CHARMAINE D COFFMAN-WILLIAMS (NPI# 1083240741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083240741 |
| Entity Type | Individual |
| Full Name | CHARMAINE D COFFMAN-WILLIAMS |
| Practice Address |
428 S 36th St Quincy IL 62301-5924 |
| Mailing Address |
118 N 2nd St Ste 200 Saint Charles MO 63301-2894 |
| Practice Telephone | 2172246300 |
| Practice Fax Number | 2172244329 |
| Mailing Telephone | 6362241210 |
| Mailing Fax Number | 6369460991 |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2020-03-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 2012033085 | MO | Nursing Service Providers |
| Street Address |
428 S 36TH ST |
| City | QUINCY |
| State | IL |
| Zip Code | 62301-5924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841699246 | Jeanna B. Parkhill | Counselor | 428 S 36th St, Quincy, IL 62301-5924 | 2014-08-21 |
| 1689232704 | Preferred Family Healthcare, Inc. | Community/Behavioral Health | 428 S 36th St, Quincy, IL 62301-5924 | 2019-06-04 |
| 1154873305 | Kathleen Brink | Counselor | 428 S 36th St, Quincy, IL 62301-5924 | 2016-11-03 |
| 1811369820 | Michael Smart | Social Worker | 428 S 36th St, Quincy, IL 62301-5924 | 2015-10-29 |
| 1265819635 | Preferred Family Healthcare, Inc. | Substance Abuse Rehabilitation Facility | 428 S 36th St, Quincy, IL 62301-5924 | 2015-05-05 |
| 1083091458 | Preferred Family Healthcare, Inc. | Substance Abuse Rehabilitation Facility | 428 S 36th St, Quincy, IL 62301-5924 | 2015-05-05 |
| 1457750895 | Theresa M. Russell | Counselor | 428 S 36th St, Quincy, IL 62301-5924 | 2014-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969471 | Lutheran Child and Family Service of Illinois | Foster Care Agency | 1400 N. 30th St, Quincy, IL 62301 | 2020-07-07 |
| 1134749716 | Bethany Nicole Jumps | Pharmacist | Broadway St & N 11th St, Quincy, IL 62301 | 2020-04-23 |
| 1043844293 | S.crider Construction An Supply Corp. | Contractor | 529 Woodbridge Dr., Quincy, IL 62301 | 2020-02-26 |
| 1245862002 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 3301 Broadway St., Quincy, IL 62301 | 2020-02-10 |
| 1043851488 | West Central Illinois Nutrition | In Home Supportive Care | 639 York St. Room 333, Quincy, IL 62301 | 2019-10-07 |
| 1861986549 | Quincy Physicians & Surgeons Clinic, Sc | Internal Medicine | 3347 Broadway St, Quincy, IL 62301 | 2018-06-18 |
| 1194255083 | Michael Andrew Behrens | Nurse Practitioner | Broadway and 11th Street, Quincy, IL 62301 | 2017-06-14 |
| 1770987323 | Kirsty Yvonne Reed | Counselor | 205 S. 24th Street, Chaddock, Quincy, IL 62301 | 2014-10-10 |
| 1114234499 | Dale D. Shahan Dds Ltd | Dentist | 636 Hampshire Suite 102, Quincy, IL 62301 | 2010-09-08 |
| 1730314071 | James D Kaufmann | Pharmacist | 14th & Broadway, Quincy, IL 62301 | 2009-05-15 |
| Find all providers in zip 62301 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932687753 | Tiffany D Green | Licensed Practical Nurse | 717 Woodland Ave, Quincy, FL 32351-1312 | 2018-08-02 |
| 1881117760 | Veronica S Davis | Licensed Practical Nurse | 3215 Solomon Dairy Rd, Quincy, FL 32352-9050 | 2017-07-21 |
| 1144761701 | Temika Brown | Licensed Practical Nurse | 594 Hogan Ln, Quincy, FL 32351-7681 | 2017-03-15 |
| 1619410057 | Mary Leezer | Licensed Practical Nurse | 513 Hampshire St, Quincy, IL 62301-2930 | 2016-12-01 |
| 1063868453 | Edwens R Joseph | Licensed Practical Nurse | 43 Newcomb St, Quincy, MA 02169-4507 | 2016-05-04 |
| 1740678267 | Kathleen Spring | Licensed Practical Nurse | 40 Richfield St, Quincy, MA 02171-1312 | 2015-01-06 |
| 1306182381 | Yolanda Denise Simmons | Licensed Practical Nurse | 440 Hazel Green Rd, Quincy, FL 32352-6246 | 2012-12-20 |
| 1437456662 | Torrance Burnett Bell | Licensed Practical Nurse | 776 Pt Milligan Rd, Quincy, FL 32352-5042 | 2011-02-24 |
| 1629370556 | Maryanne Mathews | Licensed Practical Nurse | 182 Sparkleberry Blvd S, Quincy, FL 32351-8868 | 2010-11-29 |
| 1972736676 | Tonya Germany Mcmillon | Licensed Practical Nurse | 278 Dr. Lasalle Laffalle Drive, Quincy, FL 32351-1000 | 2009-08-27 |
| Find all providers in QUINCY | ||||
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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.