MS. JENNIFER LYNN MOOI (NPI# 1184244030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184244030 |
Entity Type | Individual |
Full Name | MS. JENNIFER LYNN MOOI |
Other Name | MS. JENNIFER LYNN LOVE |
Practice Address |
500 W Court St Kankakee IL 60901-3691 |
Mailing Address |
17921 S Beechwood Ct Lockport IL 60441-6102 |
Practice Telephone | 8159372400 |
Mailing Telephone | 7084211700 |
Enumeration Date | 2020-04-21 |
Last Update Date | 2020-04-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209021068 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
500 W COURT ST |
City | KANKAKEE |
State | IL |
Zip Code | 60901-3691 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558354456 | Reshma Ariga | Pathology | 500 W Court St, Kankakee, IL 60901-3661 | 2005-08-25 |
1508336165 | Mary Eileen Benz | Dietitian, Registered | 500 W Court St, Kankakee, IL 60901 | 2018-11-27 |
1861975260 | Sarah Ruth Hussey | Dietitian, Registered | 500 W Court St, Kankakee, IL 60901-3661 | 2018-09-11 |
1588156152 | Kimberly K White | Nurse Practitioner | 500 W Court St, Kankakee, IL 60901 | 2018-05-30 |
1649781725 | Bonita L Malinowski | Dietitian, Registered | 500 W Court St, Kankakee, IL 60901-3661 | 2017-10-17 |
1750892964 | Julie Ellen Cherrington | Dietitian, Registered | 500 W Court St, Kankakee, IL 60901-3661 | 2017-10-14 |
1437677689 | Mediexperts, LLC | Pathology | 500 W Court St, Kankakee, IL 60901-3661 | 2017-09-07 |
1689199614 | Cepamerica Illinois LLP | Emergency Medicine | 500 W Court St, Kankakee, IL 60901-3661 | 2017-08-10 |
1871016014 | Kayla Nicole Weck | Registered Nurse | 500 W Court St, Kankakee, IL 60901-3661 | 2017-07-19 |
1184097628 | Jessica Rae Kollmann | Dietitian, Registered | 500 W Court St, Kankakee, IL 60901-3661 | 2015-11-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558978841 | William Mitsos Dds | Dentist | 1291 S. 7th Ave, Kankakee, IL 60901 | 2020-09-30 |
1922653682 | Jody Mcguyer, Lcpc, Cadc Counseling Services, LLC | Counselor | 315 W. Court St., Kankakee, IL 60901 | 2019-08-08 |
1700346327 | Sarah Elizabeth Toma | Speech-Language Pathologist | 200 E Court St #708, Kankakee, IL 60901 | 2019-03-20 |
1710473160 | Small Talk Speech Services, LLC | Clinic/Center | 1439 W Vanmeter St, Kankakee, IL 60901 | 2018-07-09 |
1124538004 | Amy J Green | Physical Therapist | 350 N. Wall Street, Kankakee, IL 60901 | 2017-10-05 |
1013457514 | Elizabeth Ann Smith | Registered Nurse | 292 Charlton Lane, Kankakee, IL 60901 | 2017-03-02 |
1861931461 | Stacey E. Brown | Nurse Practitioner | 207 N. Schuyler Ave., Kankakee, IL 60901 | 2017-02-15 |
1417352105 | Provider Healthcare Services, Inc | Home Health | 555 South Schuyler, Suite 275, Kankakee, IL 60901 | 2014-10-24 |
1265850655 | Ronald George Testa | Dentist | 202 N. Schuyler Ave, Kankakee, IL 60901 | 2014-04-02 |
1245587898 | Mary Beth Wertz | Registered Nurse | 100 N Jeffery Street, Kankakee, IL 60901 | 2012-08-13 |
Find all providers in zip 60901 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306310131 | Kaitlyn M Dewitt | Nurse Practitioner | 375 N Wall St Ste 510, Kankakee, IL 60901-3483 | 2019-01-15 |
1356898951 | Kevin Bryant | Nurse Practitioner | 341 N Saint Joseph Ave, Kankakee, IL 60901-2741 | 2016-09-01 |
1790105195 | Keyoma Donta Jamerson | Nurse Practitioner | 1701 E Court, Kankakee, IL 60901-3661 | 2014-04-24 |
1689757940 | Amy Ann Golyshko | Nurse Practitioner | 500 W Court Street, Provena St Marys Hospital Wound Healing Services, Kankakee, IL 60901 | 2006-10-23 |
1982797148 | Martha Gainer | Nurse Practitioner | 1 Dearborn Sq, Suite 600, Kankakee, IL 60901-3942 | 2006-10-02 |
1811521883 | Shana Marie Teske | Nurse Practitioner | 375 N Wall St Ste P310, Kankakee, IL 60901-3484 | 2020-02-27 |
1609437268 | Kshiti Manek | Nurse Practitioner | 350 N Wall St, Kankakee, IL 60901-2991 | 2019-06-25 |
1235618927 | Marisa M Schrum | Nurse Practitioner | 1701 E Court St, Kankakee, IL 60901-2670 | 2018-08-13 |
1962994483 | Marissa Nicole Ruebhausen | Nurse Practitioner | 375 N Wall St Ste P520, Kankakee, IL 60901-3493 | 2018-05-31 |
1588156152 | Kimberly K White | Nurse Practitioner | 500 W Court St, Kankakee, IL 60901 | 2018-05-30 |
Find all providers in KANKAKEE |
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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.