MICHELLE CUTRELL (NPI# 1417300120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417300120 |
| Entity Type | Individual |
| Full Name | MICHELLE CUTRELL |
| Credential | LPN |
| Practice Address |
6294 State Highway 154 Sesser IL 62884-2163 |
| Mailing Address |
4241 Highway 14 W Christopher IL 62822-1037 |
| Practice Telephone | 6186256979 |
| Mailing Telephone | 6187242401 |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2016-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 043109357 | IL | Nursing Service Providers |
| Street Address |
6294 STATE HIGHWAY 154 |
| City | SESSER |
| State | IL |
| Zip Code | 62884-2163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679686745 | James J Pavlovich | Pediatrics | 6294 State Highway 154, Sesser, IL 62884 | 2006-08-15 |
| 1487271557 | Megan Nicole Plummer | Nurse Practitioner | 6294 State Highway 154, Sesser, IL 62884-2163 | 2020-07-06 |
| 1720550643 | Ashley Lynn Agnew | Licensed Practical Nurse | 6294 State Highway 154, Sesser, IL 62884-2163 | 2018-12-18 |
| 1457821423 | Rachel Lynn Sullivan | Registered Nurse | 6294 State Highway 154, Sesser, IL 62884-2163 | 2018-12-03 |
| 1053886036 | Toni K Owens | Registered Nurse | 6294 State Highway 154, Sesser, IL 62884-2163 | 2018-10-05 |
| 1932686987 | Jilissa M Payne | Dental Hygienist | 6294 State Highway 154, Sesser, IL 62884-2163 | 2018-07-23 |
| 1366967234 | Olivia Dalby | Registered Nurse | 6294 State Highway 154, Sesser, IL 62884-2163 | 2017-08-11 |
| 1881045110 | Patrick B Cameron | Dentist | 6294 State Highway 154, Sesser, IL 62884-2163 | 2016-06-28 |
| 1285081224 | Sesser Pharmacy Si LLC | Pharmacy | 6294 State Highway 154, Suite A, Sesser, IL 62884-2163 | 2016-05-19 |
| 1144582974 | Deborah L. Hammonds | Registered Nurse | 6294 State Highway 154, Sesser, IL 62884-2163 | 2012-06-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093356362 | Pamela Miller | Technician | 602 West Florence Street, Sesser, IL 62884 | 2019-10-08 |
| 1669459129 | Julia A Bancroft | Family Medicine | 6294 State Hwy 154, Sesser, IL 62884 | 2005-12-27 |
| 1669429908 | Lee Peter Bee | Neuromusculoskeletal Medicine & OMM | 107 W Franklin St, Sesser, IL 62884-1456 | 2006-05-30 |
| 1134530173 | Southern Illinois Medical Specialists, LLC | Independent Medical Examiner | 107 W Franklin St, Sesser, IL 62884-1456 | 2014-05-13 |
| 1013351667 | Southern Illinois Medical Specialists, LLC | Emergency Medicine | 107 W Franklin St, Sesser, IL 62884-1456 | 2013-04-25 |
| 1699011882 | Franklin Hospital District | Clinic/Center | 107 W Franklin St, Sesser, IL 62884-1456 | 2012-12-17 |
| 1043582760 | Rhonda Lynn Hawkins | Dental Hygienist | 115 E Franklin St, Sesser, IL 62884-1814 | 2012-01-27 |
| 1821128208 | Sesser Valier Cud 196 | Local Education Agency (LEA) | 4626 State Highway 154, Sesser, IL 62884-2277 | 2007-03-06 |
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720550643 | Ashley Lynn Agnew | Licensed Practical Nurse | 6294 State Highway 154, Sesser, IL 62884-2163 | 2018-12-18 |
| 1841580156 | Kasey Lynn Adams | Licensed Practical Nurse | 6294 State Highway 154, Sesser, IL 62884-2163 | 2011-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330233 | Candace D Younger | Licensed Practical Nurse | 507 Lickliter St, Benton, IL 62812-2219 | 2020-09-15 |
| 1063025781 | Austin Grant | Licensed Practical Nurse | 205 Joplin St, Benton, IL 62812-2023 | 2020-08-24 |
| 1518570233 | Titilayo Ayeni-sode | Licensed Practical Nurse | 23025 Amber Ln, Richton Park, IL 60471-1281 | 2020-08-24 |
| 1477164929 | Monique L Lee | Licensed Practical Nurse | 8528 S Exchange Ave # 2, Chicago, IL 60617-2541 | 2020-08-10 |
| 1619597291 | Robin Wilson | Licensed Practical Nurse | 842 S 18th Ave, Maywood, IL 60153-1706 | 2020-04-23 |
| 1790319630 | Krystle Ekhoff | Licensed Practical Nurse | 9108 S Troy Ave, Evergreen Park, IL 60805-1628 | 2020-03-01 |
| 1932732237 | Robina Renee Williams | Licensed Practical Nurse | 16313 Turner Ave, Markham, IL 60428-5446 | 2020-02-15 |
| 1417589649 | Lataunja Parese Weaver | Licensed Practical Nurse | 7436 S Ellis Ave, Chicago, IL 60619-2032 | 2020-02-05 |
| 1124667621 | Jacquelyn Cooper | Licensed Practical Nurse | 230 N Lind Ave, Hillside, IL 60162-1538 | 2019-12-31 |
| 1699312587 | Kristi Ann Pittman-spero | Licensed Practical Nurse | 101 N Jefferson Ave, Bradley, IL 60915-1829 | 2019-12-10 |
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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.