KELSI EARL (NPI# 1376195818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376195818 |
| Entity Type | Individual |
| Full Name | KELSI EARL |
| Credential | APN |
| Practice Address |
3220 Atlanta St Springfield IL 62707-8801 |
| Practice Telephone | 2175887400 |
| Practice Fax Number | 2175887439 |
| Mailing Telephone | 2175887400 |
| Mailing Fax Number | 2175887439 |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2019-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 041.414192 | IL | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.019718 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RN LICENSE | 041.414192 | 01 |
| Street Address |
3220 ATLANTA ST |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62707-8801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972716033 | Joshua Ellison | Family Medicine | 3220 Atlanta St, Springfield, IL 62707-8801 | 2007-05-07 |
| 1447737499 | Alison M Peddycoart | Nurse Practitioner | 3220 Atlanta St, Springfield, IL 62707-8801 | 2018-07-23 |
| 1336642867 | Christina Rovey | Nurse Practitioner | 3220 Atlanta St, Springfield, IL 62707-8801 | 2018-03-12 |
| 1356850713 | Katie M Turley | Social Worker | 3220 Atlanta St, Springfield, IL 62707-8801 | 2017-09-28 |
| 1639603293 | Tatonya Roberts | Nurse Practitioner | 3220 Atlanta St, Springfield, IL 62707-8801 | 2017-04-20 |
| 1790219459 | Latoya Bond | Nurse Practitioner | 3220 Atlanta St, Springfield, IL 62707-8801 | 2017-04-19 |
| 1588198246 | Chaney Marie Bell | Nurse Practitioner | 3220 Atlanta St, Springfield, IL 62707-8801 | 2017-04-19 |
| 1992169668 | Walgreen Co | Pharmacy | 3220 Atlanta St, Springfield, IL 62707-8801 | 2016-04-08 |
| 1003276189 | Lindsey Ostermeier | Nurse Practitioner | 3220 Atlanta St, Springfield, IL 62707-8801 | 2016-03-02 |
| 1063646040 | North Dirksen Medical Associates, LLC | Nurse Practitioner | 3220 Atlanta St, Springfield, IL 62707-8801 | 2009-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730405051 | Bret Lee Miller | Pharmacist | 3250 Clear Lake Ave, Springfield, IL 62707 | 2010-04-12 |
| 1740402890 | Bennie Joe Manley | Counselor | 3200 Shaler Road, Springfield, IL 62707 | 2007-05-02 |
| 1568493336 | Andrea N. Johnson | Counselor | 3270 Moore Rd, Springfield, IL 62707-2515 | 2006-07-06 |
| 1376184820 | Kevin Polk | Marriage & Family Therapist | 350 Bourbon St, Springfield, IL 62707-2702 | 2019-10-07 |
| 1205050192 | Amaretta Marie Gilmer | Speech-Language Pathologist | 4046 Mcconnell Ct, Springfield, IL 62707-3018 | 2007-04-12 |
| 1376766204 | Marcia H. Bunchman | Speech-Language Pathologist | 34 Cabin Smoke Trl, Springfield, IL 62707-4509 | 2007-04-10 |
| 1205027026 | Christie M Davis | Physical Therapist | 51 Frontier Lake Dr, Springfield, IL 62707-7726 | 2007-08-06 |
| 1912975160 | Harold Jay Bruninga | Ophthalmology | 900 Capital Airport Dr, Springfield, IL 62707-8410 | 2006-03-12 |
| 1982044889 | Stouffer Clinical Counseling & Consulting LLC | Community/Behavioral Health | 900 Capital Airport Dr, Springfield, IL 62707-8410 | 2013-06-25 |
| 1407296395 | Kevin R Stouffer | Counselor | 900 Capital Airport Dr, Springfield, IL 62707-8410 | 2013-06-25 |
| Find all providers in zip 62707 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072823 | Rachel Westbrook | Nurse Practitioner | 1417 Burning Bush Ct, Springfield, IL 62712-7529 | 2020-10-27 |
| 1730786377 | Catherine Newman | Nurse Practitioner | 27124 La-42, Springfield, LA 70462 | 2020-10-07 |
| 1275146268 | Courtney Wilbern | Nurse Practitioner | 1200 W Centre St, Springfield, IL 62704-5812 | 2020-08-28 |
| 1588276240 | Andrew Ronald Mouser | Nurse Practitioner | 607 Prospect Rd, Springfield, PA 19064-2819 | 2020-08-23 |
| 1821609082 | William Coleman Bryant | Nurse Practitioner | 5552 W Longleaf Dr, Springfield, MO 65802-7834 | 2020-08-12 |
| 1386254399 | Ashley Lynn Murray | Nurse Practitioner | 2443 E Greenwood St, Springfield, MO 65804-3907 | 2020-08-04 |
| 1679182281 | Erica Gail Hunt | Nurse Practitioner | 2813 Haverford Rd, Springfield, IL 62704-4267 | 2020-07-29 |
| 1063020063 | Gage Azeez | Nurse Practitioner | 46 Timber Ln, Springfield, MA 01119-2828 | 2020-07-16 |
| 1033737440 | Janne L Nicholson | Nurse Practitioner | 8360 Dunham Ct Apt G, Springfield, VA 22152-1122 | 2020-07-13 |
| 1922623156 | Amanda E Hildebrand | Nurse Practitioner | 3370 Carman Ave, Springfield, IL 62703-4642 | 2020-06-12 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62707 |
Please comment or provide details below to improve the information on KELSI EARL.
| 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.