MS. NICOLE LEE RODGERS (NPI# 1962460840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962460840 |
| Entity Type | Individual |
| Full Name | MS. NICOLE LEE RODGERS |
| Credential | BS |
| Practice Address |
1423 Valle Vista Pekin IL 61554 |
| Practice Telephone | 3093471148 |
| Practice Fax Number | 3093471298 |
| Mailing Telephone | 3093471148 |
| Mailing Fax Number | 3093471298 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649816547 | Nicole Rodgers | Speech-Language Pathologist | 2334 E Desert Island Dr, Fresno, CA 93730-4767 | 2019-11-26 |
| 1306290663 | Nicole Rodgers | Case Manager/Care Coordinator | 11740 E 21st St, Tulsa, OK 74129 | 2016-04-22 |
| 1174926141 | Nicole Rodgers | Social Worker | 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 | 2014-10-03 |
| Street Address |
1423 VALLE VISTA |
| City | PEKIN |
| State | IL |
| Zip Code | 61554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003874900 | Renee R Lawson | Counselor | 1423 Valle Vista, Pekin, IL 61554 | 2006-05-02 |
| 1881652410 | Rita J Roberts | Counselor | 1423 Valle Vista, Pekin, IL 61554 | 2006-05-03 |
| 1215995840 | Lori L Dewitt | Counselor | 1423 Valle Vista, Pekin, IL 61554 | 2006-05-03 |
| 1013975648 | Robert John Mooney | Counselor | 1423 Valle Vista, Pekin, IL 61554 | 2006-05-03 |
| 1639137391 | Norma J Pomrenke | Counselor | 1423 Valle Vista, Pekin, IL 61554 | 2006-05-03 |
| 1518925254 | James Carl Smith | Counselor | 1423 Valle Vista, Pekin, IL 61554 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194279000 | Shauna L Bivens | Nurse Practitioner | 3400 Griffin Ave., Pekin, IL 61554 | 2016-08-09 |
| 1720349780 | Neal Family Chiropractic PC | Chiropractor | 2978 Court St., Pekin, IL 61554 | 2012-06-06 |
| 1366750671 | Dennis Kammerer Stoller | Dentist | 1608 Broadway, Pekin, IL 61554 | 2010-09-21 |
| 1013186683 | Tazwood Mental Health Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1421 Valle Vista Blvd, Pekin, IL 61554 | 2008-02-27 |
| 1568631133 | Tazwood Mental Health Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1425 Valle Vista Blvd, Pekin, IL 61554 | 2008-02-27 |
| 1689856312 | Pekin Supportive Living Limited Patnership | Assisted Living Facility | 1320 Executive Court, Pekin, IL 61554 | 2007-12-05 |
| 1205034824 | Winfield Curtis Morgan | Dentist | 1503 Valle Vista, Pekin, IL 61554 | 2007-07-05 |
| 1376769638 | Debra Mollie Davis | Registered Nurse | 2079 Edgewater Dr, Pekin, IL 61554 | 2007-04-17 |
| 1649308230 | Tazewell County Health Department -dental Health Center | Public Health or Welfare | 135 Radio City Drive, Suite A & B, North Pekin, IL 61554 | 2007-03-02 |
| 1528118239 | Jerry Lee Marshall | Dentist | 135a-b Radio City Drive, North Pekin, IL 61554 | 2007-01-12 |
| Find all providers in zip 61554 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588094874 | Crossroads Programs, Inc. | Counselor | 420 Walnut St, Pekin, IL 61554-4550 | 2013-11-22 |
| 1508824137 | Jessica Lynn Howard | Counselor | 1421 Valle Vista, Pekin, IL 61554 | 2006-05-03 |
| 1366400806 | Caterina Nicole Richardson | Counselor | 3248 Vandever Avenue, Pekin, IL 61554 | 2006-05-03 |
| 1003874900 | Renee R Lawson | Counselor | 1423 Valle Vista, Pekin, IL 61554 | 2006-05-02 |
| 1669437281 | Timothy Michael Lamb | Counselor | 3248 Vandever, Pekin, IL 61554 | 2006-04-18 |
| 1699730200 | Christine Mary Ohara | Counselor | 1425 Valle Vista, Pekin, IL 61554 | 2006-04-18 |
| 1134184849 | David Vondoehren | Counselor | 2007 Independence Dr, Pekin, IL 61554-1928 | 2006-04-18 |
| 1508821125 | Jolynn S Barrett | Counselor | 1423 Valle Vista Blvd, Pekin, IL 61554-6223 | 2006-04-18 |
| 1649871799 | Francis Joseph Zammuto | Counselor | 3248 Vandever Ave, Pekin, IL 61554-6274 | 2020-11-05 |
| 1609476134 | Andrew Duckworth | Counselor | 3248 Vandever Ave, Pekin, IL 61554-6274 | 2020-10-26 |
| Find all providers in PEKIN | ||||
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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.