RISE AND THRIVE HEALTHCARE (NPI# 1356956973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356956973 |
| Entity Type | Organization |
| Organization Name | RISE AND THRIVE HEALTHCARE |
| Practice Address |
1813 Silver Ridge Dr Plainfield IL 60586-2903 |
| Practice Telephone | 2392236533 |
| Mailing Telephone | 2392236533 |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |
| Authorized Official Name | JESSICA KANDIS GUTIERREZ (OWNER/NURSE PRACTITIONER) |
| Authorized Official Telephone | 2392236533 |
| Authorized Official Credential | FNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 1245876846 | 05 |
| Street Address |
1813 SILVER RIDGE DR |
| City | PLAINFIELD |
| State | IL |
| Zip Code | 60586-2903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639520257 | Jennifer Kareka | Speech-Language Pathologist | 1813 Silver Ridge Dr, Plainfield, IL 60586-2903 | 2016-06-24 |
| 1245876846 | Jessica Kandis Gutierrez | Nurse Practitioner | 1813 Silver Ridge Dr, Plainfield, IL 60586-2903 | 2019-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336658434 | Brigitte L Oetter | Social Worker | 6106 Pheasant Ridge Dr, Plainfield, IL 60586 | 2017-09-21 |
| 1851730717 | Michelle Sanchez Doersam | Physician Assistant | 16519 S. Route 59, Plainfield, IL 60586 | 2013-06-24 |
| 1295059665 | Joni Deanne Gruen | Physical Therapy Assistant | 2612 Discovery Dr., Plainfield, IL 60586 | 2010-03-15 |
| 1225229453 | James G Kulekowskis Jr. | Pharmacist | 16146 S Arbor Drive, Plainfield, IL 60586 | 2007-08-05 |
| 1346363355 | Beth Ann Boss | Speech-Language Pathologist | 16504 Mueller Cir., Plainfield, IL 60586 | 2007-04-06 |
| 1457457830 | Edward J Bruno | Radiology | 333 N Madison, Joliet, IL 60586 | 2006-09-15 |
| 1497850044 | Rachel Z Mika | Physical Therapist | 6619 Mountain Ridge Pass, Plainfield, IL 60586 | 2006-09-14 |
| 1427060888 | Neil R Fried | Podiatrist | 15921 Hometown Dr, Plainfield, IL 60586 | 2006-08-13 |
| 1497701924 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 2480 S Route 59, Plainfield, IL 60586 | 2006-05-26 |
| 1164473609 | Women's Center for Health L P | Obstetrics & Gynecology | 15900 S Frederick St, Plainfield, IL 60586 | 2006-05-12 |
| Find all providers in zip 60586 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1588981179 | Plainfield Coby Acupuncture Care, P.C. | Clinic/Center | 1133 Park Ave, Plainfield, NJ 07060-3006 | 2010-04-23 |
| 1164677829 | Lokhat Physicians Group LLC | Clinic/Center | 1416 Park Ave, Plainfield, NJ 07060-2911 | 2008-11-22 |
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| 1215598891 | Vero Clinics | Clinic/Center | 1192 E Pershing Rd, Decatur, IL 62526-4753 | 2019-06-25 |
| 1497215933 | Activate Healthcare | Clinic/Center | 2010 N Damen Ave Unit F, Chicago, IL 60647-3286 | 2019-03-21 |
| 1033699467 | Healthpointe Medical Center Sc | Clinic/Center | 530 Fullerton Rd Ste B, Swansea, IL 62226-2970 | 2018-08-15 |
| 1740794882 | Highland Park Cvs, L.L.C. | Clinic/Center | 72 Airport Plz, Bethalto, IL 62010-1774 | 2017-11-28 |
| 1447764014 | Dr Courtney Drendel Inc | Clinic/Center | 515 Hamilton St # 100, Geneva, IL 60134-2138 | 2017-11-19 |
| 1699206599 | David M Conner M.d. | Clinic/Center | 9 Executive Woods Ct Ste 2, Swansea, IL 62226-2016 | 2017-03-22 |
| Find all providers with the same taxonomy | ||||
| City | PLAINFIELD |
| Zip Code | 60586 |
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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.