CARA A GRAVLIN (NPI# 1912093816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912093816 |
| Entity Type | Individual |
| Full Name | CARA A GRAVLIN |
| Other Name | CARA A CROWE |
| Credential | ACNP |
| Practice Address |
102 W Kenwood Ave Lowr Level Decatur IL 62526-4368 |
| Practice Telephone | 2175458000 |
| Practice Fax Number | 2175454485 |
| Mailing Telephone | 2175458000 |
| Mailing Fax Number | 2175454485 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
209-005882 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
102 W KENWOOD AVE LOWR LEVEL |
| City | DECATUR |
| State | IL |
| Zip Code | 62526-4368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043790306 | Lori A Bland | Nurse Practitioner | 102 W Kenwood Ave Lowr Level, Decatur, IL 62526-4368 | 2018-08-16 |
| 1265927313 | Danielle Oros | Nurse Practitioner | 102 W Kenwood Ave Lowr Level, Decatur, IL 62526-4368 | 2018-06-29 |
| 1801265418 | Staci L Bonds | Nurse Practitioner | 102 W Kenwood Ave Lowr Level, Decatur, IL 62526-4368 | 2015-09-24 |
| 1427132190 | Sandy L Yockey | Pediatrics | 102 W Kenwood Ave Lowr Level, Decatur, IL 62526-4368 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
| 1881116820 | Bria N Howard | Nurse's Aide | 606 E Warren St. Apt 609, Decatur, IL 62526 | 2017-07-12 |
| 1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
| 1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
| 1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
| 1659787893 | Stephanie Marie Kanitsch | Obstetrics & Gynecology | 544 W Pershing Rd Ste A, Decatur, IL 62526 | 2014-07-09 |
| 1497169973 | Brian Hassinger | Audiologist-Hearing Aid Fitter | 2605 N Water St Ste 101, Decatur, IL 62526 | 2014-06-12 |
| 1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
| 1558639005 | Larry Lee Christensen | Pharmacist | 225 Ash Ave, Decatur, IL 62526 | 2011-12-12 |
| 1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
| Find all providers in zip 62526 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134759137 | Brittany N Eischeid | Nurse Practitioner | 1502 S Fm 51 Ste B, Decatur, TX 76234-2476 | 2020-01-19 |
| 1992276497 | Laura Beth Miller | Nurse Practitioner | 302 W Hay St Ste 110, Decatur, IL 62526-4167 | 2018-12-09 |
| 1417445206 | Kamla Gonzales | Nurse Practitioner | 5146 Miller Woods Trl, Decatur, GA 30035 | 2018-04-26 |
| 1235520321 | Catherine Kelsey Kinslow | Nurse Practitioner | 2406 Hwy 31, Decatur, AL 35603-1504 | 2015-02-10 |
| 1811595085 | Glenn Andrew Thomas | Nurse Practitioner | 2665 N Decatur Rd Ste 430, Decatur, GA 30033-6145 | 2020-10-11 |
| 1861019697 | Esther Miranda Hambrick | Nurse Practitioner | 1310 14th Ave Se, Decatur, AL 35601-4347 | 2020-06-27 |
| 1740818814 | Valerie Lynn Rouse Beliard | Nurse Practitioner | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-04-01 |
| 1689238909 | Sara K Pollock | Nurse Practitioner | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2019-04-23 |
| 1255890703 | Rachel Elizabeth Branton | Nurse Practitioner | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2019-03-14 |
| 1730651233 | Katherine Wilson | Nurse Practitioner | 705 Bank St Ne, Decatur, AL 35601-1609 | 2018-12-20 |
| Find all providers in DECATUR | ||||
Please comment or provide details below to improve the information on CARA A GRAVLIN.
| 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.