MRS. JANICE R SHERIDAN (NPI# 1902469182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902469182 |
| Entity Type | Individual |
| Full Name | MRS. JANICE R SHERIDAN |
| Other Name | JANICE R KAHN |
| Credential | FNP-BC |
| Practice Address |
5775 E State Route 113 Coal City IL 60416-7111 |
| Practice Telephone | 8156340100 |
| Practice Fax Number | 8156342900 |
| Mailing Telephone | 8156340100 |
| Mailing Fax Number | 8156342900 |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2019-11-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.018971 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2080 N State Route 50, Bourbonnais, IL 609144410 | 8159366012 | 8159367231 |
| 23120 S Lagrange Rd, Frankfort, IL 604237760 | 8154645440 | 8159365404 |
| 990 N Kinzie Ave, Bradley, IL 609151233 | 8159332589 | 8156345253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841273018 | Janice L Sheridan | Social Worker | 2900 Frank Scott Pkwy, Ste 956b, Belleville, IL 62223 | 2005-11-22 |
| 1558684571 | Janice H. Sheridan | Nurse Practitioner | 1020 7th North St, Liverpool, NY 13088-6192 | 2010-03-04 |
| Street Address |
5775 E STATE ROUTE 113 |
| City | COAL CITY |
| State | IL |
| Zip Code | 60416-7111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033221767 | Jane Louise Kapral | Pediatrics | 5775 E State Route 113, Coal City, IL 60416-7111 | 2006-08-31 |
| 1538653894 | Natalie A Palka | Nurse Practitioner | 5775 E State Route 113, Coal City, IL 60416 | 2018-06-20 |
| 1558852699 | Jena C Martis | Nurse Practitioner | 5775 E State Route 113, Coal City, IL 60416-7111 | 2018-05-24 |
| 1770903635 | Wendy Ann Dyer | Nurse Practitioner | 5775 E State Route 113, Coal City, IL 60416-7111 | 2014-04-18 |
| 1821416587 | N'djamina Angelika Robinson | Family Medicine | 5775 E State Route 113, Coal City, IL 60416-7111 | 2014-03-31 |
| 1023353844 | Danielle Marie Ratazak | Nurse Practitioner | 5775 E State Route 113, Coal City, IL 60416-7111 | 2012-12-05 |
| 1922386374 | Hazel J Langcauon | Family Medicine | 5775 E State Route 113, Coal City, IL 60416-7111 | 2011-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245759083 | Jenna Valentine | Counselor | 40 N Broadway Street, Coal City, IL 60416 | 2017-09-13 |
| 1518042688 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 245 S Broadway Street, Coal City, IL 60416 | 2006-10-26 |
| 1912919259 | Daniel Martin Jurak | Family Medicine | 935 E Division St, Diamond, IL 60416 | 2006-08-13 |
| 1437235447 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 245 S Broadway Street, Coal City, IL 60416 | 2006-10-31 |
| 1144745100 | Amanda Patten | Speech-Language Pathologist | 300 N Broadway St, Coal City, IL 60416-1043 | 2017-08-10 |
| 1467487975 | Roman M Smyk | Surgery | 460 N Broadway St, Coal City, IL 60416-1045 | 2006-07-12 |
| 1144471772 | Spyro D. Analytis, Mdpc | Internal Medicine | 460 N Broadway St, Coal City, IL 60416-1045 | 2008-10-01 |
| 1487729430 | John D Scala Md PC | Pediatrics | 460 N Broadway St, Coal City, IL 60416-1045 | 2006-11-22 |
| 1821201575 | Pullara Family Dental Center | Dentist | 595 N Broadway St, Coal City, IL 60416-1046 | 2007-05-08 |
| 1669029245 | Kristin Marie Vaught | Dentist | 595 N Broadway St, Coal City, IL 60416-1046 | 2019-08-20 |
| Find all providers in zip 60416 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538653894 | Natalie A Palka | Nurse Practitioner | 5775 E State Route 113, Coal City, IL 60416 | 2018-06-20 |
| 1558852699 | Jena C Martis | Nurse Practitioner | 5775 E State Route 113, Coal City, IL 60416-7111 | 2018-05-24 |
| 1679978803 | Stacey Johnson | Nurse Practitioner | 4 E North St, Coal City, IL 60416-1087 | 2014-10-30 |
| 1770903635 | Wendy Ann Dyer | Nurse Practitioner | 5775 E State Route 113, Coal City, IL 60416-7111 | 2014-04-18 |
| 1629498753 | Saima Abdul Karim | Nurse Practitioner | 4 E North St, Coal City, IL 60416-1087 | 2014-04-16 |
| 1023353844 | Danielle Marie Ratazak | Nurse Practitioner | 5775 E State Route 113, Coal City, IL 60416-7111 | 2012-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760277 | Jennifer Michelle Kennedy | Nurse Practitioner | 3006 Lakeview Dr, Metropolis, IL 62960-3119 | 2020-11-07 |
| 1881295541 | Britney Julia Durst | Nurse Practitioner | 5905 N Prospect Rd, Peoria, IL 61614-4311 | 2020-11-07 |
| 1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
| 1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
| 1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
| 1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
| 1598365140 | Caitlyn Windsor | Nurse Practitioner | 24525 Grange Rd, Geneseo, IL 61254-8429 | 2020-10-31 |
| 1578163515 | Deanna Bassette | Nurse Practitioner | 243 E 31st St Apt 401, Chicago, IL 60616-5212 | 2020-10-29 |
| 1891395745 | Vrunda Shah Patel | Nurse Practitioner | 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 | 2020-10-29 |
| 1346840337 | Catherine Suh | Nurse Practitioner | 1380 Marcy Ln, Wheeling, IL 60090-4422 | 2020-10-28 |
| 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.