SANDRA JAESCHKE (NPI# 1003815770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003815770 |
| Entity Type | Individual |
| Full Name | SANDRA JAESCHKE |
| Credential | CNP |
| Practice Address |
360 Station Dr Crystal Lake IL 60014-7978 |
| Mailing Address |
360 Station Dr Crystal Lake IL 60014 |
| Practice Telephone | 8153386600 |
| Practice Fax Number | 8154558044 |
| Mailing Telephone | 8153386600 |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2017-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209003766 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
360 STATION DR |
| City | CRYSTAL LAKE |
| State | IL |
| Zip Code | 60014-7978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801351648 | Jennifer A Garrels | Nurse Practitioner | 360 Station Dr, Crystal Lake, IL 60014-7978 | 2019-02-06 |
| 1285099622 | Juliana Gonzales-hannon | Nurse Practitioner | 360 Station Dr, Crystal Lake, IL 60014 | 2015-12-30 |
| 1487025615 | Tonya Renee Fisher | Registered Nurse | 360 Station Dr, Crystal Lake, IL 60014 | 2015-10-14 |
| 1174917595 | Accelerated Rehabilitation Centers, Ltd | Physical Therapist | 360 Station Dr, Suite 250, Crystal Lake, IL 60014-7978 | 2015-03-24 |
| 1811305329 | Rachel K Ash | Nurse Practitioner | 360 Station Dr, Crystal Lake, IL 60014 | 2014-07-28 |
| 1518383264 | Susan J Bigham | Registered Nurse | 360 Station Dr, Crystal Lake, IL 60014 | 2014-03-05 |
| 1053753582 | Kathleen L Kretchmer | Registered Nurse | 360 Station Dr, Crystal Lake, IL 60014-7978 | 2013-07-25 |
| 1124362306 | Children's Physician Group | Pediatrics | 360 Station Dr, Crystal Lake, IL 60014-7978 | 2012-11-12 |
| 1013261361 | Jenna T Winsko | Nurse Practitioner | 360 Station Dr, Suite 120, Crystal Lake, IL 60014-7978 | 2012-11-07 |
| 1457603557 | Carol Kotzan Md LLC | Internal Medicine | 360 Station Dr, Suite 201, Crystal Lake, IL 60014-7978 | 2012-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497394720 | Lorelei Mariano | Physical Therapist | 350 E Congress Parkway Ste A, Crystal Lake, IL 60014 | 2020-01-03 |
| 1396227070 | Behavioral Services for Autism, Inc | Behavioral Analyst | 1095 Pingree Road, Suite 204, Crystal Lake, IL 60014 | 2018-08-30 |
| 1831635564 | Isis Mendoza-garnica | Counselor | 6803 Rose Ave, Crystal Lake, IL 60014 | 2017-01-19 |
| 1134664402 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 525 E Congress Parkway, Suite 200, Crystal Lake, IL 60014 | 2016-12-22 |
| 1306394051 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 177 W Virginia Street, Crystal Lake, IL 60014 | 2016-09-12 |
| 1124492830 | Align Spine & Orthopaedics | Durable Medical Equipment & Medical Supplies | 60 B West Terra Cotta Ave, #265, Crystal Lake, IL 60014 | 2015-11-18 |
| 1558747428 | Shabana Nawaz | Optometrist | 4777 Northwest Highway, Crystal Lake, IL 60014 | 2015-08-03 |
| 1548649205 | Daniel Okon | Social Worker | 304 Charllote Ave, Crystal Lake, IL 60014 | 2015-05-27 |
| 1154729838 | Crystal Lake Center for Chronic Pain Sc | Nurse Practitioner | 1 South Northwest Highway, Crystal Lake, IL 60014 | 2014-12-12 |
| 1558763581 | Brooke Nicole Grandt | Occupational Therapist | 394 Heisler Ct, Crystal Lake, IL 60014 | 2014-09-22 |
| Find all providers in zip 60014 | ||||
| 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 |
|---|---|---|---|---|
| 1407348337 | Brenda Neshell Sims | Nurse Practitioner | 741 S Mchenry Ave Ste C-d, Crystal Lake, IL 60014-7445 | 2018-06-06 |
| 1992252399 | Lisa M Moran | Nurse Practitioner | 360 Station Dr Ste 120, Crystal Lake, IL 60014-7994 | 2016-09-02 |
| 1154729838 | Crystal Lake Center for Chronic Pain Sc | Nurse Practitioner | 1 South Northwest Highway, Crystal Lake, IL 60014 | 2014-12-12 |
| 1972909877 | Jessica Pawlicki | Nurse Practitioner | 820 E Terra Cotta Ave Ste 132, Crystal Lake, IL 60014-3655 | 2014-11-05 |
| 1558668764 | Gina C Chmela | Nurse Practitioner | 145 S. Virginia Street, Crystal Lake, IL 60014-7226 | 2011-02-24 |
| 1114568367 | Candace Joy Esposito | Nurse Practitioner | 750 E Terra Cotta Ave Ste A, Crystal Lake, IL 60014-3621 | 2019-09-30 |
| 1134784861 | Linda Kramer | Nurse Practitioner | 500 Coventry Ln, Crystal Lake, IL 60014-7579 | 2019-05-08 |
| 1609310259 | Anna Kastanas | Nurse Practitioner | 1 S Virginia St, Crystal Lake, IL 60014-5828 | 2016-12-15 |
| 1730632407 | Joanna Hutson | Nurse Practitioner | 390 E Congress Pkwy, Suite C, Crystal Lake, IL 60014-6202 | 2016-07-29 |
| 1285099622 | Juliana Gonzales-hannon | Nurse Practitioner | 360 Station Dr, Crystal Lake, IL 60014 | 2015-12-30 |
| Find all providers in CRYSTAL LAKE | ||||
| City | CRYSTAL LAKE |
| Zip Code | 60014 |
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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.