JENNA NICOLE SARNA (NPI# 1104393180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104393180 |
| Entity Type | Individual |
| Full Name | JENNA NICOLE SARNA |
| Credential | NP-C |
| Practice Address |
400 S Kennedy Dr Ste 700 Bradley IL 60915-2639 |
| Mailing Address |
631 Hawthorne Dr Frankfort IL 60423-9517 |
| Practice Telephone | 8159357532 |
| Practice Fax Number | 8159357495 |
| Mailing Telephone | 7082574450 |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2018-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209018251 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
400 S KENNEDY DR STE 700 |
| City | BRADLEY |
| State | IL |
| Zip Code | 60915-2639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376503045 | Rahul Deepankar | Internal Medicine | 400 S Kennedy Dr Ste 700, Bradley, IL 60915-2639 | 2006-03-25 |
| 1164864906 | Aditi Vyas | Preventive Medicine | 400 S Kennedy Dr Ste 700, Bradley, IL 60915 | 2013-07-22 |
| 1730331711 | Kyle A Denny | Physician Assistant | 400 S Kennedy Dr Ste 700, Bradley, IL 60915-2639 | 2008-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285232991 | Healthy Medical Inc | Family Medicine | 535 N. East St., Suite A, Bradley, IL 60915 | 2020-10-14 |
| 1679826309 | Heather Sevier | Specialist/Technologist | 328 S Dearborn Ave, Bradley, IL 60915 | 2012-10-18 |
| 1013266584 | Arlene De Leon Delacruz | Physical Therapist | 400 South Kennedy Dr., Bradley, IL 60915 | 2012-08-30 |
| 1023370699 | Jessica Sorensen | Physician Assistant | 350 N Kinzie Ave, Bradley, IL 60915 | 2012-06-11 |
| 1184993164 | Debra Malone | Behavioral Analyst | 136-142 1/2 South Clinton, Bradley, IL 60915 | 2011-12-21 |
| 1376840421 | Joshua R Johnson | Physician Assistant | 400 S. Kennedy, Bradley, IL 60915 | 2011-02-24 |
| 1801192133 | Eloise Adams | Behavioral Analyst | 136 142 1/2 South Clinton, Bradley, IL 60915 | 2011-02-03 |
| 1386948685 | Rico J Hale | Behavioral Analyst | 136 142 South Clinton, Bradley, IL 60915 | 2010-12-29 |
| 1558665851 | Joyce A Bollhorst | Behavioral Analyst | 136-142 South Clinton, Bradley, IL 60915 | 2010-12-29 |
| 1538469655 | Kankakee Valley Chiropractic | Chiropractor | 300 North Kennedy Drive, Suite 2, Bradley, IL 60915 | 2010-10-22 |
| Find all providers in zip 60915 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750990271 | Caitlin Mccarthy | Nurse Practitioner | 990 N Kinzie Ave, Bradley, IL 60915-1233 | 2020-07-30 |
| 1356979629 | Kathryn Margaret Marie Locke | Nurse Practitioner | 990 N Kinzie Ave, Bradley, IL 60915-1233 | 2020-03-31 |
| 1548808959 | Holly Koren Dinello | Nurse Practitioner | 990 N Kinzie Ave, Bradley, IL 60915-1233 | 2019-12-16 |
| 1881154649 | Lindsey M. Dockemeyer | Nurse Practitioner | 990 N Kinzie Ave, Bradley, IL 60915-1233 | 2019-03-20 |
| 1902378334 | Amanda Jean Ragland | Nurse Practitioner | 409 Woodruff St, Bradley, AR 71826-8715 | 2018-12-25 |
| 1407357148 | Melissa Ewert Ortega | Nurse Practitioner | 990 N Kinzie Ave, Bradley, IL 60915-1233 | 2018-02-27 |
| 1932550233 | David A Fritz | Nurse Practitioner | 400 S Kennedy Dr, Suite 100, Bradley, IL 60915-2682 | 2016-06-28 |
| 1275906828 | Lori A Cornelius | Nurse Practitioner | 990 N Kinzie Ave, Bradley, IL 60915-1233 | 2015-11-04 |
| 1790155836 | Katie Kasper | Nurse Practitioner | 990 N Kinzie Ave, Bradley, IL 60915 | 2015-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760277 | Jennifer Michelle Kennedy | Nurse Practitioner | 3006 Lakeview Dr, Metropolis, IL 62960-3119 | 2020-11-07 |
| 1881295541 | Britney Julia Durst | Nurse Practitioner | 5905 N Prospect Rd, Peoria, IL 61614-4311 | 2020-11-07 |
| 1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
| 1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
| 1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
| 1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
| 1598365140 | Caitlyn Windsor | Nurse Practitioner | 24525 Grange Rd, Geneseo, IL 61254-8429 | 2020-10-31 |
| 1578163515 | Deanna Bassette | Nurse Practitioner | 243 E 31st St Apt 401, Chicago, IL 60616-5212 | 2020-10-29 |
| 1891395745 | Vrunda Shah Patel | Nurse Practitioner | 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 | 2020-10-29 |
| 1346840337 | Catherine Suh | Nurse Practitioner | 1380 Marcy Ln, Wheeling, IL 60090-4422 | 2020-10-28 |
| 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.