MRS. ANGELA CASOLARI (NPI# 1316338890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316338890 |
| Entity Type | Individual |
| Full Name | MRS. ANGELA CASOLARI |
| Credential | APN |
| Practice Address |
929 Stacey Burk Dr Flora IL 62839-3241 |
| Practice Telephone | 6186622191 |
| Practice Fax Number | 6186628090 |
| Mailing Telephone | 6186622191 |
| Mailing Fax Number | 6186628090 |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2015-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209012534 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
929 STACEY BURK DR |
| City | FLORA |
| State | IL |
| Zip Code | 62839-3241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144208349 | Brandon Cycholl | Family Medicine | 929 Stacey Burk Dr, Clay County Hospital Medical Clinic, Flora, IL 62839-3241 | 2006-01-06 |
| 1639776297 | Krystal Volk | Nurse Practitioner | 929 Stacey Burk Dr, Flora, IL 62839-3241 | 2020-10-07 |
| 1144737248 | Jennifer Henson | Registered Nurse | 929 Stacey Burk Dr, Flora, IL 62839-3241 | 2018-01-10 |
| 1932648656 | S Thomas Sehy Dpm LLC | Podiatrist | 929 Stacey Burk Dr, Flora, IL 62839-3241 | 2017-02-14 |
| 1780086801 | Cody Burnett | Physical Therapist | 929 Stacey Burk Dr, Flora, IL 62839-3241 | 2014-09-19 |
| 1699174185 | Teresa C. Boose | Social Worker | 929 Stacey Burk Dr, Flora, IL 62839-3241 | 2014-08-20 |
| 1063775443 | Jessica Lewis | Physical Therapist | 929 Stacey Burk Dr, Flora, IL 62839-3241 | 2012-06-20 |
| 1902056138 | James Edward Cowger Jr. | Emergency Medical Technician, Paramedic | 929 Stacey Burk Dr, Flora, IL 62839-3241 | 2008-09-24 |
| 1609031772 | Michele K. Hartke | Nurse Practitioner | 929 Stacey Burk Dr, Flora, IL 62839-3241 | 2008-07-28 |
| 1497860811 | Jeanne E. Holdren | Nurse Practitioner | 929 Stacey Burk Dr, Flora, IL 62839-3241 | 2006-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467887455 | Gayla Kay Dunaway | Occupational Therapist | 232 Givens Dr, Flora, IL 62839 | 2013-09-09 |
| 1952652349 | Health Care Management Corporation | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 408 E 4th St, Rosewood Estates, Flora, IL 62839 | 2012-09-25 |
| 1437445947 | Gaurav Nigam | Family Medicine | 911 Stacy Burk Drive, Flora, IL 62839 | 2011-06-22 |
| 1831413947 | Philip K.c. Chung | Obstetrics & Gynecology | 116 East 4th, Floria, IL 62839 | 2010-03-18 |
| 1669672465 | Heritage Woods LLC | Assisted Living Facility | 1003 West 4th Street, Flora, IL 62839 | 2007-07-19 |
| 1043365968 | Martin Dental Associates PC | Dentist | 501 North Main Street, Flora, IL 62839 | 2007-01-23 |
| 1518047356 | Linda L Robards | Registered Nurse | Clay Medical Center, 201 E N Avenue, Flora, IL 62839 | 2006-10-16 |
| 1144312000 | Valerie Jill Henderson | Registered Nurse | 201 E N Avenue, Clay Medical Center, Flora, IL 62839 | 2006-09-29 |
| 1164523221 | Kimberly Ann Greenwalt | Licensed Practical Nurse | 201 E N Ave, Clay Medical Center, Flora, IL 62839 | 2006-09-25 |
| 1558879676 | Melissa Kay Laslie | Registered Nurse | 911 Stacy Burk Drive, Flora, IL 62839 | 2018-01-11 |
| Find all providers in zip 62839 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013496819 | Catherine Nicole Deters | Nurse Practitioner | 911 Stacey Burk Dr, Flora, IL 62839-3241 | 2018-08-13 |
| 1316314933 | Marlissa Boyles | Nurse Practitioner | 201 E North Ave, Flora, IL 62839-2030 | 2015-08-31 |
| 1609031772 | Michele K. Hartke | Nurse Practitioner | 929 Stacey Burk Dr, Flora, IL 62839-3241 | 2008-07-28 |
| 1396955316 | Susan J Mack | Nurse Practitioner | 929 Stacy Burk Drive, Flora, IL 62839 | 2007-05-22 |
| 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 |
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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.