GAIL GREATHOUSE (NPI# 1215060298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215060298 |
| Entity Type | Individual |
| Full Name | GAIL GREATHOUSE |
| Credential | FNP |
| Practice Address |
100 S Main St West Salem IL 62476-1202 |
| Mailing Address |
800 E Locust St Olney IL 62450-2553 |
| Practice Telephone | 6184563727 |
| Practice Fax Number | 6184563774 |
| Mailing Telephone | 6183957340 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2016-01-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209002292 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | LICENSE NUMBER | 209-002292 | 01 |
| Street Address |
100 S MAIN ST |
| City | WEST SALEM |
| State | IL |
| Zip Code | 62476-1202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659893527 | Brandi L Alvord | Nurse Practitioner | 100 S Main St, West Salem, IL 62476 | 2017-07-12 |
| 1922475037 | Richland Memorial Hospital, Inc. | Clinic/Center | 100 S Main St, West Salem, IL 62476-1202 | 2015-08-24 |
| 1952781684 | Richland Memorial Hospital, Inc. | Clinic/Center | 100 S Main St, West Salem, IL 62476-1202 | 2015-06-08 |
| 1356331078 | West Salem Clinic Ltd | Family Medicine | 100 S Main St, West Salem, IL 62476-1202 | 2005-10-25 |
| 1871589515 | Harry Timothy Garrett | Family Medicine | 100 S Main St, West Salem, IL 62476-1202 | 2005-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417592098 | Emily Brown | Pharmacist | 108 S Main St, West Salem, IL 62476-1202 | 2019-11-07 |
| 1235790940 | Richland Memorial Hospital, Inc | Durable Medical Equipment & Medical Supplies | 108 S Main St, West Salem, IL 62476-1202 | 2019-06-24 |
| 1952961997 | Richland Memorial Hospital, Inc | Pharmacy | 108 S Main St, West Salem, IL 62476-1202 | 2019-06-20 |
| 1093809402 | Apothecary Shoppe of West Salem Inc | Durable Medical Equipment & Medical Supplies | 108 S Main St, West Salem, IL 62476-1202 | 2006-10-03 |
| 1093935470 | Kelly Rayhill Johnson | Occupational Therapist | 5748 N 2300 Ln, West Salem, IL 62476-3068 | 2007-04-26 |
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659893527 | Brandi L Alvord | Nurse Practitioner | 100 S Main St, West Salem, IL 62476 | 2017-07-12 |
| 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 | WEST SALEM |
| Zip Code | 62476 |
Please comment or provide details below to improve the information on GAIL GREATHOUSE.
| 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.