KELLI MOWRER (NPI# 1417468190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417468190 |
| Entity Type | Individual |
| Full Name | KELLI MOWRER |
| Credential | CNP |
| Practice Address |
8 Cusumano Professional Plaza Dr Mount Vernon IL 62864-6736 |
| Practice Telephone | 6182444800 |
| Practice Fax Number | 6182411746 |
| Mailing Telephone | 6182444800 |
| Mailing Fax Number | 6182411746 |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2017-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209016577 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8 CUSUMANO PROFESSIONAL PLAZA DR |
| City | MOUNT VERNON |
| State | IL |
| Zip Code | 62864-6736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548264237 | Physician Services Corp of Southern Illinois | Clinic/Center | 8 Cusumano Professional Plaza Dr, Mount Vernon, IL 62864-6736 | 2005-06-09 |
| 1740779081 | Julie Ann Cammon Rinehart | Advanced Practice Midwife | 8 Cusumano Professional Plaza Dr, Mount Vernon, IL 62864-6736 | 2018-05-02 |
| 1346550910 | Keith Allen Suedmeyer | Social Worker | 8 Cusumano Professional Plaza Dr, Mount Vernon, IL 62864-6736 | 2010-10-18 |
| 1033440722 | Asbery and Associates Ob Gyn LLC | Obstetrics & Gynecology | 8 Cusumano Professional Plaza Dr, Mount Vernon, IL 62864-6736 | 2010-01-20 |
| 1467509109 | Alice Malone | Psychiatry & Neurology | 8 Cusumano Professional Plaza Dr, Mount Vernon, IL 62864-6736 | 2007-01-04 |
| 1417023284 | Leslie L Simonton-smith | Obstetrics & Gynecology | 8 Cusumano Professional Plaza Dr, Mount Vernon, IL 62864-6736 | 2006-11-25 |
| 1982704995 | Leeann Stanley | Physical Medicine & Rehabilitation | 8 Cusumano Professional Plaza Dr, Mount Vernon, IL 62864-6736 | 2006-09-22 |
| 1437106101 | David S Asbery | Specialist | 8 Cusumano Professional Plaza Dr, Mount Vernon, IL 62864-6736 | 2006-05-28 |
| 1346248978 | Robert A Brown | Obstetrics & Gynecology | 8 Cusumano Professional Plaza Dr, Mount Vernon, IL 62864-6736 | 2005-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438892 | Melissa Pryer | Dietitian, Registered | 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 | 2019-03-28 |
| 1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
| 1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
| 1871907790 | University Hematology Oncology Inc | Specialist | #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 | 2014-06-18 |
| 1457771677 | Dynamic Counseling and Consultation Services | Social Worker | 3600 S Water Tower Pl, Mt Vernon, IL 62864 | 2014-04-27 |
| 1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
| 1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
| 1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
| 1780978627 | Jamie M Orange | Physical Therapy Assistant | 19958 Fairfield Rd, Mt. Vernon, IL 62864 | 2011-06-08 |
| 1780978791 | Wendy Marie Claytor | Speech-Language Pathologist | 600 E Il Hwy 15, Mount Vernon, IL 62864 | 2011-06-07 |
| Find all providers in zip 62864 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353464 | Ekaterina Melnik | Nurse Practitioner | 1809 Lindsay Loop, Mount Vernon, WA 98274-6135 | 2020-07-13 |
| 1518520998 | Mary Lynn Peeks | Nurse Practitioner | 4810 Broadway St, Mount Vernon, IL 62864-6752 | 2019-04-21 |
| 1144749748 | Charnell Sue Allan | Nurse Practitioner | 10627 Lawrence 1170, Mount Vernon, MO 65712-8174 | 2017-09-14 |
| 1922550235 | Jas Medical LLC | Nurse Practitioner | 11301 Upper Gilchrist Rd, Mount Vernon, OH 43050-8923 | 2016-11-03 |
| 1427438266 | Petrona Ennis-welch | Nurse Practitioner | 414 Mcclellan Ave Ph, Mount Vernon, NY 10553-2103 | 2015-06-07 |
| 1033292909 | Aundrea F. Pippel | Nurse Practitioner | 208 S 14th St, Mount Vernon, WA 98274-4117 | 2006-10-23 |
| 1215951876 | Lynn M Followell | Nurse Practitioner | 1501 Mcpherson Ave, Mount Vernon, IL 62864-2831 | 2006-07-27 |
| 1649217886 | Stephanie Michele Friess | Nurse Practitioner | 713 1st Ave Nw, Mount Vernon, IA 52314-1478 | 2006-05-31 |
| 1275515363 | Margaret Ruth Aubin | Nurse Practitioner | 205 Stewart Rd, Mount Vernon, WA 98273-9607 | 2005-11-15 |
| 1205821923 | Sharron Gingrich | Nurse Practitioner | 2 Good Samaritan Way Ste 405, Mount Vernon, IL 62864-2478 | 2005-09-19 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 62864 |
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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.