DR. ALYSIA HUBER


Address: 2400 N Rockton Ave, Rockford, IL 61103-3655
Phone: 8159715513

DR. ALYSIA HUBER (NPI# 1033649199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033649199
Entity Type Individual
Full Name DR. ALYSIA HUBER
Credential DNP, CPNP -AC
Practice Address 2400 N Rockton Ave
Rockford
IL 61103-3655
Mailing Address 5927 N Meridian Rd
Stillman Valley
IL 61084-9747
Practice Telephone 8159715513
Practice Fax Number 8159716676
Mailing Telephone 8152584344
Enumeration Date 2017-06-12
Last Update Date 2017-06-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0222X Nurse Practitioner
Specialization: Pediatrics, Critical Care
209016050 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2400 N ROCKTON AVE
City ROCKFORD
State IL
Zip Code 61103-3655

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457357592 Michael J Kikta Surgery 2400 N Rockton Ave, Rockford, IL 61103-3655 2005-06-23
1053950055 Tina Longphee Registered Nurse 2400 N Rockton Ave, Rockford, IL 61103-3655 2019-12-23
1598227407 Shahid Mohammad Student in an Organized Health Care Education/Training Program 2400 N Rockton Ave, Rockford, IL 61103-3655 2019-04-01
1265993109 Sarah Elaine Robertson Student in an Organized Health Care Education/Training Program 2400 N Rockton Ave, Rockford, IL 61103-3655 2019-03-25
1770042525 Vinita Patel Student in an Organized Health Care Education/Training Program 2400 N Rockton Ave, Rockford, IL 61103-3655 2019-03-19
1255890646 Gilda Djabarzade Student in an Organized Health Care Education/Training Program 2400 N Rockton Ave, Rockford, IL 61103-3655 2019-03-15
1285103002 Amy Lask Nurse Practitioner 2400 N Rockton Ave, Rockford, IL 61103-3655 2018-11-21
1477038743 Michelle Harris Advanced Practice Midwife 2400 N Rockton Ave, Rockford, IL 61103-3655 2018-10-02
1134603095 Sarah R Linder Nurse Practitioner 2400 N Rockton Ave, Rockford, IL 61103-3655 2018-09-17
1376022350 Atiq Urrehman Khan Psychiatry & Neurology 2400 N Rockton Ave, Rockford, IL 61103-3655 2018-08-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598398497 The Elitist Group Home Health Aide 2929 N Main Street, Rockford, IL 61103 2020-02-19
1972064194 Mahita Bellamkonda Student in an Organized Health Care Education/Training Program 2400 North Rockton Avenue, Rockford, IL 61103 2019-03-29
1558538967 Willows Health Center Clinic/Center 4143 Albright Lane, Rockford, IL 61103 2008-05-14
1497845135 Humaira Bari Internal Medicine 2400 N. Rockton Avenue, Rockford, IL 61103 2006-10-13
1841385242 Rachel Pawlowski Occupational Therapist 3616 N. Main Street, Rockford, IL 61103 2006-10-03
1417068438 Alicia Anne Huntley Midwife 2400 Rockton Ave, Rockford, IL 61103 2006-08-31
1639190200 Glendon Burress Pediatrics 2300 N. Rockton Ave., Rockford Health Physicians, Rockford, IL 61103 2006-07-21
1225065204 Daniel William Johnson Dentist 519 Toner Av, Rockford, IL 61103 2006-06-27
1760472898 Ronald Peter Oberfoell Anesthesiology 2400 North Rockton Ave, Rockford Health Physicians, Rockford, IL 61103 2005-10-28
1841752532 Dipti Sabharwal Student in an Organized Health Care Education/Training Program 2400 N Rockton Avenue, Rockford, IL 61103 2019-04-02
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Taxonomy Information

Taxonomy Code 363LP0222X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics, Critical Care

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1942801071 Kathrine Sunstedt Nurse Practitioner 420 Ne Glen Oak Ave Ste 201, Peoria, IL 61603-3112 2020-11-04
1245837863 Emily Anne Whitlow Nurse Practitioner 5023 W Agatite Ave Unit 1, Chicago, IL 60630-3907 2020-10-06
1508271727 Amy Wilhelmi Nurse Practitioner 21 Carey Ln, Streamwood, IL 60107-6662 2014-06-26
1700115235 Janis Marie Quinn Nurse Practitioner 225 E. Chicago Ave, Chicago, IL 60611-2605 2009-12-11
1629213624 Karriann Marie Longtin Nurse Practitioner 400 S Kennedy Dr Ste 900, Bradley, IL 60915-2683 2008-12-05
1649272154 Beth Nachtsheim Bolick Nurse Practitioner 1653 W Congress Pkwy, Chicago, IL 60612-3833 2005-08-15
1942828306 Stephanie Allison Gierman Nurse Practitioner 225 E Chicago Ave, Chicago, IL 60611-2991 2020-07-11
1851925622 Lauren Alyssa Shaughnessy Nurse Practitioner 4440 W 95th St, Oak Lawn, IL 60453-2600 2020-03-02
1326683236 Brittany Brennan Nurse Practitioner 225 E Chicago Ave, Chicago, IL 60611-2991 2019-11-14
1093378986 Trudy Jean Johnson Nurse Practitioner 5841 S Maryland Ave # Mc1145, Chicago, IL 60637-1443 2019-04-17
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Competitor

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City ROCKFORD
Zip Code 61103

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Dataset Information

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.

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