RUTH TAGGART, LLC (NPI# 1275004087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275004087 |
| Entity Type | Organization |
| Organization Name | RUTH TAGGART, LLC |
| Practice Address |
719 Paris Ave Rockford IL 61107-3241 |
| Practice Telephone | 3039684260 |
| Mailing Telephone | 3039684260 |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2019-02-25 |
| Authorized Official Name | RUTH C TAGGART (OWNER) |
| Authorized Official Telephone | 3039684260 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7978 Newburg Rd, Rockford, IL 611086927 | 3039684260 | |
| 8104 Sayer Rd, Rockford, IL 611084546 | 3039684260 |
| Street Address |
719 PARIS AVE |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61107-3241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356952139 | Jessica Marie Tamayo Fernandez | Pharmacist | 1145 Alpine Rd, Rockford, IL 61107 | 2020-08-13 |
| 1467092379 | Unknown Safa Fatima | Student in an Organized Health Care Education/Training Program | Mercyhealth Mulford Clinic, 5970 Churchview Drive, Rockford, IL 61107 | 2020-01-08 |
| 1194367912 | Matt J Kriebs | Nurse Practitioner | 1235 N Mulford Rd Suite 103, Rockford, IL 61107 | 2019-10-14 |
| 1265962336 | Mary Golembeck | Nurse Practitioner | 7290 Argus Dr, Rockford, IL 61107 | 2017-06-12 |
| 1831644749 | Tessa Lee | Occupational Therapist | 3422 Lauderdale Ln, Rockford, IL 61107 | 2016-08-20 |
| 1942626965 | Elevated Health Essentials, LLC | Chiropractor | 124 N Water St Ste 204e, Rockford, IL 61107 | 2014-03-14 |
| 1093139909 | Swedishamerican Hospital | Surgery | 1639 N Alpine Rd Ste 400, Rockford, IL 61107 | 2014-02-12 |
| 1346676582 | Christopher Anthony Ziganto | Pharmacist | 494 Bienterra Trail #2, Rockford, IL 61107 | 2013-09-19 |
| 1023358272 | Lavanya Durairajan | Physical Therapist | 7358 Shiligton Dr, Rockford, IL 61107 | 2013-02-26 |
| 1851523146 | Great Smiles of Rockford | Durable Medical Equipment & Medical Supplies | 780 N. Mulfrord Road, Rockford, IL 61107 | 2009-08-20 |
| Find all providers in zip 61107 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255980025 | Jeffrey Boyd | Nurse Practitioner | 1200 W State St, Rockford, IL 61102-2112 | 2019-09-05 |
| 1700338720 | Fiona Uzoamaka Okoroti | Nurse Practitioner | 3650 N Alpine Rd, Rockford, IL 61114-4899 | 2016-10-25 |
| 1639586399 | Cora Marie Reynolds | Nurse Practitioner | 301 E State St, Rockford, IL 61104-1012 | 2014-07-15 |
| 1396158812 | Melissa House | Nurse Practitioner | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2014-06-03 |
| 1073941605 | Angela Marie Hadie | Nurse Practitioner | 1200 W State St, Rockford, IL 61102-2112 | 2013-10-16 |
| 1205261724 | Michelle Lee Cleveland | Nurse Practitioner | 3401 N Perryville Rd, Suite 303, Rockford, IL 61114-8011 | 2013-09-04 |
| 1992057251 | Anne M Celner | Nurse Practitioner | 2400 N Rockton Ave, Rockford, IL 61103-3655 | 2012-10-11 |
| 1801121405 | Christine L. Valentine | Nurse Practitioner | 1340 Charles St Ste 300, Rockford, IL 61104-2200 | 2009-10-15 |
| 1053554493 | Angela Brown | Nurse Practitioner | 5911 Nebeshone Ln, Rockford, IL 61103-8926 | 2009-04-15 |
| 1407039167 | Michele Dawn Johnson | Nurse Practitioner | 3775 N Mulford Rd, Rockford, IL 61114-5632 | 2007-12-17 |
| Find all providers in ROCKFORD | ||||
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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.