STUDENT (NPI# 1285992909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285992909 |
| Entity Type | Organization |
| Organization Name | STUDENT |
| Other Organization Name | SELF |
| Practice Address |
16554 N Meadow Ln Petersburg IL 62675-6786 |
| Practice Telephone | 2178917941 |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-01 |
| Authorized Official Name | NATHAN HOWARTH (PHYSICAL THERAPY) |
| Authorized Official Telephone | 2178917941 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Other Name | Type Code |
|---|---|
| Self | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174079347 | Student | Physician Assistant | 1640 Juanita Ln, Redlands, CA 92373-7142 | 2016-08-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | STUDENT & BORROWER SERVICES | 205 13th St Ne, Washington, DC 20002-6323 |
| Virginia Business Entities | STUDENT & YOUTH TRAVEL ASSOCIATION | 2231 Crystal Drive, Suite 204, Arlington, Virginia 22201 |
| Washington State Corporations | STUDENT 1ST ATHLETE 2ND LLC | 113 Cherry St # 93484, Seattle, WA 98104-2205 |
| Oregon Corporations, Companies and Business Names | STUDENT ACADEMIC AND ACTIVITY SERVICES LLC | 18905 Couch Market Rd, Bend, OR 97703 |
| New York State Corporations | STUDENT ACADEMIC SERVICES 360 NYC LLC | P.o. Box 40411, Glen Oaks, Ny 11004 |
| Virginia Business Entities | Student Account Management Services LLC | 2130 Chester Ave Ste 101, Bakersfield, California 93301 |
| Connecticut Business Registrations | Student Account Management Services, LLC | 2130 Chester Ave., Ste. 101, Bakersfield, CA 93301 |
| Iowa Business Entities | STUDENT ACCOUNT MANAGEMENT SERVICES, LLC | 2130 Chester Ave, Suite 101, Bakersfield, CA 93301 |
| New York State Corporations | STUDENT ACCOUNT MANAGEMENT SERVICES, LLC | 2130 Chester Ave., Ste. 101, Bakersfield, California 93301 |
| Oregon Corporations, Companies and Business Names | STUDENT ACCOUNT MANAGEMENT SERVICES, LLC | 2611 F Street, Bakersfield, CA 93301 |
| Street Address |
16554 N MEADOW LN |
| City | PETERSBURG |
| State | IL |
| Zip Code | 62675-6786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962519405 | Porta Comm. Unit District 202 | Local Education Agency (LEA) | 17651 Bluejay Road, Petersburg, IL 62675 | 2006-08-23 |
| 1295704021 | Menard County Health Department | Home Health | 1120 N 4th, Suite A, Petersburg, IL 62675 | 2006-03-15 |
| 1720035611 | Menard Convalescent Center, Inc | Skilled Nursing Facility | 120 W Antle St, Petersburg, IL 62675-1035 | 2006-05-27 |
| 1003068776 | Menard Convalescent Center, Inc | Skilled Nursing Facility | 120 W Antle St, Petersburg, IL 62675-1035 | 2008-10-14 |
| 1528106812 | County of Menard | Public Health or Welfare | 1120 N 4th St, Suite A, Petersburg, IL 62675-1115 | 2007-02-01 |
| 1922478916 | Ashleigh Renee Smith | Private Vehicle | 703 N 7th St, Petersburg, IL 62675-1144 | 2015-10-02 |
| 1952872269 | Abbey Lynn Venturini | Social Worker | 323 W Rutledge St, Petersburg, IL 62675-1239 | 2018-12-12 |
| 1285936872 | Donald P. Hartman | Dentist | 213 N 5th, Petersburg, IL 62675-1303 | 2010-12-02 |
| 1114197514 | Paul Douglas Davis | Dentist | 213 N 5th St, Petersburg, IL 62675-1303 | 2008-03-03 |
| 1619091238 | Donald Paul Hartman | Dentist | 213 N 5th St, Petersburg, IL 62675-1303 | 2007-03-19 |
| Find all providers in zip 62675 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720436 | April Renee Gallik | Student in an Organized Health Care Education/Training Program | 8807 S 79th Ave Apt 18, Hickory Hills, IL 60457-1597 | 2020-11-03 |
| 1932709706 | Samantha Klosak | Student in an Organized Health Care Education/Training Program | 8144 Old Mill Rd, Frankfort, IL 60423-8675 | 2020-10-29 |
| 1508466624 | Carly Belle Mitchell | Student in an Organized Health Care Education/Training Program | 870 Appletree Ct, Northbrook, IL 60062-3402 | 2020-10-28 |
| 1144829813 | Payton Collins | Student in an Organized Health Care Education/Training Program | 5103 S Brookstone Dr, Rochelle, IL 61068-9131 | 2020-10-22 |
| 1821697830 | Mayuri Prashant Shende | Student in an Organized Health Care Education/Training Program | 2160 S. First Ave., Bldg. 105, Suite 2840a, Marywood, IL 60135 | 2020-10-21 |
| 1922607001 | Katherine Chen | Student in an Organized Health Care Education/Training Program | 2305 Mohawk Ln, Glenview, IL 60026-1035 | 2020-10-20 |
| 1922606995 | Cassia Yuechun Weigel | Student in an Organized Health Care Education/Training Program | 601 N Main St Apt 5s, Normal, IL 61761-1576 | 2020-10-13 |
| 1679171888 | Manuel J Ramirez | Student in an Organized Health Care Education/Training Program | 714 W Woodland Rd, Lake Bluff, IL 60044-1652 | 2020-10-12 |
| 1205443975 | Nickolas Armstrong | Student in an Organized Health Care Education/Training Program | 2828 N Pine Grove Ave Apt 618, Chicago, IL 60657-6137 | 2020-09-28 |
| 1871109496 | Morgan Elizabeth Westjohn | Student in an Organized Health Care Education/Training Program | 111 Mound St, Sainte Marie, IL 62459 | 2020-09-18 |
| Find all providers with the same taxonomy | ||||
| City | PETERSBURG |
| Zip Code | 62675 |
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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.