COLLEEN ELLIOTT-MCCANDLESS (NPI# 1992171698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992171698 |
| Entity Type | Individual |
| Full Name | COLLEEN ELLIOTT-MCCANDLESS |
| Other Name | COLLEEN ELLIOTT |
| Credential | APN |
| Practice Address |
422 W White St Clinton IL 61727-2272 |
| Practice Telephone | 2179375284 |
| Practice Fax Number | 2179375293 |
| Mailing Telephone | 2179375284 |
| Mailing Fax Number | 2179375293 |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2019-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209013060 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 701 N 1st St, Springfield, IL 627810001 | 2177883000 |
| Street Address |
422 W WHITE ST |
| City | CLINTON |
| State | IL |
| Zip Code | 61727-2272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619950060 | Farrukh A Kureishy | Internal Medicine | 422 W White St, Clinton, IL 61727-2272 | 2005-11-21 |
| 1639546047 | Maureen Elisabeth Wilson | Nurse Practitioner | 422 W White St, Clinton, IL 61727-2272 | 2015-09-01 |
| 1609277060 | Angela Cunningham | Nurse Practitioner | 422 W White St, Clinton, IL 61727-2272 | 2014-09-04 |
| 1811174402 | City of Clinton | Clinic/Center | 422 W White St, Clinton, IL 61727-2272 | 2008-01-25 |
| 1447479324 | Danna Elizabeth Powers | Nurse Practitioner | 422 W White St, Clinton, IL 61727-2272 | 2007-04-25 |
| 1164574034 | Pamela Lyn Letzkus | Pharmacist | 422 W White St, Clinton, IL 61727-2272 | 2007-01-18 |
| 1295898427 | Dr John Warner Hospital | Ambulance | 422 W White St, Clinton, IL 61727-2272 | 2006-12-19 |
| 1275695470 | City of Clinton | General Acute Care Hospital | 422 W White St, Clinton, IL 61727-2272 | 2006-12-14 |
| 1366504565 | City of Clinton | Clinic/Center | 422 W White St, Clinton, IL 61727-2272 | 2006-12-14 |
| 1891873816 | City of Clinton | General Acute Care Hospital | 422 W White St, Clinton, IL 61727-2272 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144692393 | Complete Wellness and Integrative Health Center Ltd | General Practice | 211 E Quincy St, Clinton, IL 61727 | 2015-10-28 |
| 1124247507 | Clinton Unit School District 15 | Local Education Agency (LEA) | 1210 State Route 54 West, Clinton, IL 61727 | 2007-04-24 |
| 1578600615 | Dewitt County Human Resource Center | Clinic/Center | 1150 Rt 54 West, Clinton, IL 61727 | 2007-01-30 |
| 1164569265 | Kara Lynn Johnson | Case Manager/Care Coordinator | 1150 Route 54 West, Clinton, IL 61727 | 2007-01-30 |
| 1659474328 | Highland Park Cvs, L.L.C. | Pharmacy | 60 Clinton Plz Sc, Clinton, IL 61727 | 2006-09-07 |
| 1528095510 | St. Joseph Medical Center | Nurse Practitioner | 1231 Kleeman Dr., Clinton, IL 61727 | 2006-06-27 |
| 1588652044 | Residential Alternatives of Illinois Inc | Skilled Nursing Facility | 1 Park Lane West, Clinton, IL 61727 | 2005-10-10 |
| 1629218466 | Olympian Surgical Suites LLC | Clinic/Center | 803 Illini Dr, Clinton, IL 61727 | 2009-03-05 |
| 1023238920 | Sara Ann Holmes | Case Manager/Care Coordinator | 1150 Route 54 West, Clinton, IL 61727 | 2007-04-26 |
| 1740327881 | Cory William Baxter | Counselor | 1150 Route 54 West, Clinton, IL 61727 | 2007-01-30 |
| Find all providers in zip 61727 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463300 | Sheryl Punzal Deguzman-buenaventura | Nurse Practitioner | 12410 Hillantrae Dr, Clinton, MD 20735-6510 | 2020-09-25 |
| 1003426396 | Rollie Stewart Walker | Nurse Practitioner | 114 Riverview Dr, Clinton, OK 73601-1805 | 2020-08-03 |
| 1316585813 | Sherkeysha Henderson | Nurse Practitioner | 106 Rosalie Ct, Clinton, MS 39056-6053 | 2019-12-16 |
| 1528600707 | Allison Maddox | Nurse Practitioner | 7506 Abelia Dr, Clinton, MD 20735-3135 | 2019-10-09 |
| 1205486347 | Elizabeth Oti | Nurse Practitioner | 313 Park Edge Dr, Clinton, PA 15026-1785 | 2019-09-19 |
| 1326609074 | Lauren Blakley | Nurse Practitioner | 2130 N Charles G Seivers Blvd Ste 3, Clinton, TN 37716-6705 | 2019-06-24 |
| 1346807443 | Karen Daniels | Nurse Practitioner | 2701 Frienship Trl, Apt 1001, Clinton, IA 52732 | 2019-05-23 |
| 1205490380 | Cynthia Diane Saylors | Nurse Practitioner | 64 Somerset Dr, Clinton, IL 61727-2478 | 2019-04-24 |
| 1720546864 | Lesley Brooke Keith | Nurse Practitioner | 422 Highway 95 E, Clinton, AR 72031-6947 | 2019-03-07 |
| 1578020822 | Caroline V Green | Nurse Practitioner | 768 Cherry Stone Dr, Clinton, MS 39056-2015 | 2019-02-22 |
| Find all providers in CLINTON | ||||
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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.