SANDRA DAMON


Address: 2400 N Rockton Ave, Rockford, IL 61103-3655
Phone: 8159715000

SANDRA DAMON (NPI# 1184808834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184808834
Entity Type Individual
Full Name SANDRA DAMON
Credential NP
Practice Address 2400 N Rockton Ave
Rockford
IL 61103-3655
Practice Telephone 8159715000
Practice Fax Number 8159689677
Mailing Telephone 8159715000
Mailing Fax Number 8159689677
Enumeration Date 2007-12-18
Last Update Date 2014-12-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LN0000X Nurse Practitioner
Specialization: Neonatal
041227847 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2400 N ROCKTON AVE
City ROCKFORD
State IL
Zip Code 61103-3655

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457357592 Michael J Kikta Surgery 2400 N Rockton Ave, Rockford, IL 61103-3655 2005-06-23
1053950055 Tina Longphee Registered Nurse 2400 N Rockton Ave, Rockford, IL 61103-3655 2019-12-23
1598227407 Shahid Mohammad Student in an Organized Health Care Education/Training Program 2400 N Rockton Ave, Rockford, IL 61103-3655 2019-04-01
1265993109 Sarah Elaine Robertson Student in an Organized Health Care Education/Training Program 2400 N Rockton Ave, Rockford, IL 61103-3655 2019-03-25
1770042525 Vinita Patel Student in an Organized Health Care Education/Training Program 2400 N Rockton Ave, Rockford, IL 61103-3655 2019-03-19
1255890646 Gilda Djabarzade Student in an Organized Health Care Education/Training Program 2400 N Rockton Ave, Rockford, IL 61103-3655 2019-03-15
1285103002 Amy Lask Nurse Practitioner 2400 N Rockton Ave, Rockford, IL 61103-3655 2018-11-21
1477038743 Michelle Harris Advanced Practice Midwife 2400 N Rockton Ave, Rockford, IL 61103-3655 2018-10-02
1134603095 Sarah R Linder Nurse Practitioner 2400 N Rockton Ave, Rockford, IL 61103-3655 2018-09-17
1376022350 Atiq Urrehman Khan Psychiatry & Neurology 2400 N Rockton Ave, Rockford, IL 61103-3655 2018-08-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598398497 The Elitist Group Home Health Aide 2929 N Main Street, Rockford, IL 61103 2020-02-19
1972064194 Mahita Bellamkonda Student in an Organized Health Care Education/Training Program 2400 North Rockton Avenue, Rockford, IL 61103 2019-03-29
1558538967 Willows Health Center Clinic/Center 4143 Albright Lane, Rockford, IL 61103 2008-05-14
1497845135 Humaira Bari Internal Medicine 2400 N. Rockton Avenue, Rockford, IL 61103 2006-10-13
1841385242 Rachel Pawlowski Occupational Therapist 3616 N. Main Street, Rockford, IL 61103 2006-10-03
1417068438 Alicia Anne Huntley Midwife 2400 Rockton Ave, Rockford, IL 61103 2006-08-31
1639190200 Glendon Burress Pediatrics 2300 N. Rockton Ave., Rockford Health Physicians, Rockford, IL 61103 2006-07-21
1225065204 Daniel William Johnson Dentist 519 Toner Av, Rockford, IL 61103 2006-06-27
1760472898 Ronald Peter Oberfoell Anesthesiology 2400 North Rockton Ave, Rockford Health Physicians, Rockford, IL 61103 2005-10-28
1841752532 Dipti Sabharwal Student in an Organized Health Care Education/Training Program 2400 N Rockton Avenue, Rockford, IL 61103 2019-04-02
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Taxonomy Information

Taxonomy Code 363LN0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Neonatal

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235764556 Alexandra Paganis Nurse Practitioner 1401 E State St, Rockford, IL 61104-2315 2020-03-06
1043778772 Rhonda J Gale Nurse Practitioner 8201 E Riverside Blvd, Rockford, IL 61114-2300 2019-03-12
1417355025 Becki Conroy Nurse Practitioner 2400 N Rockton Ave, Neonatology Dept, Rockford, IL 61103-3655 2014-12-12
1851695845 Marjorie L Lenox Nurse Practitioner 2400 N Rockton Ave, Att Theresa Kane, Rockford, IL 61103-3655 2011-01-05
1215111968 Joan Mommer Nurse Practitioner 2400 N Rockton Ave, Rockford, IL 61103-3655 2007-12-18
1811171564 Debra Gilbertson Nurse Practitioner 2400 N Rockton Ave, Rockford, IL 61103-3655 2007-12-18
1528241247 Kim Schmidt Nurse Practitioner 2400 N Rockton Ave, Rockford, IL 61103-3655 2007-12-17
1710160437 Susan Swanson Nurse Practitioner 2400 N Rockton Ave, Rockford, IL 61103-3655 2007-12-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1699381707 Jamie Kaye Summers Nurse Practitioner 522 Clover Ct, Gibson City, IL 60936-1901 2020-09-23
1447697032 Jessica Sue Krause Nurse Practitioner 1750 W Harrison St Fl 6, Chicago, IL 60612-3825 2013-05-23
1164798641 Kate M Reed Nurse Practitioner 25 Thorndale Ct, South Elgin, IL 60177-3202 2012-03-28
1982975694 Tiffany Amber Deriggi Nurse Practitioner 3831 N Sacramento Ave, Apt 1, Chicago, IL 60618-3530 2012-01-26
1154590214 Patricia Mary Lumb Nurse Practitioner 2600 Children's Plaza, Chicago, IL 60614 2008-02-22
1841468139 Mimi Noelle Hussussian Nurse Practitioner Children's Memorial Hospital, 2300children's Plaza, Box #253, Chicago, IL 60614 2008-02-20
1366610107 Patricia Freeman Stevens Nurse Practitioner 316 N Park Rd, La Grange Park, IL 60526-1801 2008-02-14
1225250723 Carolyn Patricia Seng Nurse Practitioner 5721 S. Maryland Ave, Chicago, IL 60637 2007-05-03
1487767117 Robert Anthony Wisdom Nurse Practitioner 4444 S Prairie Ave, Chicago, IL 60653-3208 2006-08-16
1538771340 Jennifer Aileen Burkett Nurse Practitioner 225 E Chicago Ave, Chicago, IL 60611-2991 2020-08-21
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Competitor

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City ROCKFORD
Zip Code 61103

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Dataset Information

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.

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