BRANDY TOLLIVER (NPI# 1306370432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306370432 |
| Entity Type | Individual |
| Full Name | BRANDY TOLLIVER |
| Credential | APN |
| Practice Address |
663 Buttonwood Rd Xenia IL 62899-2237 |
| Practice Telephone | 5413903858 |
| Mailing Telephone | 5413903858 |
| Enumeration Date | 2017-04-15 |
| Last Update Date | 2017-04-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
209015879 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
209015879 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
663 BUTTONWOOD RD |
| City | XENIA |
| State | IL |
| Zip Code | 62899-2237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952837742 | D.o.t-now | Clinic/Center | 663 Buttonwood Rd, Xenia, IL 62899-2237 | 2017-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376844266 | Angela Marie Edwards | Developmental Therapist | 311 Church St, Xenia, IL 62899-1241 | 2010-11-08 |
| 1609333129 | The Esther Services Project of So Il, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 105 East St, Xenia, IL 62899-1274 | 2019-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497888 | Kelly Nichole Mcintyre | Case Manager/Care Coordinator | 328 S Stadium Dr, Xenia, OH 45385-2161 | 2020-11-05 |
| 1821699703 | Dora Suella Blevins | Homemaker | 1929 Connecticut Dr, Xenia, OH 45385-4519 | 2020-11-05 |
| 1497353023 | Tonya Jones | Behavioral Analyst | 1421 Seminole Dr, Xenia, OH 45385-4355 | 2020-10-15 |
| 1679171631 | Tina Severt | In Home Supportive Care | 965 Long Rd, Xenia, OH 45385-8422 | 2020-10-13 |
| 1336747393 | Shannon D Pollock | In Home Supportive Care | 191 E 2nd St, Xenia, OH 45385-3448 | 2020-10-13 |
| 1225636202 | Linda Lu Fleming | Homemaker | 155 Omalee Dr, Xenia, OH 45385-1933 | 2020-10-13 |
| 1760080725 | Hunter Brooke Richards | Supports Brokerage | 1669 Maumee Dr, Xenia, OH 45385-4216 | 2020-10-13 |
| 1104424373 | Bettyjo Driscoll | Home Health Aide | 1691 Navajo Dr, Xenia, OH 45385-4311 | 2020-10-11 |
| 1538766969 | Diane Arlene Ponder | In Home Supportive Care | 1430 Reid Ave, Xenia, OH 45385-2748 | 2020-10-08 |
| 1154928695 | Karin Hamilton | Homemaker | 1846 Arapaho Dr, Xenia, OH 45385-4257 | 2020-10-07 |
| Find all providers in XENIA | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998553 | Melissa Litwin | Nurse Practitioner | 9127 Burlington Ave, Brookfield, IL 60513-1939 | 2020-10-06 |
| 1932724200 | Tatyana Menaker | Nurse Practitioner | 2958 West Devon Ave, Chicago, IL 60659 | 2020-06-12 |
| 1518506625 | Lila Macalinga Rivera | Nurse Practitioner | 17w335 16th St, Oakbrook Terrace, IL 60181-4030 | 2020-01-06 |
| 1922642495 | Christine Nacar | Nurse Practitioner | 1232 Le Moyne Ave, Romeoville, IL 60446-4180 | 2019-10-29 |
| 1144871344 | Wensheng Tracy Wu | Nurse Practitioner | 1555 Barrington Rd Ste 1200, Hoffman Estates, IL 60169-5036 | 2019-09-27 |
| 1881245314 | Mkbb LLC | Nurse Practitioner | 1212 E Algonquin Rd, Algonquin, IL 60102-5446 | 2019-09-25 |
| 1225681455 | Jinu Joss | Nurse Practitioner | 9939 N Warren Oval, Niles, IL 60714-1044 | 2019-07-17 |
| 1659830057 | Ginger Dean | Nurse Practitioner | 2843 Chicago Rd, South Chicago Heights, IL 60411-4736 | 2019-03-15 |
| 1770048910 | Amanda K Honchell I | Nurse Practitioner | 401 W Madison St, Mount Carroll, IL 61053-9485 | 2019-02-01 |
| 1548725799 | Grace Nwaka Wabomnor | Nurse Practitioner | 17 E Grandview Dr, South Holland, IL 60473-1099 | 2019-02-01 |
| 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.