MONICA MALCOME (NPI# 1376085837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376085837 |
| Entity Type | Individual |
| Full Name | MONICA MALCOME |
| Credential | LMT |
| Practice Address |
1932 S Main St Eureka IL 61530-1666 |
| Mailing Address |
1198 Maple Ln East Peoria IL 61611-1236 |
| Practice Telephone | 3094675000 |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2016-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 227.016045 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1932 S MAIN ST |
| City | EUREKA |
| State | IL |
| Zip Code | 61530-1666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932161965 | Tamra Brisbin | Physician Assistant | 1932 S Main St, Eureka, IL 61530-1666 | 2006-04-05 |
| 1114472610 | Tarah Noel Gibbs | Nurse Practitioner | 1932 S Main St, Eureka, IL 61530-1666 | 2016-08-25 |
| 1881149219 | Stephanie Pasley | Nurse Practitioner | 1932 S Main St, Eureka, IL 61530-1666 | 2016-08-15 |
| 1235524620 | Jeffrey Daniel Schmidgall | Chiropractor | 1932 S Main St, Eureka, IL 61530-1666 | 2015-04-02 |
| 1801296108 | Amanda Catherine Wackt | Nurse Practitioner | 1932 S Main St, Eureka, IL 61530-1666 | 2014-08-25 |
| 1730594037 | Stephanie R Rinehart | Nurse Practitioner | 1932 S Main St, Eureka, IL 61530-1666 | 2014-06-25 |
| 1336554625 | Preferred Care Medical Center Ltd. | Chiropractor | 1932 S Main St, Eureka, IL 61530-1666 | 2014-06-25 |
| 1720331671 | Richard Fassola | Physician Assistant | 1932 S Main St, Eureka, IL 61530-1666 | 2012-10-16 |
| 1295080406 | Brett Lee Rappenecker | Chiropractor | 1932 S Main St, Eureka, IL 61530-1666 | 2012-07-14 |
| 1467698308 | Preferred Care Chiropractic Ltd | Chiropractor | 1932 S Main St, Eureka, IL 61530-1666 | 2008-12-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134464316 | Tazwood Mental Health Center, Inc. | Community/Behavioral Health | 101 S. Major Street, Eureka, IL 61530 | 2012-11-29 |
| 1508009234 | Woodford County | Substance Abuse Rehabilitation Facility | 105 E Court St, Eureka, IL 61530 | 2009-04-10 |
| 1609889914 | Apostolic Christian Home of Eureka | Skilled Nursing Facility | 610 W. Cruger St., Eureka, IL 61530 | 2006-08-15 |
| 1326003344 | Eric John Larson | Counselor | 109 E Eureka, Eureka, IL 61530 | 2006-04-20 |
| 1467789511 | Julie Tuttle | Clinical Nurse Specialist | 530 Ne Glen Oak Ave, Peoria, IL 61530 | 2009-11-11 |
| 1720073414 | Maple Lawn Health Center | Skilled Nursing Facility | 700 N Main St, Eureka, IL 61530-1085 | 2005-09-19 |
| 1992158356 | Kendra Mickelson | Skilled Nursing Facility | 700 N Main St, Eureka, IL 61530-1085 | 2016-07-20 |
| 1720439110 | Loft Rehabilitation and Nursing LLC | Skilled Nursing Facility | 700 N Main St, Eureka, IL 61530-1085 | 2016-06-27 |
| 1841470374 | Maple Lawn Homes Inc. | Clinic/Center | 700 N Main St, Eureka, IL 61530-1085 | 2007-11-13 |
| 1093818767 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 501 W Center St, Eureka, IL 61530-1111 | 2006-09-07 |
| Find all providers in zip 61530 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606565 | Abigail Yarus | Massage Therapist | 204 Dewey Ave, Eureka, MT 59917-9046 | 2020-10-15 |
| 1396219697 | Spectrum Massage and Yoga Therapy | Massage Therapist | 1821 Buhne Dr Spc 38, Eureka, CA 95503-6874 | 2019-01-20 |
| 1700355955 | Rebekah L Hollenberg | Massage Therapist | 108 E Center St, Eureka, IL 61530-1251 | 2018-11-16 |
| 1609367143 | Chelsea Mae Torres | Massage Therapist | 1711 Hwy 37, Eureka, MT 59917 | 2018-05-21 |
| 1821384116 | June Jeannie O'connor | Massage Therapist | 517 Dewey Ave., L'angevin Garden Spa, Eureka, MT 59917-0301 | 2011-06-24 |
| 1992003628 | Breean Cecily Reyes | Massage Therapist | 343 Us Highway 93 N, Eureka, MT 59917-9059 | 2011-03-04 |
| 1104430834 | Erica Schlachter Ness | Massage Therapist | 1711 Hwy 37, Eureka, MT 59917 | 2020-09-01 |
| 1134693435 | Joanna Zwiefelhofer | Massage Therapist | 1821 Buhne Dr Spc 38, Eureka, CA 95503-6874 | 2019-01-20 |
| 1154867299 | Diane Trevoledes Davis | Massage Therapist | 2910 Harris St, Eureka, CA 95503-4811 | 2017-01-12 |
| 1992253694 | Willow Holm | Massage Therapist | 99 Mills Spring Rd, Suite 6, Eureka, MT 59917-9153 | 2016-09-12 |
| Find all providers in EUREKA | ||||
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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.