KEANLYNN M MCWILLIAMS (NPI# 1336638279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336638279 |
| Entity Type | Individual |
| Full Name | KEANLYNN M MCWILLIAMS |
| Credential | APN |
| Practice Address |
209 9th St Ste 200 Rockford IL 61104 |
| Mailing Address |
Po Box 1567 Rockford IL 61110-0067 |
| Practice Telephone | 7796962750 |
| Practice Fax Number | 7796964196 |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2018-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 041-399775 | IL | Nursing Service Providers |
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
209-017726 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
209 9TH ST STE 200 |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790873016 | David J Schleicher | Obstetrics & Gynecology | 209 9th St Ste 200, Rockford, IL 61104 | 2006-10-11 |
| 1538257969 | David G Moore | Obstetrics & Gynecology | 209 9th St Ste 200, Rockford, IL 61104 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699216564 | Swedishamerican Hospital | Nutritionist | 1415 E. State St., Lower Level A3, Rockford, IL 61104 | 2017-03-13 |
| 1376950485 | Swedishamerican Hospital | Nurse Practitioner | 1340 Charles St Ste 200, Rockford, IL 61104 | 2014-07-21 |
| 1871907774 | Oday Alsarraf | Psychiatry & Neurology | 1401 E State Street, Center for Mental Health, Swedish American Hospital, Rockford, IL 61104 | 2014-06-18 |
| 1962652339 | Children's Home and Aid | Community/Behavioral Health | 424 7th St, Rockford, IL 61104 | 2008-09-23 |
| 1689729535 | Swedishamerican Hospital | Nurse Practitioner | 1340 Charles St Ste 100, Rockford, IL 61104 | 2007-01-23 |
| 1013026624 | Thomas Ryan Moss | Dentist | 1415 E State Street, Rockford, IL 61104 | 2006-08-29 |
| 1366452096 | Arturo Santiago Manas | Obstetrics & Gynecology | 1415 E State St Fl 8, Rockford, IL 61104 | 2006-08-08 |
| 1245263268 | William John Stout | Physician Assistant | 1401 E State Street, Rockford, IL 61104 | 2006-07-10 |
| 1689604969 | Prabha Chand Dosi | Pediatrics | 1401 E. State Street, Rockford, IL 61104 | 2006-07-03 |
| 1962457499 | Lynn Mary Kutsche | Pediatrics | 1415 E State St, Suite 601, Rockford, IL 61104 | 2006-05-23 |
| Find all providers in zip 61104 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639104359 | Alta L Ryan | Nurse Practitioner | 209 9th St, Suite 200, Rockford, IL 61104-2235 | 2006-07-11 |
| 1801879663 | Jill Weberg | Nurse Practitioner | 1415 E State St Ste 800, Rockford, IL 61104 | 2005-11-25 |
| 1497815013 | Patricia Brandon | Nurse Practitioner | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2006-12-12 |
| 1134148919 | Cynthia Gail Elliott-zippe | Nurse Practitioner | 209 9th St, Suite 200, Rockford, IL 61104 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396308458 | Alexandra H Pape | Nurse Practitioner | 10260 191st St Ste 100, Mokena, IL 60448-8802 | 2019-04-15 |
| 1306313754 | Klaudia Dorota Niedzwiecki | Nurse Practitioner | 654 W Veterans Pkwy Ste A, Yorkville, IL 60560-2510 | 2018-10-24 |
| 1295226728 | Cortney Elizabeth Patrick | Nurse Practitioner | 2900 Frank Scott Pkwy W Ste 966, Belleville, IL 62223-5000 | 2018-05-21 |
| 1477061620 | Yesenia Vargas | Nurse Practitioner | 1025 W Sunnyside, Chicago, IL 60640 | 2018-01-22 |
| 1124464110 | Michelle Yonkus | Nurse Practitioner | 500 E 22nd St Ste A, Lombard, IL 60148-6102 | 2013-05-16 |
| 1457600306 | Julie Duff | Nurse Practitioner | 5425 W. Addison, Chicago, IL 60641 | 2012-09-06 |
| 1891067765 | Cynthia Ann Wildemuth | Nurse Practitioner | 2112 25th Avenue, Rock Island, IL 61201 | 2012-02-07 |
| 1174803753 | Patricia J Fiorito | Nurse Practitioner | 801 S Milwaukee Ave # 110, Libertyville, IL 60048-3204 | 2011-08-26 |
| 1619102456 | Vickie Eileen Ellis | Nurse Practitioner | 201 W. Kenyon Rd, Champaign, IL 61820-7892 | 2009-05-22 |
| 1942465554 | Maryann Ulery | Nurse Practitioner | 3 Austrian Ct, Lake In The Hills, IL 60156-6515 | 2008-07-23 |
| 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.