DEVIN RENEE HAUB (NPI# 1952835910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952835910 |
Entity Type | Individual |
Full Name | DEVIN RENEE HAUB |
Other Name | DEVIN RENEE RUDOLPH |
Credential | FNP-C |
Practice Address |
201 S 14th St Herrin IL 62948-3631 |
Mailing Address |
15096 Laminack Rd Carterville IL 62918-3022 |
Practice Telephone | 6189422171 |
Mailing Telephone | 6189222840 |
Enumeration Date | 2017-04-17 |
Last Update Date | 2017-04-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209015854 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
201 S 14TH ST |
City | HERRIN |
State | IL |
Zip Code | 62948-3631 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174524136 | Jeffrey Mark Jacobs | Internal Medicine | 201 S 14th St, Herrin, IL 62948-3631 | 2005-08-02 |
1174131015 | Amabelle Estoque | Physical Therapist | 201 S 14th St, Herrin, IL 62948-3631 | 2020-07-16 |
1033727938 | Joseph H Painter | Physical Therapist | 201 S 14th St, Herrin, IL 62948-3631 | 2020-07-16 |
1134740608 | Ryan Williams | Specialist/Technologist, Other | 201 S 14th St, Herrin, IL 62948-3631 | 2020-05-06 |
1548800386 | Danielle Jo Fisher | Nurse Practitioner | 201 S 14th St, Herrin, IL 62948-3631 | 2020-01-09 |
1255977062 | Austin Thomas Butler | Specialist/Technologist | 201 S 14th St, Herrin, IL 62948-3631 | 2019-11-27 |
1972147213 | Brianna Nicole Krelo | Physical Medicine & Rehabilitation | 201 S 14th St, Herrin, IL 62948-3631 | 2019-10-30 |
1942854526 | Janelle Renee Kirby | Nurse Practitioner | 201 S 14th St, Herrin, IL 62948-3631 | 2019-07-31 |
1487116901 | Shantell Elizabeth Lodwick | Physical Therapy Assistant | 201 S 14th St, Herrin, IL 62948-3631 | 2019-04-03 |
1891257325 | Betsy Putbrese | Physical Therapist | 201 S 14th St, Herrin, IL 62948-3631 | 2019-04-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215307590 | Carmelito Miralles Caronongan | Pediatrics | 120 S. 11th St., Herrin, IL 62948 | 2015-09-30 |
1073995684 | Motaz R Wraikat | Preventive Medicine | 315 S 13th St Ste 3, Herrin, IL 62948 | 2015-06-19 |
1639427933 | Salim Hosein | Surgery | 317 S 14th St Ste 1, Herrin, IL 62948 | 2012-08-17 |
1962780288 | Pooja Sareen | Internal Medicine | 3024 S Park Avenue, Herrin, IL 62948 | 2011-08-03 |
1235459918 | Timoteo Castro Md & Josefina D. Castro Md Ltd | Family Medicine | 321 South 13st St., Herrin, IL 62948 | 2010-06-04 |
1457501926 | Don Cassidy Arnold II | Urology | 220 S Park Ave Fl 2, Herrin, IL 62948 | 2008-09-22 |
1306094560 | Karl Keith Mitchener | Speech-Language Pathologist | 1901 N 13th Street, Herrin, IL 62948 | 2008-08-29 |
1457509705 | Kathryn Marie Bordenet-jines | Occupational Therapy Assistant | 1901 N. 13th, Herrin, IL 62948 | 2008-08-28 |
1417105776 | Cheryl Lynn Matic | Occupational Therapy Assistant | 1901 N. 13th St., Herrin, IL 62948 | 2008-08-28 |
1174771422 | Mary Frances Graham | Physical Therapy Assistant | 1901 N. 13th Street, Herrin, IL 62948 | 2008-08-28 |
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Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508476615 | Adam Waller | Nurse Practitioner | 408 Lincoln Dr Ste B, Herrin, IL 62948-3790 | 2020-08-04 |
1942854526 | Janelle Renee Kirby | Nurse Practitioner | 201 S 14th St, Herrin, IL 62948-3631 | 2019-07-31 |
1538722202 | Kathy Sue Devous | Nurse Practitioner | 405 Rushing Dr, Herrin, IL 62948-3730 | 2019-04-18 |
1427511757 | Rachel Marie Bailey | Nurse Practitioner | 3305 Logan Dr, Herrin, IL 62948-3732 | 2019-04-12 |
1003334459 | Whitney Mcguire | Nurse Practitioner | 405 Rushing Dr, Herrin, IL 62948-3730 | 2017-09-06 |
1790238160 | Kali Jo Moe | Nurse Practitioner | 510 Lincoln Dr, Herrin, IL 62948-6334 | 2016-08-02 |
1417305293 | Danielle Baker | Nurse Practitioner | 3224 S Park Ave, Herrin, IL 62948-3715 | 2016-06-02 |
1538406038 | Lori Lee Ellett | Nurse Practitioner | 3314 Patriot Ct, Herrin, IL 62948 | 2013-01-03 |
1295017663 | Deanna L. Tacderas | Nurse Practitioner | 317 S 14th St, Herrin, IL 62948-3671 | 2011-09-12 |
1750526810 | Shanda Conrad Swagler | Nurse Practitioner | 220 N Park Ave, Herrin, IL 62948-3150 | 2008-12-03 |
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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.