CARLA BOLEK (NPI# 1922021286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922021286 |
| Entity Type | Individual |
| Full Name | CARLA BOLEK |
| Credential | APRN |
| Practice Address |
415 W Front St Roanoke IL 61561-7817 |
| Mailing Address |
701 Lee St Suite 300 Des Plaines IL 60016-4539 |
| Practice Telephone | 3099237456 |
| Mailing Telephone | 8473905900 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2013-06-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209004989 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | HEALTHLINK | 472312 | 01 |
| IL | RAILROAD MEDICARE | P00293738 | 01 |
| IL | JOHN DEERE | IL01X2 | 01 |
| IL | BCBS PPO | 7215059 | 01 |
| Street Address |
415 W FRONT ST |
| City | ROANOKE |
| State | IL |
| Zip Code | 61561-7817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061059 | Carle Eureka Hospital | Clinic/Center | 415 W Front St, Roanoke, IL 61561-7817 | 2020-10-26 |
| 1538676424 | Amit S Parkhe | Nurse Practitioner | 415 W Front St, Roanoke, IL 61561-7817 | 2018-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619057031 | Malinda Cooling | Nurse Practitioner | 401 N Main, Roanoke, IL 61561 | 2006-10-17 |
| 1356543854 | Roanoke Benson Cus Dist 60 | Local Education Agency (LEA) | 202 W High Street, Roanoke, IL 61561-0320 | 2007-06-05 |
| 1427121961 | Michael D. Meier | Dentist | 107 W. Ann St., Roanoke, IL 61561-0440 | 2006-11-15 |
| 1295838522 | Steven Lee Crawford | Pharmacist | 322 N Main St, Roanoke, IL 61561-0617 | 2006-09-05 |
| 1649781675 | Jodi Renee Meyer | Speech-Language Pathologist | 202 W High St, Roanoke, IL 61561-7509 | 2017-10-17 |
| 1104302249 | Roanoke Rx LLC | Pharmacy | 322 N Main St, Roanoke, IL 61561-7515 | 2018-07-12 |
| 1508887860 | Brad A. Stoecker | Family Medicine | 401 N Main St, Roanoke, IL 61561-7516 | 2006-07-22 |
| 1205918794 | Apostolic Christian Home of Roanoke Illinois Inc. | Skilled Nursing Facility | 1102 W Randolph St, Roanoke, IL 61561-7528 | 2006-10-20 |
| 1770030074 | Apostolic Christian Home of Roanoke Illinois Inc. | Durable Medical Equipment & Medical Supplies | 1102 W Randolph St, Roanoke, IL 61561-7528 | 2016-09-02 |
| 1891756664 | Matthew S Stringer | Chiropractor | 108 W Husseman St, Roanoke, IL 61561-7565 | 2006-03-31 |
| Find all providers in zip 61561 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457985509 | Mh 102, PC | Nurse Practitioner | 5204 Bernard Dr Ste 300a, Roanoke, VA 24018-4345 | 2020-02-27 |
| 1770140253 | Luz Dione Carr | Nurse Practitioner | 1934 Maple Leaf Drive, Roanoke, VA 24018 | 2019-05-21 |
| 1235605569 | Elaine G. Critticos | Nurse Practitioner | 918 Hartsook Blvd Se, Roanoke, VA 24014-4324 | 2018-10-14 |
| 1861792400 | Brandi L. Tomlin | Nurse Practitioner | 4035 Electric Rd Ste A, Roanoke, VA 24018-8449 | 2010-10-29 |
| 1245496769 | Best Practice Disease Management, Inc. | Nurse Practitioner | 3616 Derby Dr, Roanoke, VA 24012-6531 | 2008-08-04 |
| 1508942533 | Nancy Wilson | Nurse Practitioner | 4903 Starkey Rd Suite 300, Starkey Medical PC, Roanoke, VA 24014 | 2006-10-31 |
| 1619057031 | Malinda Cooling | Nurse Practitioner | 401 N Main, Roanoke, IL 61561 | 2006-10-17 |
| 1730100553 | April Harrod | Nurse Practitioner | 965 Highway 431, Roanoke, AL 36274-7329 | 2006-07-21 |
| 1407829542 | Christina E Stephenson | Nurse Practitioner | 3390 Colonial Ave, Roanoke Family Medicine Inc, Roanoke, VA 24018 | 2006-02-09 |
| 1023081551 | Glendora Raplee | Nurse Practitioner | 5303 Indian Grave Rd., Roanoke, VA 24018 | 2006-02-07 |
| Find all providers in ROANOKE | ||||
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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.