KAREN FAGAN (NPI# 1114463502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114463502 |
| Entity Type | Individual |
| Full Name | KAREN FAGAN |
| Credential | APN |
| Practice Address |
500 N Weber Road Romeoville IL 60544 |
| Mailing Address |
1701 Highland Ave Crest Hill IL 60403-2423 |
| Practice Telephone | 8157737827 |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2017-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209015643 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053401737 | Karen A. Fagan | Internal Medicine | 2451 Fillingim St, Mastin Bldg., Mobile, AL 36617-2238 | 2006-10-13 |
| 1659465318 | Karen Fagan | Physical Therapy Assistant | 260 Western Ave, So Portland, ME 04106 | 2006-10-03 |
| Street Address |
500 N WEBER ROAD |
| City | ROMEOVILLE |
| State | IL |
| Zip Code | 60544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932706371 | Rakhi Shingala | Counselor | Legacy Clinical Consultant, 13717 S. Route 30, 159, Naperville, IL 60544 | 2020-10-08 |
| 1548875446 | Michael T Liacone | Counselor | 13550 Lincoln Hwy, Plainfield, IL 60544 | 2020-09-09 |
| 1700388758 | Christina Sincora | Speech-Language Pathologist | 15730 Howard Street, Plainfield, IL 60544 | 2018-03-06 |
| 1770085250 | Carol Ann Sotir | Nurse Practitioner | 14404 S Maple Court, Plainfield, IL 60544 | 2018-03-01 |
| 1912409434 | Sandra Henderson | Counselor | 24044 W Main St, Plainfield, IL 60544 | 2018-02-28 |
| 1073024576 | Jamie Mirocha Inc. | Clinic/Center | 24012 W Renwick Road, Plainfield, IL 60544 | 2017-10-24 |
| 1558812057 | Fresenius Medical Care Plainfield North, LLC | Clinic/Center | 24024 West Riverwalk Ct., Plainfield, IL 60544 | 2016-10-19 |
| 1790131936 | Plainfield Pediatric Dental Care PC | Preferred Provider Organization | 13621 S. Rt 59, Unit 101, Plainfield, IL 60544 | 2016-05-06 |
| 1598152753 | Lauren Beall | Pharmacist | 2480 Route 59, Plainfield, IL 60544 | 2015-04-24 |
| 1023406980 | Angela June Kostner | Nurse Practitioner | Physicians Immediate Care Plainfield North 13641 Il-59, Plainfield, IL 60544 | 2014-12-30 |
| Find all providers in zip 60544 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457959140 | Holistic Health and Behavioral Services Inc | Nurse Practitioner | 1382 W Alder Creek Dr, Romeoville, IL 60446-5063 | 2020-10-14 |
| 1265042287 | Arlyn Dingel Smith | Nurse Practitioner | 1964 Pembrooke Ct, Romeoville, IL 60446-3999 | 2020-08-04 |
| 1245865906 | Christine Deliva | Nurse Practitioner | 1651 Ashbury Ln, Romeoville, IL 60446-4886 | 2020-03-03 |
| 1588120034 | Lauren A Horne | Nurse Practitioner | 1400 W Normantown Rd, Romeoville, IL 60446-4331 | 2019-02-20 |
| 1376908244 | Lakeshia Keys-nesbit | Nurse Practitioner | 1644 Fiddyment Dr, Romeoville, IL 60446-5156 | 2015-12-21 |
| 1023512274 | Catherine Kiley | Nurse Practitioner | 500 S Weber Rd, Romeoville, IL 60446-6528 | 2018-03-22 |
| 1366827628 | Cynthia L Zaletel | Nurse Practitioner | 498 N Weber Rd, Romeoville, IL 60446-4945 | 2015-07-28 |
| 1619228723 | Edward Health Ventures | Nurse Practitioner | 20 S Weber Rd, Romeoville, IL 60446-4947 | 2012-09-28 |
| 1932202637 | Colleen Markham | Nurse Practitioner | 498 N Weber Rd, Romeoville, IL 60446-4945 | 2006-09-07 |
| 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 | ||||
| City | ROMEOVILLE |
| Zip Code | 60544 |
Please comment or provide details below to improve the information on KAREN FAGAN.
| 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.