COLLEEN R NUXOLL (NPI# 1114184959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114184959 |
| Entity Type | Individual |
| Full Name | COLLEEN R NUXOLL |
| Credential | APN,WHNP,RDMS |
| Practice Address |
912 N Henrietta St Effingham IL 62401-1788 |
| Mailing Address |
Po Box 784 912 N Henrietta St Effingham IL 62401-0784 |
| Practice Telephone | 2173423337 |
| Practice Fax Number | 2173423338 |
| Mailing Telephone | 2173423337 |
| Mailing Fax Number | 2173423338 |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
209000162 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
912 N HENRIETTA ST |
| City | EFFINGHAM |
| State | IL |
| Zip Code | 62401-1788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023004439 | Jeffrey Wayne Whightsel | Obstetrics & Gynecology | 912 N Henrietta St, Effingham, IL 62401-1788 | 2005-09-21 |
| 1588273916 | Mary Jo Bierman | Nurse Practitioner | 912 N Henrietta St, Effingham, IL 62401-1788 | 2020-07-31 |
| 1679079966 | Emily L. Kreke | Physician Assistant | 912 N Henrietta St, Effingham, IL 62401-1788 | 2018-04-04 |
| 1396129243 | Abbie Cristine Massengill | Obstetrics & Gynecology | 912 N Henrietta St, Effingham, IL 62401-1788 | 2015-07-09 |
| 1649677063 | Effingham Obstetrics and Gynecology Associates LLC | Clinic/Center | 912 N Henrietta St, Effingham, IL 62401 | 2014-12-01 |
| 1457791964 | Lab One LLC | Clinical Medical Laboratory | 912 N Henrietta St, Effingham, IL 62401-1788 | 2013-06-28 |
| 1477860427 | Carle Health Care Incorporated | Durable Medical Equipment & Medical Supplies | 912 N Henrietta St, Effingham, IL 62401-1788 | 2010-09-10 |
| 1255537197 | Jennifer Helen Dust | Obstetrics & Gynecology | 912 N Henrietta St, Effingham, IL 62401 | 2007-06-26 |
| 1134251853 | Effingham Obstetrics & Gynecology Associates Sc | Obstetrics & Gynecology | 912 N Henrietta St, Effingham, IL 62401-1788 | 2007-03-09 |
| 1497884134 | Stefani Jane Beverlin | Specialist/Technologist | 912 N Henrietta St, Effingham, IL 62401-1788 | 2007-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568021269 | Rhodes To Health, LLC | Chiropractor | 200 E. Fayette Ave, Effingham, IL 62401 | 2019-06-07 |
| 1467951699 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 903 N Maple St, Effingham, IL 62401 | 2018-02-02 |
| 1033632187 | Diel Counseling Inc. | Counselor | 444 S. Willow #7, Effingham, IL 62401 | 2017-07-20 |
| 1770930968 | Community Support Systems | Intermediate Care Facility, Mentally Retarded | 2311 Veterans Drive, Effingham, IL 62401 | 2016-05-18 |
| 1194107102 | Radhika Annam | Internal Medicine | 500 N. Maple St., Joslin Diabetes Center Affiliate At Hshs Medical Group, Effingham, IL 62401 | 2015-06-25 |
| 1912334558 | Ruben Boyajian, Md | Surgery | 904 Medical Park Drive, Suite 2, Effingham, IL 62401 | 2013-09-27 |
| 1427483502 | Daniel E Czajkowski | Physical Therapist | 2611 S Banker St, Effingham, Il, Effingham, IL 62401 | 2013-09-09 |
| 1093140501 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 1200 Network Centre Drive, Suite #2, Effingham, IL 62401 | 2013-09-04 |
| 1689926487 | Wellness Loft Inc. | Counselor | 408 South 4th St., Effingham, IL 62401 | 2012-10-04 |
| 1598011470 | Patricia R. Diel | Social Worker | 444 S. Willow, Suite 7, Effingham, IL 62401 | 2012-07-30 |
| Find all providers in zip 62401 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455306 | Megan Bishoff | Nurse Practitioner | 880 W Central Rd Ste 6200, Arlington Heights, IL 60005-2378 | 2020-10-21 |
| 1881292019 | Dana Beth Yednock | Nurse Practitioner | 1444 E Broadway St, Streator, IL 61364-2535 | 2020-10-10 |
| 1154959864 | Jennifer Marie Nieves | Nurse Practitioner | 34 E Oak St Ste 6, Chicago, IL 60611-1231 | 2020-03-29 |
| 1093340275 | Nicole Price | Nurse Practitioner | 3717 N Ravenswood Ave Ste 213, Chicago, IL 60613-4098 | 2020-03-07 |
| 1497318372 | Rachael Elizabeth Thomas | Nurse Practitioner | 333 S Desplaines St Ste 201, Chicago, IL 60661-5514 | 2019-04-17 |
| 1700358025 | Cassandra Marie Johnson | Nurse Practitioner | 636 Hampshire St Ste 201, Quincy, IL 62301-3054 | 2018-12-27 |
| 1063990588 | Lisa Hammons | Nurse Practitioner | 14470 S La Grange Rd, Orland Park, IL 60462-2630 | 2018-08-06 |
| 1750874459 | Valerie Wezran | Nurse Practitioner | 3 Ontario St Apt 1, Oak Park, IL 60302-2573 | 2018-06-08 |
| 1033626262 | Heather Ann San Juan | Nurse Practitioner | 613 S Poplar Ave, Elmhurst, IL 60126-4061 | 2018-01-09 |
| 1124530340 | Kristy Wienstroer | Nurse Practitioner | 1191 Fortune Blvd, Shiloh, IL 62269-7377 | 2017-10-27 |
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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.