MICHELLE KETHCART (NPI# 1104392497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104392497 |
| Entity Type | Individual |
| Full Name | MICHELLE KETHCART |
| Credential | APN |
| Practice Address |
1500 S Fairfield Ave Chicago IL 60608-1782 |
| Practice Telephone | 7735422000 |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2018-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209.018213 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1500 S FAIRFIELD AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60608-1782 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275564197 | Paul M. Berkowitz | Psychiatry & Neurology | 1500 S Fairfield Ave, Chicago, IL 60608-1782 | 2006-07-06 |
| 1528668274 | Mount Sinai Hospital Medical Center | Clinic/Center | 1500 S Fairfield Ave, Chicago, IL 60608-1782 | 2020-10-30 |
| 1669089306 | Sabin Gajurel | Internal Medicine | 1500 S Fairfield Ave, Chicago, IL 60608-1782 | 2020-09-27 |
| 1710591854 | Trisha May Homan | Nurse Practitioner | 1500 S Fairfield Ave, Chicago, IL 60608-1782 | 2020-09-05 |
| 1861005134 | Elizaveta Vitkovskaya | Internal Medicine | 1500 S Fairfield Ave, Chicago, IL 60608-1782 | 2020-08-26 |
| 1104439751 | Vishal Kwatra | Internal Medicine | 1500 S Fairfield Ave, Chicago, IL 60608-1782 | 2020-08-24 |
| 1265044226 | Temitayo Kafisanwo | Nurse Practitioner | 1500 S Fairfield Ave, Chicago, IL 60608-1782 | 2020-08-20 |
| 1891306577 | Nardeen Morkos | Family Medicine | 1500 S Fairfield Ave, Chicago, IL 60608-1782 | 2020-08-14 |
| 1659981983 | Anuradha Sakhuja | Internal Medicine | 1500 S Fairfield Ave, Chicago, IL 60608-1782 | 2020-08-02 |
| 1508474818 | Anthony Adly Messiha | Family Medicine | 1500 S Fairfield Ave, Chicago, IL 60608-1782 | 2020-07-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390047 | Bethuna Shields | Occupational Therapist | 1401 South California Ave, Chicago, IL 60608 | 2020-06-11 |
| 1861024176 | Mount Sinai Community Foundation | Clinic/Center | 1414 S Fairfield, Chicago, IL 60608 | 2020-02-05 |
| 1205481058 | Joshua Hartman | Pharmacist | 345 Csb Mc 884, 840 S. Wood St, Chicago, IL 60608 | 2019-08-08 |
| 1194386706 | Mount Sinai Hospital, Chicago | Internal Medicine | Mount Sinai Hospital, 1500 S Fairfield Ave, Chicago, IL 60608 | 2019-06-25 |
| 1841754256 | Julia Bates | Occupational Therapist | 1640 W. Roosevelt Rd., 415 Dhsp (mc 726), Chicago, IL 60608 | 2019-01-30 |
| 1194205781 | Anais J Robles | Contractor | 1626 S Allport St, Chicago, IL 60608 | 2018-08-14 |
| 1114412970 | Dmitri Zbarsky | Internal Medicine | 1500 South Fairfield Ave., F-914, Chicago, IL 60608 | 2018-06-25 |
| 1740773050 | Alexia Ilian Derma Salazar | Speech-Language Pathologist | 2301 W 19th St - 3rd Floor Rear, Chicago, IL 60608 | 2018-06-11 |
| 1912424730 | Pareen Modi | Pharmacist | 2539 South Western Avenue, Chicago, IL 60608 | 2017-08-23 |
| 1952824302 | Raquel Gonzalez Heredia | Surgery | 1500 South Fairfield Ave, Chicago, IL 60608 | 2017-07-18 |
| Find all providers in zip 60608 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151272 | Yolanda K Bradford | Nurse Practitioner | 2700 S California Ave, Chicago, IL 60608-5108 | 2020-10-14 |
| 1073125431 | Faith M Langtiw | Nurse Practitioner | 2704 W Catalpa Ave, Chicago, IL 60625-3216 | 2020-08-18 |
| 1871114025 | Quickcare, Pllc | Nurse Practitioner | 6419 W Touhy Ave Apt 4a, Chicago, IL 60646-1040 | 2020-04-29 |
| 1376170894 | Julia Jekli | Nurse Practitioner | 365 N Halsted St Apt 3009, Chicago, IL 60661-1379 | 2020-03-25 |
| 1821623281 | Rina Delapena | Nurse Practitioner | 5630 N Sheridan Rd Apt 319, Chicago, IL 60660-4810 | 2020-03-06 |
| 1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
| 1962032813 | Sonia Ivelis Fernandez | Nurse Practitioner | 6129 N Campbell Ave Apt 1, Chicago, IL 60659-2809 | 2020-01-20 |
| 1164060257 | Julie Ann Daniels | Nurse Practitioner | 5808 W Eddy St, Chicago, IL 60634-4351 | 2019-12-19 |
| 1720625593 | Bogdana Gryniv | Nurse Practitioner | 5758 S Maryland Ave Ste 5a, Chicago, IL 60637-1426 | 2019-11-29 |
| 1023669835 | Carlette Bailey | Nurse Practitioner | 6700 S Oglesby Ave Apt 1204, Chicago, IL 60649-1373 | 2019-09-23 |
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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.