ROSEANN C IVERSON (NPI# 1386099208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386099208 |
| Entity Type | Individual |
| Full Name | ROSEANN C IVERSON |
| Credential | FNP |
| Practice Address |
1095 Pingree Rd Suite 108 Crystal Lake IL 60014-1725 |
| Practice Telephone | 8154596655 |
| Practice Fax Number | 8476589922 |
| Mailing Telephone | 8154596655 |
| Mailing Fax Number | 8476589922 |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209014218 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1095 PINGREE RD SUITE 108 |
| City | CRYSTAL LAKE |
| State | IL |
| Zip Code | 60014-1725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174503510 | Family Medicine for Mchenry County | Family Medicine | 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1725 | 2006-01-20 |
| 1528610268 | Jenna Lee | Physical Therapist | 1095 Pingree Rd, Crystal Lake, IL 60014-1725 | 2019-07-12 |
| 1265951883 | Lakeview Counseling Services | Counselor | 1095 Pingree Rd, Crystal Lake, IL 60014-1725 | 2017-09-14 |
| 1962935213 | Julia Tansor | Physical Therapist | 1095 Pingree Rd, Suite 209, Crystal Lake, IL 60014-1725 | 2017-04-04 |
| 1255786950 | Margaret Yuk | Speech-Language Pathologist | 1095 Pingree Rd, Suite #209, Crystal Lake, IL 60014-1725 | 2016-05-01 |
| 1053718445 | Companian Animal Specialty and Emergency Hospital | Veterinarian | 1095 Pingree Rd, Suite 120, Crystal Lake, IL 60014-1725 | 2014-12-01 |
| 1902223290 | Rachel Lynne Linden | Speech-Language Pathologist | 1095 Pingree Rd, #119, Crystal Lake, IL 60014-1725 | 2014-03-25 |
| 1063769487 | Siddhi Virendra Bavishi | Physical Therapist | 1095 Pingree Rd, Suite 119, Crystal Lake, IL 60014-1725 | 2012-08-06 |
| 1831325299 | William Peter Birong | Social Worker | 1095 Pingree Rd, Suite 204, Crystal Lake, IL 60014-1725 | 2009-05-29 |
| 1497998702 | Kelli Marie Reynolds | Speech-Language Pathologist | 1095 Pingree Rd, Ste 119, Crystal Lake, IL 60014-1725 | 2009-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497394720 | Lorelei Mariano | Physical Therapist | 350 E Congress Parkway Ste A, Crystal Lake, IL 60014 | 2020-01-03 |
| 1396227070 | Behavioral Services for Autism, Inc | Behavioral Analyst | 1095 Pingree Road, Suite 204, Crystal Lake, IL 60014 | 2018-08-30 |
| 1831635564 | Isis Mendoza-garnica | Counselor | 6803 Rose Ave, Crystal Lake, IL 60014 | 2017-01-19 |
| 1134664402 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 525 E Congress Parkway, Suite 200, Crystal Lake, IL 60014 | 2016-12-22 |
| 1306394051 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 177 W Virginia Street, Crystal Lake, IL 60014 | 2016-09-12 |
| 1124492830 | Align Spine & Orthopaedics | Durable Medical Equipment & Medical Supplies | 60 B West Terra Cotta Ave, #265, Crystal Lake, IL 60014 | 2015-11-18 |
| 1558747428 | Shabana Nawaz | Optometrist | 4777 Northwest Highway, Crystal Lake, IL 60014 | 2015-08-03 |
| 1548649205 | Daniel Okon | Social Worker | 304 Charllote Ave, Crystal Lake, IL 60014 | 2015-05-27 |
| 1154729838 | Crystal Lake Center for Chronic Pain Sc | Nurse Practitioner | 1 South Northwest Highway, Crystal Lake, IL 60014 | 2014-12-12 |
| 1558763581 | Brooke Nicole Grandt | Occupational Therapist | 394 Heisler Ct, Crystal Lake, IL 60014 | 2014-09-22 |
| Find all providers in zip 60014 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861785032 | Sharon E. Larsen | Nurse Practitioner | 380 N Terra Cotta Rd Ste E, Crystal Lake, IL 60012-1809 | 2011-05-22 |
| 1467640193 | Kathleen Mccleskey-grimes | Nurse Practitioner | 1305 Randall Rd, Crystal Lake, IL 60014-8601 | 2007-10-09 |
| 1801351648 | Jennifer A Garrels | Nurse Practitioner | 360 Station Dr, Crystal Lake, IL 60014-7978 | 2019-02-06 |
| 1760956726 | Cardinalight Health, LLC | Nurse Practitioner | 380 N Terra Cotta Rd Ste E, Crystal Lake, IL 60012-1809 | 2019-01-13 |
| 1780157602 | Well-rooted Pediatrics LLC | Nurse Practitioner | 820 E Terra Cotta Ave Ste 132, Crystal Lake, IL 60014-3655 | 2019-01-03 |
| 1861987604 | Lisa M Trautman | Nurse Practitioner | 5911 Northwest Hwy Ste 207, Crystal Lake, IL 60014-8043 | 2018-06-25 |
| 1538600820 | Catherine Arend | Nurse Practitioner | 741 S Mchenry Ave, Suite G, Crystal Lake, IL 60014-7445 | 2017-03-20 |
| 1265972418 | Lauren K Mielke | Nurse Practitioner | 781 S Mchenry Ave, Crystal Lake, IL 60014-7444 | 2017-03-06 |
| 1639526015 | Rachelle Puno | Nurse Practitioner | 1305 Randall Rd, Crystal Lake, IL 60014 | 2016-05-16 |
| 1023424389 | Kristine M Redmond | Nurse Practitioner | 442 N Il Route 31, Crystal Lake, IL 60012-3709 | 2014-07-08 |
| Find all providers in CRYSTAL LAKE | ||||
| City | CRYSTAL LAKE |
| Zip Code | 60014 |
Please comment or provide details below to improve the information on ROSEANN C IVERSON.
| 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.