IVA WASHUM (NPI# 1952847634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952847634 |
| Entity Type | Individual |
| Full Name | IVA WASHUM |
| Credential | LPN |
| Practice Address |
211 Fulton St Ste 207 Peoria IL 61602-1347 |
| Mailing Address |
211 Fulton St Suite 207 Peoria IL 61602-1347 |
| Practice Telephone | 3096718700 |
| Mailing Telephone | 3096718700 |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2017-01-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 043052637 | IL | Nursing Service Providers |
| Street Address |
211 FULTON ST STE 207 |
| City | PEORIA |
| State | IL |
| Zip Code | 61602-1347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720574676 | Critical Care Rx, LLC | Pharmacy | 126 Oak St, Peoria, IL 61602 | 2018-07-03 |
| 1235675836 | Cheryl Beckman | Registered Nurse | 211 Fulton Street, Suite 207, One Technology Plaza, Peoria, IL 61602 | 2017-01-06 |
| 1063957942 | Rosemary Ince | Registered Nurse | 211 Fulton St. Suite 207, One Technology Plaza, Peoria, IL 61602 | 2016-12-30 |
| 1962674820 | Lisa Jean Burckhartzmeyer | Psychiatry & Neurology | 228 Ne Jefferson St, Peoria, IL 61602 | 2008-03-31 |
| 1669503587 | Jill Larson | Counselor | 330 Sw Washington Street, Peoria, IL 61602 | 2007-03-09 |
| 1265407399 | Cardiac Consultants Sc | Internal Medicine | 900 Main Street, Suite 320, Peoria, IL 61602 | 2006-02-22 |
| 1013364470 | Rafal Szymczuk | Student in an Organized Health Care Education/Training Program | 900 Main Street, Suite 720, Peoria, IL 61602 | 2016-05-16 |
| 1043693831 | Kari Beth Watts | Family Medicine | 815 Main St, Peoria, IL 61602 | 2015-06-30 |
| 1881072791 | Kristen Dent | Family Medicine | 815 Main St, Peoria, IL 61602 | 2015-05-12 |
| 1023422797 | Andrew Wang | Psychiatry & Neurology | 900 Main St Ste 580, Peoria, IL 61602 | 2014-06-20 |
| Find all providers in zip 61602 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700328549 | Kathy Long | Licensed Practical Nurse | 2803 W Newman Pkwy, Peoria, IL 61604-2211 | 2016-11-10 |
| 1396131488 | Danielle Michalak | Licensed Practical Nurse | 11275 N 99th Ave Lot 102, Peoria, AZ 85345-5478 | 2015-04-15 |
| 1710222054 | Christy Marie Ward | Licensed Practical Nurse | 29319 N 125th Dr, Peoria, AZ 85383-2443 | 2012-11-27 |
| 1861711640 | Saint Francis Medical Center | Licensed Practical Nurse | 1300 W Commerce Dr, Ste 200, Peoria, IL 61615-1405 | 2010-05-19 |
| 1114150216 | Therese Mae' Taylor | Licensed Practical Nurse | 10358 N 78th Ave, Peoria, AZ 85345-6782 | 2009-08-24 |
| 1700018769 | Tiffany Kay Lage | Licensed Practical Nurse | 21233 N 79th Dr, Peoria, AZ 85382-4454 | 2009-08-10 |
| 1578710679 | Takisha West | Licensed Practical Nurse | 7542 W Cinnabar Ave, Peoria, AZ 85345-6773 | 2008-08-20 |
| 1679740237 | Donald B. Stephenson | Licensed Practical Nurse | 10845 N 99th Ave Ste 6, Peoria, AZ 85345-2406 | 2008-05-13 |
| 1144423260 | Lora Critser | Licensed Practical Nurse | 10436 W Mariposa Grande, Peoria, AZ 85383-2710 | 2007-06-06 |
| 1205446986 | Lannett Brown | Licensed Practical Nurse | 11501 N 79th Ave, Peoria, AZ 85345-1358 | 2020-08-06 |
| Find all providers in PEORIA | ||||
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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.