfield Ave, Ste 150, Fort Wayne, IN 46807 2015-08-17
1861887945 Emily Katherine Ackerman Psychiatry & Neurology 1000 W Carson St, Torrance, CA 90502-2004 2015-04-05

Office Location

Street Address 751 N RUTLEDGE ST
City SPRINGFIELD
State IL
Zip Code 62702-4968

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023011863 Lucinda S Buescher Dermatology 751 N Rutledge St, Springfield, IL 62702-4909 2005-05-24
1831798933 Robin E Simon Nurse Practitioner 751 N Rutledge St, Springfield, IL 62702-4968 2020-10-20
1891308185 Whitney Ringer Nurse Practitioner 751 N Rutledge St, Springfield, IL 62702-4968 2020-08-26
1518581149 Aliza Hasan Dermatology 751 N Rutledge St, Springfield, IL 62702-4968 2020-05-29
1215559943 Sindhu Reddy Pisati Psychiatry & Neurology 751 N Rutledge St, Springfield, IL 62702-4968 2020-05-15
1205458270 Paul Hyatt Guerin Psychiatry & Neurology 751 N Rutledge St, Springfield, IL 62702-4968 2020-05-13
1215597398 Alireza Showraki Internal Medicine 751 N Rutledge St, Springfield, IL 62702-4968 2019-06-19
1881252013 Andrew Paul Thaliath Internal Medicine 751 N Rutledge St, Springfield, IL 62702-4968 2019-06-03
1245725308 Cory Edward Sykora Psychiatry & Neurology 751 N Rutledge St, Springfield, IL 62702-4968 2018-06-29
1982199303 Mehwish Farooqi Psychiatry & Neurology 751 N Rutledge St, Springfield, IL 62702-4968 2018-06-27
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669072823 Rachel Westbrook Nurse Practitioner 1417 Burning Bush Ct, Springfield, IL 62712-7529 2020-10-27
1730786377 Catherine Newman Nurse Practitioner 27124 La-42, Springfield, LA 70462 2020-10-07
1275146268 Courtney Wilbern Nurse Practitioner 1200 W Centre St, Springfield, IL 62704-5812 2020-08-28
1588276240 Andrew Ronald Mouser Nurse Practitioner 607 Prospect Rd, Springfield, PA 19064-2819 2020-08-23
1821609082 William Coleman Bryant Nurse Practitioner 5552 W Longleaf Dr, Springfield, MO 65802-7834 2020-08-12
1386254399 Ashley Lynn Murray Nurse Practitioner 2443 E Greenwood St, Springfield, MO 65804-3907 2020-08-04
1679182281 Erica Gail Hunt Nurse Practitioner 2813 Haverford Rd, Springfield, IL 62704-4267 2020-07-29
1063020063 Gage Azeez Nurse Practitioner 46 Timber Ln, Springfield, MA 01119-2828 2020-07-16
1033737440 Janne L Nicholson Nurse Practitioner 8360 Dunham Ct Apt G, Springfield, VA 22152-1122 2020-07-13
1922623156 Amanda E Hildebrand Nurse Practitioner 3370 Carman Ave, Springfield, IL 62703-4642 2020-06-12
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Competitor

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City SPRINGFIELD
Zip Code 62702

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Dataset Information

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.

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