JACKIE MARIE HELMS (NPI# 1225571219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225571219 |
| Entity Type | Individual |
| Full Name | JACKIE MARIE HELMS |
| Credential | FNP-C |
| Practice Address |
9128 N Lindbergh Dr Peoria IL 61615-1422 |
| Mailing Address |
4521 N Tallgrass Ln Peoria IL 61615-8936 |
| Practice Telephone | 3096925337 |
| Mailing Telephone | 3096787705 |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2018-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.015153 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9128 N LINDBERGH DR |
| City | PEORIA |
| State | IL |
| Zip Code | 61615-1422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396731063 | Michael D Tarantino | Pediatrics | 9128 N Lindbergh Dr, Peoria, IL 61615-1422 | 2005-09-27 |
| 1396396024 | Kristin T Ansteatt | Registered Nurse | 9128 N Lindbergh Dr, Peoria, IL 61615-1422 | 2019-09-24 |
| 1720450026 | Elizabeth Ann Lepper | Nurse Practitioner | 9128 N Lindbergh Dr, Peoria, IL 61615-1422 | 2015-10-26 |
| 1639508567 | The Bleeding and Clotting Disorders Institute | Pharmacy | 9128 N Lindbergh Dr, Peoria, IL 61615-1422 | 2013-11-01 |
| 1639434871 | Stephanie Lynn Arnold | Pharmacist | 9128 N Lindbergh Dr, Peoria, IL 61615-1422 | 2012-07-12 |
| 1962783431 | The Bleeding and Clotting Disorders Institute | Pharmacy | 9128 N Lindbergh Dr, Peoria, IL 61615-1422 | 2011-08-29 |
| 1134424633 | The Bleeding and Clotting Disorders Institute | Clinic/Center | 9128 N Lindbergh Dr, Peoria, IL 61615-1422 | 2011-01-14 |
| 1538469481 | Rohith Jesudas | Pediatrics | 9128 N Lindbergh Dr, Peoria, IL 61615-1422 | 2010-10-26 |
| 1871757070 | Jonathan Charles Roberts | Pediatrics | 9128 N Lindbergh Dr, Peoria, IL 61615-1422 | 2008-07-16 |
| 1366461139 | Amanda Kilgore | Physical Therapist | 9128 N Lindbergh Dr, Peoria, IL 61615 | 2006-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627906 | Lance Jay Bucher | Occupational Therapist | 8600 Il-91, Peoria, IL 61615 | 2020-10-22 |
| 1093327496 | Angela Mitchell | Speech-Language Pathologist | 3903 W Ridgeview Dr, Peoria, IL 61615 | 2020-08-18 |
| 1578110680 | Emily E Buenting | Audiologist | 8600 Il Route 91, Suite 300, Peoria, IL 61615 | 2019-08-22 |
| 1730655572 | Sylwia M. Budzik | Physician Assistant | 8600 Illinois Rt. 91, Suite 300, Peoria, IL 61615 | 2018-10-19 |
| 1487169207 | Heather Hart | Registered Nurse | 9016 N. Scrimshaw Dr. Apt 104, Peoria, IL 61615 | 2017-12-04 |
| 1528586849 | Leanne Runyon | Speech-Language Pathologist | 10723 Collett Dr., Peoria, IL 61615 | 2017-09-07 |
| 1467974196 | Elizabeth A Mcleod | Nurse Practitioner | 8600 Illinois Route 91, Suite 130, Peoria, IL 61615 | 2017-07-14 |
| 1790223022 | Janet Warner | Counselor | 8914 North Prarie Court, Peoria, IL 61615 | 2017-02-07 |
| 1437524022 | Brooke Bisping | Dietitian, Registered | 7610 North Orange Prairie Road, Peoria, IL 61615 | 2015-12-08 |
| 1003292111 | Crystal Ann Casper | Dietitian, Registered | 7610 N Orange Prarie Road, Peoria, IL 61615 | 2015-07-31 |
| Find all providers in zip 61615 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295541 | Britney Julia Durst | Nurse Practitioner | 5905 N Prospect Rd, Peoria, IL 61614-4311 | 2020-11-07 |
| 1598362980 | Courtney Klein | Nurse Practitioner | 1306 N. Berkley Ave, Peoria, IL 61603 | 2020-10-08 |
| 1699390039 | Steven Joel Schlink | Nurse Practitioner | 12920 W Roy Rogers Rd, Peoria, AZ 85383-5334 | 2020-06-11 |
| 1457986929 | Chanelle Christine Maclin | Nurse Practitioner | 504 E Kansas St, Peoria, IL 61603-2554 | 2020-03-05 |
| 1225677495 | Michelle Chacon | Nurse Practitioner | 23201 N 87th Dr, Peoria, AZ 85383-1860 | 2020-01-05 |
| 1689218042 | Patricia Nwakaego Ayemoba | Nurse Practitioner | 16018 N 74th Dr, Peoria, AZ 85382-1810 | 2019-10-29 |
| 1144877267 | Eunice Wright | Nurse Practitioner | 26826 N 85th Dr, Peoria, AZ 85383-3624 | 2019-08-22 |
| 1861057507 | Shawnee Renee Fudurich | Nurse Practitioner | 10230 W Happy Valley Pkwy Ste 100, Peoria, AZ 85383-4255 | 2019-05-08 |
| 1265096895 | Razel Espiritu Hernandez | Nurse Practitioner | 25435 N 115th Ave, Peoria, AZ 85383-9789 | 2019-04-29 |
| 1619435310 | Jennifer Gayle Ries-clark | Nurse Practitioner | 8009 W Salter Dr, Peoria, AZ 85382-4440 | 2019-03-12 |
| Find all providers in PEORIA | ||||
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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.