MRS. SAMANTHA MARIE HAEFFNER (NPI# 1215583299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215583299 |
| Entity Type | Individual |
| Full Name | MRS. SAMANTHA MARIE HAEFFNER |
| Practice Address |
7511 N Honeysuckle Ct Brimfield IL 61517-8700 |
| Practice Telephone | 3094469890 |
| Mailing Telephone | 3094469890 |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2019-08-14 |
| 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 |
| Street Address |
7511 N HONEYSUCKLE CT |
| City | BRIMFIELD |
| State | IL |
| Zip Code | 61517-8700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598975005 | Curtis Bruce Sherman | Pharmacist | 91 Knoxville Ave, Brimfield, IL 61517 | 2007-05-23 |
| 1700886280 | Robert Scott Bevill | Family Medicine | 111 E Knoxville St, Brimfield, IL 61517-8022 | 2005-07-27 |
| 1609330596 | Andrea Jane Hoerr | Nurse Practitioner | 111 E Knoxville St, Brimfield, IL 61517-8022 | 2019-01-25 |
| 1508867557 | Eagle Family Medicine Sc | Family Medicine | 111 E Knoxville St, Brimfield, IL 61517-8022 | 2005-08-02 |
| 1588928006 | Clint Martin | Dentist | 232 E Knoxville St, Brimfield, IL 61517-8103 | 2012-06-28 |
| 1568072668 | Brimfield Family Dentistry, P.C. | Clinic/Center | 232 E Knoxville St, Brimfield, IL 61517-8103 | 2020-08-04 |
| 1801211941 | Sarah Lynn Moon | Speech-Language Pathologist | 216 E Clinton St, Brimfield, IL 61517-8157 | 2014-02-26 |
| 1033361506 | Randy Eugene Lloyd | Massage Therapist | 14602 W Southport Rd, Brimfield, IL 61517-9372 | 2008-10-16 |
| 1346768660 | Brenda Wiewel | Speech-Language Pathologist | 9202 Philander Chase Ln, Brimfield, IL 61517-9492 | 2017-09-07 |
| 1902105299 | 0 Limits Inc | Kinesiotherapist | 13215 W Southport Rd, Brimfield, IL 61517-9516 | 2011-03-25 |
| Find all providers in zip 61517 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1124626213 | Tonya Lee Burdell | Technician | 315 S Douglas St, Litchfield, IL 62056-1851 | 2020-10-12 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.