TONYA LEE BURDELL (NPI# 1124626213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124626213 |
| Entity Type | Individual |
| Full Name | TONYA LEE BURDELL |
| Practice Address |
315 S Douglas St Litchfield IL 62056-1851 |
| Practice Telephone | 2178516474 |
| Mailing Telephone | 2178516474 |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2020-10-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers | ||
| N | 3747A0650X |
Technician Specialization: Attendant Care Provider |
IL | Nursing Service Related Providers |
| Street Address |
315 S DOUGLAS ST |
| City | LITCHFIELD |
| State | IL |
| Zip Code | 62056-1851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851940340 | Daniel Bennett | Technician | 1007 N Jefferson St, Litchfield, IL 62056 | 2019-09-06 |
| 1841846888 | Madalyn Leann Rogers | Speech-Language Pathologist | 601 W South St., Litchfield, IL 62056 | 2019-08-15 |
| 1164780185 | Jimmy Dapog | Physical Therapist | 628 Illinois St, Litchfield, IL 62056 | 2012-04-27 |
| 1114139037 | Dental Professionals of Illinois, P.C. | Dentist | 620 West Union, Litchfield, IL 62056 | 2007-05-04 |
| 1558583096 | Affordable Dentistry Today, PC | Dentist | 515 North Monroe, Litchfield, IL 62056 | 2007-05-03 |
| 1104915867 | City of Litchfield | Ambulance | 201 East Edwards, Litchfield Ave Ambulance Service, Litchfield, IL 62056 | 2006-10-12 |
| 1033213020 | Litchfield Oncology Institute Ltd | Radiology | 1201 East Union Avenue, Litchfield, IL 62056 | 2006-09-11 |
| 1891751400 | Andrew Kamp | Physical Therapist | 1510 Old Route 66 North, Litchfield, IL 62056 | 2006-04-22 |
| 1720226442 | Patti S Durbin | Nurse Anesthetist, Certified Registered | 1215 Franciscan Drive, Anesthesia Dept, Litchfield, IL 62056 | 2009-02-03 |
| 1841388840 | Muhammad Ansari | Radiology | 1201 E Union Ave, Litchfield, IL 62056 | 2006-10-11 |
| Find all providers in zip 62056 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851940340 | Daniel Bennett | Technician | 1007 N Jefferson St, Litchfield, IL 62056 | 2019-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881294874 | Paulette Lovelace | Technician | 521 Vicksburg Dr, Belleville, IL 62221-6670 | 2020-10-28 |
| 1891395893 | Cheryl Lynn Eubanks | Technician | 1710 Mccasland Ave, East Saint Louis, IL 62207-2245 | 2020-10-28 |
| 1043818446 | Sabrina Marie Williams | Technician | 211 S Lodge St, Shelbyville, IL 62565-1951 | 2020-10-16 |
| 1720685704 | Itzayana Rodriguez | Technician | 5037 Carol Ct, Rockford, IL 61108-4157 | 2020-10-02 |
| 1871108209 | Ashley Marie Dawkins | Technician | 528 Grant Dr, Quincy, IL 62301-7234 | 2020-09-11 |
| 1104437797 | Stephen T Medford | Technician | 1017 Hartman Ln, O Fallon, IL 62269-7207 | 2020-08-16 |
| 1528685088 | Maxine Washington | Technician | 2014 S. 17th Ave., Broadview, IL 60155-2906 | 2020-07-01 |
| 1316562788 | Salli Jacobsen | Technician | 6699 Torch Lite Tr, Loves Park, IL 61111 | 2020-06-11 |
| 1356962377 | Brenda Lou Isermann | Technician | 406 W South 2nd St, Shelbyville, IL 62565-2114 | 2020-04-30 |
| 1699394791 | Lourdes Perez | Technician | 5103 Pontigo Glen Dr, Plainfield, IL 60586-4027 | 2020-04-09 |
| Find all providers with the same taxonomy | ||||
| City | LITCHFIELD |
| Zip Code | 62056 |
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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.