SANDRA L CANIA (NPI# 1316441868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316441868 |
Entity Type | Individual |
Full Name | SANDRA L CANIA |
Practice Address |
109 E Maple St Gillespie IL 62033-1473 |
Mailing Address |
18421 Garnet Rd Carlinville IL 62626-2529 |
Practice Telephone | 2178391526 |
Practice Fax Number | 2178391538 |
Mailing Telephone | 2175568324 |
Enumeration Date | 2018-03-20 |
Last Update Date | 2018-03-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
209017330 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
109 E MAPLE ST |
City | GILLESPIE |
State | IL |
Zip Code | 62033-1473 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710457007 | Celeste Mary Govero Yann | Social Worker | 109 E Maple St, Gillespie, IL 62033-1473 | 2018-11-28 |
1952887416 | Kate Elizabeth Traum | Registered Nurse | 109 E Maple St, Gillespie, IL 62033-1473 | 2018-07-17 |
1578065413 | Melinda S Edwards | Nurse Practitioner | 109 E Maple St, Gillespie, IL 62033-1473 | 2018-03-07 |
1447789169 | Samantha Thomas | Registered Nurse | 109 E Maple St, Gillespie, IL 62033-1473 | 2017-06-06 |
1750814349 | Macoupin County Public Health Department | Public Health or Welfare | 109 E Maple St, Gillespie, IL 62033-1473 | 2017-04-10 |
1720522808 | Michelle Lucille Stroheker | Counselor | 109 E Maple St, Gillespie, IL 62033-1473 | 2016-12-08 |
1619345469 | Donna Rasmussen | Physician Assistant | 109 E Maple St, Gillespie, IL 62033-1473 | 2015-09-10 |
1093190324 | Angela Weidner | Registered Nurse | 109 E Maple St, Gillespie, IL 62033-1473 | 2015-07-28 |
1336522275 | Christina Elizabeth Ventimiglia-brandt | Nurse Practitioner | 109 E Maple St, Gillespie, IL 62033-1473 | 2015-07-08 |
1538444906 | Macoupin County Public Health Department | Clinic/Center | 109 E Maple St, Gillespie, IL 62033-1473 | 2011-10-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225596950 | Laura Michelle Halpin | Physical Therapist | 607 Litchfield Road, Gillespie, IL 62033 | 2019-03-12 |
1770942716 | Carol Candler | Nurse Practitioner | 109 East Maple Street, Maucoupin County Maple Street Clinic, Gillespie, IL 62033 | 2016-02-18 |
1932519618 | Terry Allan | Pharmacist | 113 South Macoupin Street, Gillespie, IL 62033 | 2014-05-02 |
1649414558 | Bernadette Kathlene Sobczak | Nurse Practitioner | 807 Broadway, Gillespie, IL 62033 | 2009-04-22 |
1376765206 | Sheri Lynne Banovic | Nurse Practitioner | 115 South Macoupin Street, Gillespie, IL 62033 | 2007-05-02 |
1215044920 | James Paul Verton | Pharmacist | 120 S Macoupin, Dippold Drug Co Inc, Gillespie, IL 62033 | 2006-08-25 |
1427575612 | Beth Lynn Sies | Speech-Language Pathologist | 340 Kelly St, Gillespie, IL 62033 | 2017-08-28 |
1124135835 | Bruce W Hughes | Pharmacist | 120 S Macoupin, Dippold Drug Co Inc, Gillespie, IL 62033 | 2006-08-25 |
1407474083 | Staten Family Practice Pllc | Clinic/Center | 500 W Virginia Ave, Gillespie, IL 62033-1025 | 2020-07-09 |
1396244612 | Carlinville Area Hospital Assn | Clinic/Center | 807 Broadway, Gillespie, IL 62033-1100 | 2018-02-02 |
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Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578065413 | Melinda S Edwards | Nurse Practitioner | 109 E Maple St, Gillespie, IL 62033-1473 | 2018-03-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790384451 | Ghea Tiping Degillo | Nurse Practitioner | 4711 Golf Rd Ste 500, Skokie, IL 60076-1208 | 2020-10-22 |
1750989620 | Rodney J Pena Jr. | Nurse Practitioner | 1362 Trotters Ln, Bourbonnais, IL 60914-4519 | 2020-10-13 |
1609482231 | Crystal Lynn Jordan | Nurse Practitioner | 638 Oakbrook Ave, Chatham, IL 62629 | 2020-09-18 |
1497369672 | Mojisola Abayemi Akinfe | Nurse Practitioner | 8572 Stone Creek Blvd, Frankfort, IL 60423-9338 | 2020-09-03 |
1508475039 | Hilary Eichie | Nurse Practitioner | 20025 Division St., Crest Hill, IL 60403 | 2020-07-30 |
1518585942 | Tabs Behavioral Health Inc | Nurse Practitioner | 13316 Vicarage Dr, Plainfield, IL 60585-5050 | 2020-07-13 |
1154946788 | Latisha Trenice Stennis | Nurse Practitioner | 8106 Carol Dr, East Saint Louis, IL 62203-1838 | 2020-06-09 |
1114549755 | Maria Andreea Bordeianu | Nurse Practitioner | 6050 N California Ave, Chicago, IL 60659-3916 | 2020-05-16 |
1104448968 | Abosede Rachel Babalola | Nurse Practitioner | 2214 Monarch St, Bourbonnais, IL 60914-2780 | 2020-05-14 |
1659909406 | Mudira Temilola Oyewole | Nurse Practitioner | 493 Leslie Ct, Des Plaines, IL 60016-8818 | 2020-03-28 |
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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.