JOY PRECIADO (NPI# 1306216098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306216098 |
| Entity Type | Individual |
| Full Name | JOY PRECIADO |
| Practice Address |
1405 E 12th St Ste 300 Mendota IL 61342-9010 |
| Practice Telephone | 8155393141 |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209013390 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1405 E 12TH ST STE 300 |
| City | MENDOTA |
| State | IL |
| Zip Code | 61342-9010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447257316 | Eric A Kivisto | Surgery | 1405 E 12th St, Suite 500, Mendota, IL 61342-9010 | 2005-07-06 |
| 1952897001 | Diana M Olsen | Nurse Practitioner | 1405 E 12th St, Mendota, IL 61342-9010 | 2018-07-02 |
| 1508319914 | Stacy A Piller | Registered Nurse | 1405 E 12th St, Ste 600, Mendota, IL 61342-9010 | 2016-08-02 |
| 1790140580 | Caitlin J Engels-arteaga | Physician Assistant | 1405 E 12th St, Suite 600, Mendota, IL 61342-9010 | 2015-12-21 |
| 1316320849 | Mendota Community Hospital | Clinic/Center | 1405 E 12th St, Mendota, IL 61342-9010 | 2015-07-01 |
| 1164820312 | Jonathan Edwards | Nurse Practitioner | 1405 E 12th St, Suite 600, Mendota, IL 61342-9010 | 2014-12-19 |
| 1265562151 | Associated Physicians, Sc | Family Medicine | 1405 E 12th St, Suite 300, Mendota, IL 61342-9011 | 2007-03-07 |
| 1366500852 | Michael P Vercimak | Surgery | 1405 E 12th St, Suite 200, Mendota, IL 61342-1495 | 2006-12-05 |
| 1801982327 | Rebecca C Salvani | Obstetrics & Gynecology | 1405 E 12th St, Suite 200, Mendota, IL 61342-9010 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568536845 | Keri Sundberg | Dentist | 709 Plaza Drive, Mendota, IL 61342 | 2006-11-20 |
| 1114022589 | Goslin Drug Store Inc | Pharmacy | 1212 13th Ave, Mendota, IL 61342 | 2006-09-13 |
| 1467402412 | Neungja Chung | Acupuncturist | Mendota Community Hospital, 1315 Memorial Drive, Mendota, IL 61342 | 2006-05-11 |
| 1487622205 | Kelly R. Minihane | Physician Assistant | 1404 Washington Street, Mendota, IL 61342 | 2006-03-08 |
| 1134193022 | Donald Wilbert Piller | Chiropractor | 1312 Lakewood Dr, Mendota, IL 61342 | 2006-02-15 |
| 1770975377 | National Pain Clinic, LLC | Anesthesiology | 1401 E 12th St, Mendota, IL 61342 | 2015-02-19 |
| 1073869475 | Katherine Rose Riva-foster | Anesthesiology | 1401 E 12th St, Mendota, IL 61342 | 2012-08-03 |
| 1386789220 | Juli Renee Barrett Leifheit | Chiropractor | 901 Main St, Ste A, Mendota, IL 61342 | 2007-02-20 |
| 1205383197 | Mendota Community Hospital | Clinic/Center | 1401 Washington Street, Mendota, IL 61342-0001 | 2016-09-08 |
| 1780699447 | Linnea L Person | Chiropractor | 1301 14th Ave, Mendota, IL 61342-1001 | 2006-07-30 |
| Find all providers in zip 61342 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508491663 | Susan J Olsen | Nurse Practitioner | 537 N 3850th Rd, Mendota, IL 61342-9712 | 2020-03-10 |
| 1578197513 | Tracie R Kelly | Nurse Practitioner | 1401 E 12th St, Mendota, IL 61342-9216 | 2020-02-28 |
| 1497203376 | Sharon Jones Burtlow | Nurse Practitioner | 1201 Meriden St, Mendota, IL 61342-2501 | 2016-09-20 |
| 1164820312 | Jonathan Edwards | Nurse Practitioner | 1405 E 12th St, Suite 600, Mendota, IL 61342-9010 | 2014-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760277 | Jennifer Michelle Kennedy | Nurse Practitioner | 3006 Lakeview Dr, Metropolis, IL 62960-3119 | 2020-11-07 |
| 1881295541 | Britney Julia Durst | Nurse Practitioner | 5905 N Prospect Rd, Peoria, IL 61614-4311 | 2020-11-07 |
| 1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
| 1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
| 1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
| 1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
| 1598365140 | Caitlyn Windsor | Nurse Practitioner | 24525 Grange Rd, Geneseo, IL 61254-8429 | 2020-10-31 |
| 1578163515 | Deanna Bassette | Nurse Practitioner | 243 E 31st St Apt 401, Chicago, IL 60616-5212 | 2020-10-29 |
| 1891395745 | Vrunda Shah Patel | Nurse Practitioner | 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 | 2020-10-29 |
| 1346840337 | Catherine Suh | Nurse Practitioner | 1380 Marcy Ln, Wheeling, IL 60090-4422 | 2020-10-28 |
| 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.