COLETTE CARTER (NPI# 1164812541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164812541 |
| Entity Type | Individual |
| Full Name | COLETTE CARTER |
| Credential | APN |
| Practice Address |
3401 N Perryville Rd Rockford IL 61114 |
| Mailing Address |
3401 N Perryville Rd Rockford IL 61114-8011 |
| Practice Telephone | 8159712000 |
| Practice Fax Number | 8153951415 |
| Mailing Telephone | 8159712000 |
| Mailing Fax Number | 8153951415 |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2019-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
209012268 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1639 N Alpine Rd, 260, Rockford, IL 611071449 | 8153951500 | 8153951415 |
| Street Address |
3401 N PERRYVILLE RD |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720068695 | Fazlur R. Zahurullah | Otolaryngology | 3401 N Perryville Rd, Rockford, IL 61114-8011 | 2006-01-18 |
| 1598263618 | Molly Rozeboom | Physician Assistant | 3401 N Perryville Rd, Rockford, IL 61114-8011 | 2018-01-23 |
| 1528513124 | Rebecca J Nygren | Physical Therapist | 3401 N Perryville Rd, Rockford, IL 61114-8011 | 2016-08-24 |
| 1598164469 | Heidi Johns-fiedler | Speech-Language Pathologist | 3401 N Perryville Rd, Rockford, IL 61114-8011 | 2014-08-17 |
| 1205261724 | Michelle Lee Cleveland | Nurse Practitioner | 3401 N Perryville Rd, Suite 303, Rockford, IL 61114-8011 | 2013-09-04 |
| 1518229210 | Justin William Johnson | Optometrist | 3401 N Perryville Rd, Rockford, IL 61114-8011 | 2012-06-09 |
| 1659667186 | Pradeepa Franklin | Physical Therapist | 3401 N Perryville Rd, Rockford, IL 61114-8011 | 2011-06-23 |
| 1295067254 | Julie A Panek | Physical Therapist | 3401 N Perryville Rd, Rockford, IL 61114-8011 | 2010-02-02 |
| 1043448111 | Raju M Shanmugam | Family Medicine | 3401 N Perryville Rd, Rockford, IL 61114-8011 | 2009-06-29 |
| 1225289358 | Lisa A Angel | Physical Therapist | 3401 N Perryville Rd, Physical Therapy Dept, Rockford, IL 61114-8011 | 2008-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064560 | Caleb Ifeoluwa Oluwadamisi | Student in an Organized Health Care Education/Training Program | Mercy Health Javon Bea Hospital, 8201 East Riverside Boulevard, Rockford, IL 61114 | 2020-05-11 |
| 1811525959 | Seifeldin Eid | Student in an Organized Health Care Education/Training Program | Mercyhealthjavon Bea Hospital, 8201, East Riversideboulevard, IL 61114 | 2020-04-01 |
| 1073167664 | Swedishamerican Hospital | Internal Medicine | 3505 N Bell School Road, Rockford, IL 61114 | 2019-07-31 |
| 1154980076 | Anurag Gill | Student in an Organized Health Care Education/Training Program | 8201 East Riverside Boulevard, Mercy Health Javon Bea Hospital, Rockford, IL 61114 | 2019-06-13 |
| 1578121943 | Sona Najafi | Student in an Organized Health Care Education/Training Program | Mercyhealth Javon Bea Hospital, 8201 East Riverside Blvd, Rockford, IL 61114 | 2019-05-31 |
| 1760045744 | Julianna Jones | Counselor | 6653 Weaver Rd Ste 115, Rockford, IL 61114 | 2019-04-16 |
| 1952869943 | Angela Marie Hawkins | Nurse Practitioner | 8201 E. Riverside Blvd, Pediatric Neurology, Rockford, IL 61114 | 2019-03-08 |
| 1376029231 | Meghan Beth Teske | Chiropractor | 3779 N. Alpine Rd., Rockfod, IL 61114 | 2018-07-13 |
| 1811401284 | Summit Radiology, LLC | Clinic/Center | 3849 N. Perryville Road, Rockford, IL 61114 | 2017-11-21 |
| 1548704299 | Rockford Orthopedic Associates, Ltd | Durable Medical Equipment & Medical Supplies | 5929 E Riverside Blvd, Rockford, IL 61114 | 2016-12-15 |
| Find all providers in zip 61114 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427514306 | Elder Care of West Michigan Pllc | Nurse Practitioner | 6785 Myers Lake Ave Ne, Rockford, MI 49341-7416 | 2019-02-15 |
| 1639542657 | Molly Engelkes | Nurse Practitioner | 2222 E State St, Suite 209, Rockford, IL 61104-1573 | 2015-11-12 |
| 1700261781 | Joani Sue Browning | Nurse Practitioner | 2222 E State St, Suite 209, Rockford, IL 61104-1573 | 2015-07-20 |
| 1588065353 | Andrea Schier | Nurse Practitioner | 2300 N. Rockton Ave., Rockford, IL 61103-3619 | 2014-09-11 |
| 1548388044 | Rhonda Rae Johnson | Nurse Practitioner | 2300 N Rockton Ave, Pac Team Office - Main Clinic, Rockford, IL 61103-3619 | 2007-03-26 |
| 1609821511 | Melody Cates | Nurse Practitioner | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553472 | Nicholas Johnson | Nurse Practitioner | 8455 S Luella Ave, Chicago, IL 60617-1953 | 2020-09-23 |
| 1710592175 | Mary Maloney | Nurse Practitioner | 348 Westglen Dr, Glen Carbon, IL 62034-1002 | 2020-09-12 |
| 1134738800 | Benjamin Scott Hulfachor | Nurse Practitioner | 4143 N Central Park Ave Apt G, Chicago, IL 60618-2062 | 2020-07-28 |
| 1083222368 | Izolda Rosario | Nurse Practitioner | 501 W Lake St Ste 207, Elmhurst, IL 60126-1419 | 2020-07-22 |
| 1043832785 | Melanie Glander | Nurse Practitioner | 18357 Cowing Ct, Homewood, IL 60430-3332 | 2020-05-16 |
| 1699306902 | Ife Muyiwa-ojo | Nurse Practitioner | 729 E Carpenter St, Springfield, IL 62702-5321 | 2020-01-27 |
| 1962040345 | Doctors Orders Inc. | Nurse Practitioner | 5113 S Harper Ave Ste 2, Chicago, IL 60615-4119 | 2019-12-16 |
| 1801455993 | Parul Arora | Nurse Practitioner | 1717 W Congress Pkwy Ste 1125, Chicago, IL 60612-3809 | 2019-06-11 |
| 1891358222 | Kelly Jo Erke | Nurse Practitioner | 20830 N 1970 East Rd, Danville, IL 61834-6228 | 2019-04-22 |
| 1689136319 | Brittany Sue Borkowski | Nurse Practitioner | 5841 S Maryland Ave # W700, Chicago, IL 60637-1443 | 2019-04-02 |
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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.