DEBORAH JEAN SHEARER (NPI# 1356973440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356973440 |
| Entity Type | Individual |
| Full Name | DEBORAH JEAN SHEARER |
| Practice Address |
281 Maple Ave Galesburg IL 61401-3556 |
| Practice Telephone | 3092979860 |
| Mailing Telephone | 3092979860 |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2020-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
041251570 | IL | Nursing Service Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
209020674 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION | 209020674 | 01 |
| IL | ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION | 041251570 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235427071 | Deborah Shearer | Marriage & Family Therapist | 21 Hyde Park Rd, Stafford Springs, CT 06076-1507 | 2011-07-14 |
| Street Address |
281 MAPLE AVE |
| City | GALESBURG |
| State | IL |
| Zip Code | 61401-3556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174973 | Jeff Engwall | Pharmacist | 359 Knox Square Drive, Galesburg, IL 61401 | 2020-11-03 |
| 1861962441 | Becky Cameron | Counselor | 2323 Windish Dr., Galesburg, IL 61401 | 2018-11-27 |
| 1295245496 | Aaron Thomas Wachtel | Dentist | 1172 Monroe Street, Galesburg, IL 61401 | 2017-10-03 |
| 1588182224 | Alicia Warren | Speech-Language Pathologist | 932 Harrison St., Galesburg, IL 61401 | 2017-09-01 |
| 1770986770 | Virginia G Kasser | Psychologist | 575 N Kellogg, Galesburg, IL 61401 | 2014-10-03 |
| 1063814309 | Lakshmi Kalyani Gudavalli | Physical Therapist | 275 E Carl Sandburg Drive, Marigold Rehabilitation, Galesburg, IL 61401 | 2014-09-18 |
| 1821350489 | James Eugene Tiller | Psychologist | 2101 Windish Drive, Galesburg, IL 61401 | 2012-06-11 |
| 1720285836 | Donald J. Regnier | Hearing Instrument Specialist | 4l Plaza, Suite 57, Galesburg, IL 61401 | 2007-07-02 |
| 1306066535 | Arnold John Minor | Dentist | 69 N Chambers St, Galesburg, IL 61401 | 2007-04-30 |
| 1114140373 | Community Residential Centers Inc | Intermediate Care Facility, Mentally Retarded | 239 S Cherry Street, Galesburg, IL 61401 | 2007-04-10 |
| Find all providers in zip 61401 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962887604 | Dawn Michele Dominguez | Nurse Practitioner | 310 Home Blvd, Galesburg, IL 61401-7408 | 2015-07-23 |
| 1427451624 | April Phillips-nohl | Nurse Practitioner | 834 N Seminary St Ste 502, Galesburg, IL 61401-0501 | 2014-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759461 | Sarah Westerman | Nurse Practitioner | 721 Dover Ct, Pingree Grove, IL 60140-9181 | 2020-10-28 |
| 1609485424 | Intensive Karen LLC | Nurse Practitioner | 612 Mulford St Apt 503, Evanston, IL 60202-3531 | 2020-07-28 |
| 1609484591 | Jennifer Kuczero | Nurse Practitioner | 4059 W 89th Pl, Hometown, IL 60456-1202 | 2020-07-16 |
| 1205452489 | Aneta Trybula | Nurse Practitioner | 10604 W 154th Pl, Orland Park, IL 60462-6025 | 2020-06-23 |
| 1740742170 | Jenna C Reeh | Nurse Practitioner | 1740 W Taylor St # 605e, Chicago, IL 60612-7232 | 2019-04-04 |
| 1588125116 | Sherryl Estorque | Nurse Practitioner | 9033 W Heathwood Cir, Niles, IL 60714-5807 | 2019-03-27 |
| 1992276497 | Laura Beth Miller | Nurse Practitioner | 302 W Hay St Ste 110, Decatur, IL 62526-4167 | 2018-12-09 |
| 1932674322 | Ashleigh M Poptic | Nurse Practitioner | 675 N St Claire St Ste 19-100, Galter Pavilion, Chicago, IL 60611-5969 | 2018-10-11 |
| 1215415039 | Julieanne Ferguson | Nurse Practitioner | 251 E Huron St Dept Of, Chicago, IL 60611-2908 | 2018-08-02 |
| 1275024523 | Lateisha Nicole Fort | Nurse Practitioner | 1222 E 170th St, South Holland, IL 60473-3558 | 2018-05-22 |
| 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.