DONNA D VAN DAM (NPI# 1114291895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114291895 |
| Entity Type | Individual |
| Full Name | DONNA D VAN DAM |
| Credential | APN/CNM |
| Practice Address |
720 Brom Ct Suite 104 Naperville IL 60540-6531 |
| Practice Telephone | 6307179977 |
| Practice Fax Number | 6307176267 |
| Mailing Telephone | 6307179977 |
| Mailing Fax Number | 6307176267 |
| Enumeration Date | 2012-02-28 |
| Last Update Date | 2012-02-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367A00000X | Advanced Practice Midwife | 309.000811 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 21605044 | 01 |
| Street Address |
720 BROM CT SUITE 104 |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60540-6531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366439234 | Colleen J Noonan | Family Medicine | 720 Brom Ct, Ste 203, Naperville, IL 60540-6531 | 2005-10-05 |
| 1255605580 | Michael J Karakourtis Dds Ltd. | Oral & Maxillofacial Surgery | 720 Brom Ct, Suite 103, Naperville, IL 60540-6595 | 2012-03-05 |
| 1780957654 | Dr. Mary Deherrera-codo Md PC | Internal Medicine | 720 Brom Ct, Suit 204, Naperville, IL 60540-6531 | 2012-02-22 |
| 1215206842 | Willow Ridge Dental Group LLC | Dentist | 720 Brom Ct, Suite 105, Naperville, IL 60540-6531 | 2011-12-28 |
| 1063722379 | Rondinelli Nutrition Consulting, LLC | Dietitian, Registered | 720 Brom Ct, Naperville, IL 60540-6531 | 2010-10-20 |
| 1861663692 | Falguni Vasa Md Sc | Internal Medicine | 720 Brom Ct, Suite 204, Naperville, IL 60540-6531 | 2008-03-19 |
| 1861671372 | Naperville Family Practice Inc | Clinic/Center | 720 Brom Ct, 101, Naperville, IL 60540-6531 | 2007-10-31 |
| 1134248131 | Meghan M Flannery | Obstetrics & Gynecology | 720 Brom Ct, S-104, Naperville, IL 60540-6531 | 2007-03-29 |
| 1184741951 | Falguni R Vasa | Internal Medicine | 720 Brom Ct, Suite 204, Naperville, IL 60540-6531 | 2007-03-24 |
| 1629109293 | Michael G Peske | Dentist | 720 Brom Ct, Suite 201, Naperville, IL 60540-6531 | 2007-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760007678 | Mandalai Oral and Maxillofacial Surgery PC | Oral & Maxillofacial Surgery | 720 S. Brom Drive Suite 103, Naperville, IL 60540 | 2020-06-16 |
| 1316418957 | James Edward Frank | Counselor | 600 South Washington Street, Suite 302, Naperville, IL 60540 | 2018-12-07 |
| 1093208332 | Ingrid Johnson | Developmental Therapist | Right Start Pediatric Therapies, 50 S Main St Suite 200, Naperville, IL 60540 | 2018-06-12 |
| 1225528524 | Tara Rada Nieberding | Contractor | 1701 Quincy Ave Ste 12, Naperville, IL 60540 | 2018-05-14 |
| 1588182190 | Debra Xiangjun Hayes | Acupuncturist | 226 N Washington St # 2, Naperville, IL 60540 | 2017-09-03 |
| 1487197166 | Health Improvement and Preventive Services LLC | Family Medicine | 1979 Mcdowell Rd., Suite 103, Naperville, IL 60540 | 2016-11-29 |
| 1588013775 | Matthew Jacob Imber | Chiropractor | 1220 Hobson Rd Ste 220, Naperville, IL 60540 | 2016-06-08 |
| 1457711418 | Elite Pain Medical Group Inc | Physical Medicine & Rehabilitation | 720 South Brom Drive, Suite 201, Naperville, IL 60540 | 2016-03-03 |
| 1265814800 | Jenifer Lynn Mersman | Chiropractor | 475 River Bend Rd. Suite 104, Naperville, IL 60540 | 2015-06-19 |
| 1386038016 | Jonathon Martin Ruiz | Specialist/Technologist | 440 N Brainard Street, Naperville, IL 60540 | 2015-03-19 |
| Find all providers in zip 60540 | ||||
| Taxonomy Code | 367A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Advanced Practice Midwife |
| Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM). |
| Notes: Source: American College of Nurse-Midwives, 2008 [7/1/2008: title changed, defintion changed, source changed] Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912423856 | My Mindful Birth, Inc. | Advanced Practice Midwife | 225 W Jefferson Ave Ste 104, Naperville, IL 60540-5312 | 2017-08-22 |
| 1114232386 | Isabelle Guillou | Advanced Practice Midwife | 626 E Ogden Avenue, Naperville, IL 60563 | 2010-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487260428 | Sherri Lea Lynn | Advanced Practice Midwife | 2855 State Route 147, Vienna, IL 62995-3804 | 2020-09-16 |
| 1386255974 | Dr. Jacynia Women's Care Consulting, LLC | Advanced Practice Midwife | 6609 S University Ave, Chicago, IL 60637-4319 | 2020-08-16 |
| 1578197851 | Heather Breneisen Mena | Advanced Practice Midwife | 569 Shorely Dr, Barrington, IL 60010-3340 | 2020-02-26 |
| 1649810987 | Alisha M Wesley | Advanced Practice Midwife | 375 N Wall St Ste P410, Kankakee, IL 60901-3491 | 2020-01-15 |
| 1679116404 | Gentle Birth Care, Inc. | Advanced Practice Midwife | 130 W Willow Ave, Wheaton, IL 60187-5237 | 2019-10-24 |
| 1689238057 | Sarah Lynn Wayne | Advanced Practice Midwife | 250 E Superior St Fl 8, Chicago, IL 60611-2914 | 2019-04-30 |
| 1912476813 | Stephanie Gentry Martinez | Advanced Practice Midwife | 1024 North Blvd Ste 208, Oak Park, IL 60301-1149 | 2018-11-20 |
| 1518435130 | Amanda Bakken | Advanced Practice Midwife | 250 Center Dr Ste 101, Vernon Hills, IL 60061-1582 | 2018-11-13 |
| 1043792641 | Mallory Marie Klocke | Advanced Practice Midwife | 1117 W Lunt Ave Apt 2a, Chicago, IL 60626-3537 | 2018-08-30 |
| 1871028746 | Margaret Ladner | Advanced Practice Midwife | 2043 W Thomas St, Chicago, IL 60622-3627 | 2017-04-27 |
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| City | NAPERVILLE |
| Zip Code | 60540 |
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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.