MRS. KATHLEEN JANE HALVERSON (NPI# 1376546200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376546200 |
| Entity Type | Individual |
| Full Name | MRS. KATHLEEN JANE HALVERSON |
| Credential | CNP |
| Practice Address |
826 N 6th St Monticello IN 47960-1752 |
| Practice Telephone | 5745833333 |
| Practice Fax Number | 5745832896 |
| Mailing Telephone | 5745833333 |
| Mailing Fax Number | 5745832896 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2011-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71000299A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | 500002653 | 01 | |
| AETNA | 5531418 | 01 | |
| UNITED MINEWORKERS | 1540739 | 01 | |
| ANTHEM BLUE CROSS | 000000335832 | 01 | |
| IN | 200121420 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659544195 | Kathleen A Halverson | Physical Therapist | 3500 Tower Ave, Superior, WI 54880-5335 | 2008-04-04 |
| Street Address |
826 N 6TH ST |
| City | MONTICELLO |
| State | IN |
| Zip Code | 47960-1752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811554876 | Shayna Leigh Phegley | Registered Nurse | 826 N 6th St, Monticello, IN 47960-1752 | 2019-05-24 |
| 1841679321 | Elizabeth Stevenson | Nurse Practitioner | 826 N 6th St, Monticello, IN 47960-1752 | 2015-05-29 |
| 1447525589 | Christi C Lanoue | Nurse Practitioner | 826 N 6th St, Monticello, IN 47960-1752 | 2012-03-21 |
| 1871645531 | Monticello Medical Center, LLC | Family Medicine | 826 N 6th St, Monticello, IN 47960-1752 | 2007-01-16 |
| 1093781171 | Monticello Medical Center, LLC | Specialist | 826 N 6th St, Monticello, IN 47960-1752 | 2006-02-27 |
| 1245236603 | Sharon D Musall | Nurse Practitioner | 826 N 6th St, Monticello, IN 47960-1752 | 2005-06-21 |
| 1518969716 | Julie Ellen Becker | Family Medicine | 826 N 6th St, Monticello, IN 47960-1752 | 2005-06-01 |
| 1851394290 | Elizabeth Ann Droege | Emergency Medicine | 826 N 6th St, Monticello, IN 47960-1752 | 2005-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255743472 | Suzanne Reber | Pharmacist | 4901 Sr 26th E, Lafayette, IN 47960 | 2014-05-22 |
| 1588075949 | Theodore Eckerle | Social Worker | 920 West Executive Court, Monticello, IN 47960 | 2014-05-19 |
| 1598805723 | Twin Lakes School Corporation | Local Education Agency (LEA) | 565 S Main Street, Monticello, IN 47960 | 2007-02-07 |
| 1003904806 | Forest Richard Robertson II | Dentist | 515 S Illinois St, Monticello, IN 47960 | 2006-10-10 |
| 1447345889 | Linda Jean Feuquay | Counselor | 207 N. Bluff St., Monticello, IN 47960 | 2006-10-03 |
| 1548270697 | Cdc Resources Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5053 Norway Rd, Monticello, IN 47960 | 2006-08-09 |
| 1528040516 | The Eye Center Group LLC | Optometrist | 1101 O'connor Blvd, Monticello, IN 47960 | 2005-11-16 |
| 1861489254 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1120 N Main St, Monticello, IN 47960 | 2005-09-30 |
| 1467890293 | White County Community Counseling Services LLC | Counselor | 126 S Main St, Monticello, IN 47960 | 2013-06-14 |
| 1144589813 | Angelique Witlam | Physical Therapist | 906 W. Executive Court, Monticello, IN 47960 | 2012-05-15 |
| Find all providers in zip 47960 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457968406 | Sojnia Irene Johnson | Nurse Practitioner | 561 Country Oaks Ln, Monticello, KY 42633-5145 | 2020-09-24 |
| 1023622081 | Marty Kyle Ballard Sr. | Nurse Practitioner | 698 Lower Brookhaven Rd, Monticello, MS 39654-9627 | 2020-09-06 |
| 1659918936 | Shelby Mcmickle | Nurse Practitioner | 170 Brixie Rd, Monticello, AR 71655-9096 | 2019-12-05 |
| 1104462712 | Ashley Leanna Huitt | Nurse Practitioner | Drew Memorial Health System, 778 Scogin Drive, Monticello, AR 71655 | 2019-11-19 |
| 1053964965 | Faith Healthcare Inc | Nurse Practitioner | 126 Franklin Drive, Monticello, KY 42633 | 2019-07-19 |
| 1740757145 | Karla Marie Wallace | Nurse Practitioner | 314 Main St Ste B, Monticello, MS 39654-3702 | 2018-10-24 |
| 1770039752 | Jesse Bone | Nurse Practitioner | 766 Hl Ross Drive, Monticello, AR 71655 | 2016-08-30 |
| 1295196137 | Miranda Tompkins | Nurse Practitioner | 1215 N Main St Ste 2, Monticello, KY 42633-2900 | 2016-03-18 |
| 1285065292 | Teresa Conerly | Nurse Practitioner | 430 W Broad St, Monticello, MS 39654-7723 | 2013-12-02 |
| 1487089546 | Doretha Bournes | Nurse Practitioner | 354 Cub Brown Rd, Monticello, MS 39654-7505 | 2013-09-09 |
| Find all providers in MONTICELLO | ||||
| City | MONTICELLO |
| Zip Code | 47960 |
Please comment or provide details below to improve the information on MRS. KATHLEEN JANE HALVERSON.
| 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.