KRISTEN KLOCKER (NPI# 1073844981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073844981 |
| Entity Type | Individual |
| Full Name | KRISTEN KLOCKER |
| Credential | APN |
| Practice Address |
473 W Army Trail Rd 103 Bloomingdale IL 60108-2674 |
| Mailing Address |
473 W Army Trail Rd Suite 103 Bloomingdale IL 60108-2674 |
| Practice Telephone | 6305296969 |
| Mailing Telephone | 6305296969 |
| Mailing Fax Number | 6305295993 |
| Enumeration Date | 2010-01-18 |
| Last Update Date | 2013-01-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
209.007849 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
473 W ARMY TRAIL RD 103 |
| City | BLOOMINGDALE |
| State | IL |
| Zip Code | 60108-2674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184682478 | West Suburban Surgical Associates, Ltd. | Surgery | 473 W Army Trail Rd, Suite 107, Bloomingdale, IL 60108-2674 | 2006-05-03 |
| 1578912457 | Advanced Pediatric and Neonatal Medicine, Sc | Pediatrics | 473 W Army Trail Rd, Ste 103, Bloomingdale, IL 60108-2674 | 2016-06-10 |
| 1508294547 | Spring Piatek | Nurse Practitioner | 473 W Army Trail Rd, Bloomingdale, IL 60108-2674 | 2013-10-30 |
| 1093037673 | Advanced Pediatric and Neonatal Medicine, Sc | Pediatrics | 473 W Army Trail Rd, Suite 103, Bloomingdale, IL 60108-2674 | 2010-02-23 |
| 1801061254 | Elmar Bingcang | Physical Therapist | 473 W Army Trail Rd, Suite 103, Bloomingdale, IL 60108-2674 | 2008-04-28 |
| 1194914341 | Ripple Patel | Physical Therapist | 473 W Army Trail Rd, Suite 103, Bloomingdale, IL 60108-2674 | 2007-10-23 |
| 1730253907 | Vernon J Moore | Pediatrics | 473 W Army Trail Rd, Suite 102, Bloomingdale, IL 60108-2674 | 2006-11-20 |
| 1164442877 | Gloria Jean Caruso | Specialist | 473 W Army Trail Rd, Suite 105, Bloomingdale, IL 60108-2674 | 2006-07-19 |
| 1447277447 | Northwest Medical Care Sc | Internal Medicine | 473 W Army Trail Rd, Suite 101, Bloomingdale, IL 60108-2674 | 2006-07-16 |
| 1235178831 | Sanjay P Patel | Internal Medicine | 473 W Army Trail Rd, Suite 101, Bloomingdale, IL 60108-2674 | 2006-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758711 | Gina Baldacci, Lcsw, LLC | Community/Behavioral Health | 231 Longridge Dr, Bloomingdale, IL 60108 | 2020-10-19 |
| 1366056731 | Morgan Proctor | Physical Medicine & Rehabilitation | West Suburban Nursing and Rehabilitation, 311 Edgewater Drive, Bloomingdale, IL 60108 | 2020-09-03 |
| 1427549427 | Soohee Choi | Nurse Practitioner | 303 E Army Trail Rd Ste 100, Bloomingdale, IL 60108 | 2018-05-24 |
| 1427571710 | Priya Sanil Mathew | Nurse Practitioner | 151 Los Lagos Dr, Bloomingdale, IL 60108 | 2017-07-19 |
| 1538610100 | Saher Sayed | Optometrist | 102 Stratford Dr., Bloomingdale, IL 60108 | 2016-10-19 |
| 1215388939 | Kathy Mcnulty, Lcsw, LLC | Community/Behavioral Health | 1 Tiffany Point, Suite 117, Bloomingdale, IL 60108 | 2016-06-23 |
| 1689023889 | Agnes G Nawrot | Nurse Practitioner | 348 Golfview Court, Bloomingdale, IL 60108 | 2016-06-08 |
| 1023484045 | Amber Cotter | Social Worker | 203 Regency Drive, Unit 519, Bloomingdale, IL 60108 | 2015-08-13 |
| 1891176988 | Gunveen Chawla | Dentist | 366 W Army Trail Rd Ste 310a, Bloomingdale, IL 60108 | 2015-06-15 |
| 1922492396 | Allison Marie Schnitzler | Family Medicine | 245 S Gary Ave Ste 100, Bloomingdale, IL 60108 | 2015-03-24 |
| Find all providers in zip 60108 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881291 | Sarah Zeigler Olsen | Nurse Practitioner | 600 S Randall Rd Ste 220, Algonquin, IL 60102-5937 | 2020-11-02 |
| 1467051151 | Mallory Jo Brooks | Nurse Practitioner | 2306 E County Road 1800 N, Carthage, IL 62321-3101 | 2020-10-22 |
| 1508475294 | Diedra M Ahlert | Nurse Practitioner | 1320 Lexington Dr, Collinsville, IL 62234-4348 | 2020-07-28 |
| 1679182802 | Danielle L Shubert | Nurse Practitioner | 9423 Holy Cross Ln Ste 111, Breese, IL 62230-3510 | 2020-07-23 |
| 1154962900 | Janna Hoppe | Nurse Practitioner | 24600 W 127th St Ste 345, Plainfield, IL 60585-9507 | 2019-10-02 |
| 1841858529 | Katherine R Conkling | Nurse Practitioner | 4941 Benchmark Centre Dr Ste 100, Swansea, IL 62226-2038 | 2019-05-29 |
| 1942767280 | Danielle R Wetzel | Nurse Practitioner | 2040 Ogden Ave Ste 215, Aurora, IL 60504-7205 | 2019-02-22 |
| 1669937231 | Colleen Ann Larkin | Nurse Practitioner | 10939 S Troy St, Chicago, IL 60655-2211 | 2019-02-07 |
| 1568939684 | Katelyn Marie Reed | Nurse Practitioner | 415 N 9th St Ste 4w64, Springfield, IL 62702-5303 | 2018-10-26 |
| 1255813218 | Michelle Christine Bollinger | Nurse Practitioner | 415 N 9th St Ste 4w16, Springfield, IL 62702-5303 | 2018-09-05 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGDALE |
| Zip Code | 60108 |
Please comment or provide details below to improve the information on KRISTEN KLOCKER.
| 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.