KATHLEEN L KRETCHMER (NPI# 1053753582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053753582 |
Entity Type | Individual |
Full Name | KATHLEEN L KRETCHMER |
Credential | R.N., C.D.E |
Practice Address |
360 Station Dr Crystal Lake IL 60014-7978 |
Practice Telephone | 8153386600 |
Practice Fax Number | 8153562388 |
Mailing Telephone | 8153386600 |
Mailing Fax Number | 8153562388 |
Enumeration Date | 2013-07-25 |
Last Update Date | 2013-07-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
041304879 | IL | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | MEDICARE PTAN | 962341 | 01 |
Street Address |
360 STATION DR |
City | CRYSTAL LAKE |
State | IL |
Zip Code | 60014-7978 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003815770 | Sandra Jaeschke | Nurse Practitioner | 360 Station Dr, Crystal Lake, IL 60014-7978 | 2005-07-15 |
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 |
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 | 163WD0400X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Diabetes Educator |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619205036 | Randi Y Barbon | Registered Nurse | 360 Station Dr, 3rd Floor, Crystal Lake, IL 60014-7978 | 2009-11-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508485954 | Melissa M Ptak | Registered Nurse | 605 W Central Rd Ste 101, Arlington Heights, IL 60005-2389 | 2020-04-15 |
1790260552 | Highland Park Cvs, L.L.C. | Registered Nurse | 800 Carlyle Ave, Belleville, IL 62221-5509 | 2018-09-27 |
1770035636 | Highland Park Cvs, L.l.c | Registered Nurse | 10405 N Centerway Dr, Peoria, IL 61615-1233 | 2016-10-26 |
1114384583 | Debra Newbolds | Registered Nurse | 117 Weisbrook Ln, Carterville, IL 62918-2320 | 2016-01-15 |
1093022360 | Andrea Gebhart | Registered Nurse | 3722 S. Harlem Ave., Suite 202, Riverside, IL 60546 | 2010-09-08 |
1013148295 | Clara May Miller | Registered Nurse | 1025 Bonnie Brae Pl, River Forest, IL 60305-1513 | 2009-08-05 |
1801007422 | Elyssa Joy Springer | Registered Nurse | 251 E Huron, Northwestern Memorial Hospital # 4-508, Chicago, IL 60611 | 2007-05-25 |
1245390285 | Highland Park Cvs, L.L.C. | Registered Nurse | 2642 Charles St, Rockford, IL 61108-1671 | 2006-12-11 |
1548296890 | Highland Park Cvs, L.L.C. | Registered Nurse | 1129 W Broadway, Centralia, IL 62801-5353 | 2006-06-25 |
1376579623 | Highland Park Cvs, L.L.C. | Registered Nurse | 109 N Mattis Ave, Champaign, IL 61821-3059 | 2006-06-25 |
Find all providers with the same taxonomy |
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.