VERNA DENICE O'ROURKE (NPI# 1013284918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013284918 |
| Entity Type | Individual |
| Full Name | VERNA DENICE O'ROURKE |
| Credential | PMHNP-BC |
| Practice Address |
640 W Washington St Pittsfield IL 62363-1350 |
| Mailing Address |
514 N Beadle Dr Apt 1 Carbondale IL 62901-1167 |
| Practice Telephone | 2172852113 |
| Mailing Telephone | 6154773078 |
| Enumeration Date | 2011-11-19 |
| Last Update Date | 2016-09-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
16297 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
209009301 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE RR | CF3444 | 01 |
| IL | 370966854011 | 05 | |
| IL | 370966854006 | 05 |
| Street Address |
640 W WASHINGTON ST |
| City | PITTSFIELD |
| State | IL |
| Zip Code | 62363-1350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720086218 | Blessingcare Corporation | General Acute Care Hospital | 640 W Washington St, Pittsfield, IL 62363-1350 | 2005-07-08 |
| 1912546326 | Chris Wassell | Nurse Practitioner | 640 W Washington St, Pittsfield, IL 62363-1350 | 2020-01-02 |
| 1104385335 | Ashley Renee Walker | Nurse Practitioner | 640 W Washington St, Pittsfield, IL 62363-1350 | 2019-03-18 |
| 1609335116 | Laura Hull | Nurse Practitioner | 640 W Washington St, Pittsfield, IL 62363-1350 | 2019-03-14 |
| 1568991206 | Ginger Torrez | Nurse Practitioner | 640 W Washington St, Pittsfield, IL 62363-1350 | 2017-06-07 |
| 1841736857 | Diana Lynette Roth | Nurse Practitioner | 640 W Washington St, Pittsfield, IL 62363-1350 | 2017-01-13 |
| 1497129415 | Sherri Renee White | Nurse Practitioner | 640 W Washington St, Pittsfield, IL 62363-1350 | 2015-11-16 |
| 1215324009 | Hshs Medical Group Inc | Durable Medical Equipment & Medical Supplies | 640 W Washington St, Pittsfield, IL 62363-1350 | 2015-04-20 |
| 1639560410 | Lyndell L Lomax | Nurse Practitioner | 640 W Washington St, Pittsfield, IL 62363-1350 | 2015-02-14 |
| 1972908390 | Blessingcare Corporation | Social Worker | 640 W Washington St, Pittsfield, IL 62363-1350 | 2014-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871831388 | Advance Physical Therapy Illini Community Hospital LLC | Physical Therapist | 128 W Washington Street, Pittsfield, IL 62363 | 2013-01-18 |
| 1003168154 | Rebecca L. Williams | Social Worker | 120 North Williams Industrial Drive, Pittsfield, IL 62363 | 2012-10-12 |
| 1851641534 | Debra Ann Helton | Speech-Language Pathologist | 640 West Washington, Pittsfield, IL 62363 | 2012-09-11 |
| 1366791451 | Blessing Care Corp. | Hospitalist | 640 West Washington Street, Pittsfield, IL 62363 | 2012-09-05 |
| 1235421900 | Mental Health Centers of Western Illinios | Community/Behavioral Health | 120 N. Williams Industrial Drive, Pittfield, IL 62363 | 2011-05-12 |
| 1003088188 | Brandi N. Ruzich | Physical Therapist | 320 N. Madison, Pittsfield, IL 62363 | 2008-03-28 |
| 1841494085 | Kelly Marie Baker | Counselor | 121 S Madison, Pittsfield, IL 62363 | 2007-06-12 |
| 1780885830 | Quincy Medical Group Pleasant Hill Rural Health | Durable Medical Equipment & Medical Supplies | 405 East State, Pleasant Hill, IL 62363 | 2007-05-29 |
| 1962622795 | Kelli R Hull | Licensed Practical Nurse | 121 South Madison Street, Mental Health Centers of Western Illinois, Pittsfield, IL 62363 | 2007-04-26 |
| 1407939085 | Wal-mart Stores, Inc | Technician/Technologist | Us 36 & 151 Shetland Dr., Pittsfield, IL 62363 | 2006-10-24 |
| Find all providers in zip 62363 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356303689 | Christine M Saball Tobin | Nurse Practitioner | 22 Gordon St, Pittsfield, MA 01201 | 2006-04-03 |
| 1497304265 | Cassandra May Lipa | Nurse Practitioner | 725 North St, Pittsfield, MA 01201-4109 | 2019-09-05 |
| 1003388323 | Matthew Paul Bock | Nurse Practitioner | 390 Merrill Rd, Pittsfield, MA 01201-3724 | 2018-12-27 |
| 1114383692 | Martha Ofeibea Agbeli | Nurse Practitioner | 725 North St, Berkshire Medical Center (dpt of Psychiatry), Pittsfield, MA 01201-4109 | 2016-01-13 |
| 1043565724 | Bethany Lyn Bartlett | Nurse Practitioner | 42 Summer St, Fl 2, Pittsfield, MA 01201-4624 | 2012-07-18 |
| 1679669063 | Donna R Huff | Nurse Practitioner | 470 Somerset Ave, Pittsfield, ME 04967-4928 | 2006-10-05 |
| 1063471415 | Robin E Rivinus | Nurse Practitioner | 725 North St, Pittsfield, MA 01201-4109 | 2006-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790384451 | Ghea Tiping Degillo | Nurse Practitioner | 4711 Golf Rd Ste 500, Skokie, IL 60076-1208 | 2020-10-22 |
| 1750989620 | Rodney J Pena Jr. | Nurse Practitioner | 1362 Trotters Ln, Bourbonnais, IL 60914-4519 | 2020-10-13 |
| 1609482231 | Crystal Lynn Jordan | Nurse Practitioner | 638 Oakbrook Ave, Chatham, IL 62629 | 2020-09-18 |
| 1497369672 | Mojisola Abayemi Akinfe | Nurse Practitioner | 8572 Stone Creek Blvd, Frankfort, IL 60423-9338 | 2020-09-03 |
| 1508475039 | Hilary Eichie | Nurse Practitioner | 20025 Division St., Crest Hill, IL 60403 | 2020-07-30 |
| 1518585942 | Tabs Behavioral Health Inc | Nurse Practitioner | 13316 Vicarage Dr, Plainfield, IL 60585-5050 | 2020-07-13 |
| 1154946788 | Latisha Trenice Stennis | Nurse Practitioner | 8106 Carol Dr, East Saint Louis, IL 62203-1838 | 2020-06-09 |
| 1114549755 | Maria Andreea Bordeianu | Nurse Practitioner | 6050 N California Ave, Chicago, IL 60659-3916 | 2020-05-16 |
| 1104448968 | Abosede Rachel Babalola | Nurse Practitioner | 2214 Monarch St, Bourbonnais, IL 60914-2780 | 2020-05-14 |
| 1659909406 | Mudira Temilola Oyewole | Nurse Practitioner | 493 Leslie Ct, Des Plaines, IL 60016-8818 | 2020-03-28 |
| Find all providers with the same taxonomy | ||||
| City | PITTSFIELD |
| Zip Code | 62363 |
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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.