MRS. KELLY ANN DEWOLFE (NPI# 1265525760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265525760 |
| Entity Type | Individual |
| Full Name | MRS. KELLY ANN DEWOLFE |
| Other Name | MS. KELLY ANN RETZLAFF |
| Credential | APN |
| Practice Address |
47 6th Ave La Grange IL 60525-2499 |
| Mailing Address |
1243 W Melrose St Chicago IL 60657-3217 |
| Practice Telephone | 7087836900 |
| Mailing Telephone | 4144672056 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2015-06-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209006192 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
47 6TH AVE |
| City | LA GRANGE |
| State | IL |
| Zip Code | 60525-2499 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841229408 | Robert Passovoy | Internal Medicine | 47 6th Ave, La Grange, IL 60525-2499 | 2006-07-03 |
| 1053762344 | Rosecrance Inc | Substance Abuse Rehabilitation Facility | 47 6th Ave, Suite L, La Grange, IL 60525-2499 | 2016-06-28 |
| 1104219708 | Enlightened Path Counseling, LLC | Community/Behavioral Health | 47 6th Ave, Suite H-6, La Grange, IL 60525-2499 | 2015-03-06 |
| 1609271204 | Live Well Counseling | Social Worker | 47 6th Ave, Suite: H2, La Grange, IL 60525-2499 | 2014-10-27 |
| 1215290598 | Casey Jade Miller | Chiropractor | 47 6th Ave, La Grange, IL 60525-2499 | 2012-06-20 |
| 1306170824 | Victor Manzo Jr. | Chiropractor | 47 6th Ave, Suite L, La Grange, IL 60525-2499 | 2009-09-30 |
| 1124220314 | Carl Edward Cutsinger | Social Worker | 47 6th Ave, H-3, La Grange, IL 60525-2499 | 2007-06-01 |
| 1649481839 | Alefiyah Abid Lindo | Social Worker | 47 6th Ave, Suite H-6, La Grange, IL 60525-2499 | 2007-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063923837 | Cheryl Buhrke | Speech-Language Pathologist | 1301 W. Cossitt Ave., La Grange, IL 60525 | 2017-10-19 |
| 1881113462 | Karen Aluise | Speech-Language Pathologist | 6818 Joliet Rd. #2, Indian Head Park, IL 60525 | 2017-09-14 |
| 1689126997 | Adriana Digianfilippo | Occupational Therapist | 18 N. Catherine, Lagrange, IL 60525 | 2016-11-03 |
| 1679953582 | Paulina Pinzon | Counselor | 6548 Laurel Avenue, Indian Head Park, IL 60525 | 2015-06-05 |
| 1639446925 | Aarti Parikh | Pharmacist | 6600 S. Willow Springs Rd, Indian Head Park, IL 60525 | 2011-11-30 |
| 1831476795 | Jessica E Feller | Physician Assistant | 6555 South Willow Springs Road, Suite 6, Countryside, IL 60525 | 2011-11-07 |
| 1477833218 | Robyn Lee Frendling | Behavioral Analyst | 9649 W. 55th St, Countryside, IL 60525 | 2011-08-25 |
| 1457630543 | Kerri E Kabela | Physical Therapist | 705 W. Plainfield Rd, Suite 1, Countryside, IL 60525 | 2011-08-08 |
| 1275826984 | G&u Orthopedic, LLC | Durable Medical Equipment & Medical Supplies | 106 W. Calendar Ave., 127, La Grange, IL 60525 | 2011-05-27 |
| 1952609752 | Athletic and Therapeutic Institute of Naperville, LLC | Physical Therapist | 705 W. Plainfield Road, Suite 1, Countryside, IL 60525 | 2011-03-03 |
| Find all providers in zip 60525 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659656486 | Marie R Carcellar | Nurse Practitioner | 5101 S Willow Springs Rd, La Grange, IL 60525-7009 | 2011-10-12 |
| 1487262143 | Jacqualyn Sequeira Faigle | Nurse Practitioner | 1 Saint Marks Pl # 110, La Grange, TX 78945-1250 | 2020-07-20 |
| 1982183711 | Kimberly Allison Gregoriou | Nurse Practitioner | 5101 Willow Springs Rd, La Grange, IL 60525-2600 | 2018-08-13 |
| 1770015463 | Emilie Hood | Nurse Practitioner | 1019 Commerce Pkwy, La Grange, KY 40031-8779 | 2017-03-31 |
| 1265809990 | Laura W Shearer | Nurse Practitioner | 101 S Carey St, La Grange, NC 28551-1805 | 2015-08-28 |
| 1174914246 | Lisa M Taylor | Nurse Practitioner | 5201 Willow Springs Rd, Ste 290, La Grange, IL 60525-6506 | 2015-02-11 |
| 1760749956 | First Urology, Psc | Nurse Practitioner | 1023 New Moody Ln, Suite 202, La Grange, KY 40031-9177 | 2012-04-12 |
| 1760757280 | Michelle M Buikema | Nurse Practitioner | 5101 Willow Springs Rd, La Grange, IL 60525-2600 | 2012-03-16 |
| 1497086391 | Christy Sturgill | Nurse Practitioner | 1015 New Moody Ln, La Grange, KY 40031-9142 | 2010-01-18 |
| 1629222070 | Kristina Gilbert | Nurse Practitioner | 1230 Market St, La Grange, KY 40031-7986 | 2008-11-12 |
| Find all providers in LA GRANGE | ||||
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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.