MALORY REBEKAH TEEGARDEN (NPI# 1083277404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083277404 |
| Entity Type | Individual |
| Full Name | MALORY REBEKAH TEEGARDEN |
| Practice Address |
520 W Florence Ave Peoria IL 61604-1516 |
| Practice Telephone | 3097121701 |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2020-03-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 176B00000X | Midwife | IL | Other Service Providers | |
| N | 374J00000X | Doula | Nursing Service Related Providers |
| Street Address |
520 W FLORENCE AVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61604-1516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205357928 | Nydia I Rodriguez | Nurse's Aide | 3305 N Finnell Ave, Peoria, IL 61604 | 2017-07-03 |
| 1720327976 | Brin Diagnostics Inc. | Clinical Medical Laboratory | 3216 W Kenwood, West Peoria, IL 61604 | 2013-02-07 |
| 1225373715 | Ngocyen Thi Ngo | Pharmacist | 2515 N Knoxville Avenue, Peoria, IL 61604 | 2012-12-10 |
| 1194027003 | Schelly Chiropractic, Inc | Chiropractor | 1208 W Loucks, Peoria, IL 61604 | 2010-11-29 |
| 1770755852 | Dental Sealants & More | Dentist | 2126 N. University St., Peoria, IL 61604 | 2008-03-28 |
| 1821266123 | David L Krick | Dentist | 2022 N University, Peoria, IL 61604 | 2008-02-20 |
| 1568658409 | Advanced Physicians Health Care, S.c. | Chiropractor | 1200 West Loucks Ave, Peoria, IL 61604 | 2007-09-24 |
| 1902006000 | Noel Liu | Dentist | 3127 N. University St., Unit C, Peoria, IL 61604 | 2007-07-18 |
| 1568586386 | Susan B Bordenave-bishop | Dentist | 2116 N. Sheridan, Peoria, IL 61604 | 2007-03-19 |
| 1174689897 | Paul Anthony Amodeo | Dentist | 3100 N Dries Lane, Suite 301, Peoria, IL 61604 | 2006-12-28 |
| Find all providers in zip 61604 | ||||
| Taxonomy Code | 176B00000X |
| Grouping | Other Service Providers |
| Classification | Midwife |
| A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization. |
| Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972837862 | Brande Ruskusky | Midwife | 1111 E Melbourne Ave, Peoria, IL 61603-2027 | 2009-09-24 |
| 1477533057 | Susan Sphar | Midwife | 5114 N Glen Park Place Rd, Suite 220, Peoria, IL 61614-4686 | 2006-01-19 |
| 1255418299 | Megan E Nestrud | Midwife | 6708 N Knoxville Ave, Suite 1, Peoria, IL 61614-2862 | 2006-11-01 |
| 1265488936 | Susan Lang | Midwife | 6708 N Knoxville Ave, Suite 1, Peoria, IL 61614-2862 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467071258 | Elizabeth Merbitz | Midwife | 3942 W George St Unit 1, Chicago, IL 60618-7232 | 2020-04-11 |
| 1558999839 | Sarah Moore | Midwife | 2320 41st St, Rock Island, IL 61201-6120 | 2020-03-31 |
| 1164993853 | Margaret Petry | Midwife | 1197 Fortune Blvd # 1, Shiloh, IL 62269-7377 | 2018-12-06 |
| 1972072882 | Jennifer J Collins | Midwife | 26141 E Wildlife Dr, Hopedale, IL 61747-9232 | 2018-11-20 |
| 1326575986 | Kristy Hinz | Midwife | 1416 Woodland Pkwy, Spring Grove, IL 60081-9688 | 2017-05-15 |
| 1891242855 | Rebecca L Coolidge | Midwife | 3506 Oakwood Dr, Island Lake, IL 60042-9207 | 2016-09-07 |
| 1215394895 | Friend Family Health Center, Inc | Midwife | 1522 E 63rd Street, Chicago, IL 60637 | 2016-01-27 |
| 1992135248 | Karen Bachman | Midwife | 1038 Bellevue Ave, Elgin, IL 60120-2406 | 2013-11-23 |
| 1003254475 | Yang Xue | Midwife | 2850 South Michigan Ave, Suite 205, Chicago, IL 60616 | 2013-06-07 |
| 1255672374 | Nina Rose Dunavan | Midwife | 210 E. Jaclson, Carbondale, IL 62901 | 2013-03-14 |
| Find all providers with the same taxonomy | ||||
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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.