KATIE NEVERGALL (NPI# 1417591330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417591330 |
| Entity Type | Individual |
| Full Name | KATIE NEVERGALL |
| Practice Address |
1442 N 8th St Vandalia IL 62471-1031 |
| Practice Telephone | 6182830266 |
| Mailing Telephone | 6182830266 |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2019-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209020293 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1442 N 8TH ST |
| City | VANDALIA |
| State | IL |
| Zip Code | 62471-1031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164478384 | Elizabeth M Mills | Physician Assistant | 1442 N 8th St, Suite C, Vandalia, IL 62471-1027 | 2006-05-26 |
| 1679820302 | Confidence Medical Associates, Ltd. | Family Medicine | 1442 N 8th St, Suite C, Vandalia, IL 62471-1027 | 2012-08-13 |
| 1912154055 | Henry Pharmacies Inc | Pharmacy | 1442 N 8th St, Vandalia, IL 62471-1027 | 2008-08-20 |
| 1568500510 | Fayette County Hospital District | Clinic/Center | 1442 N 8th St, Suite C, Vandalia, IL 62471-1027 | 2007-02-02 |
| 1245323898 | Robert Butts | Family Medicine | 1442 N 8th St, Suite C, Vandalia, IL 62471-1027 | 2006-10-02 |
| 1932214962 | Baker Pharmacies Inc | Pharmacy | 1442 N 8th St, Vandalia, IL 62471-1027 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083924740 | Micah Brasel | Optometrist | 300 W Randolph, Vandalia, IL 62471 | 2010-10-15 |
| 1154635332 | Marion Eye Centers Ltd. | Durable Medical Equipment & Medical Supplies | 300 West Randolph, Vandalia, IL 62471 | 2010-07-30 |
| 1972771699 | Community Resource Center | Community Based Residential Treatment Facility, Mental Illness | 423 W Main, Vandalia, IL 62471 | 2008-02-15 |
| 1952429078 | Julie M Gordon | Physical Therapist | 126 S. First Street, Vandalia, IL 62471 | 2007-03-27 |
| 1033200183 | Penny Attaway | Nurse Practitioner | 1404 N 5th Street, Vandalia, IL 62471 | 2006-09-27 |
| 1588773089 | Pain Relief Center of Vandalia Inc | Chiropractor | 100 N Kennedy Blvd, Vandalia, IL 62471 | 2006-08-29 |
| 1811003551 | Fayco Enterprises Inc | Day Training, Developmentally Disabled Services | 1313 Sunset Drive, Vandalia, IL 62471 | 2006-08-23 |
| 1174585384 | Vandalia Physical Therapy Ltd | Physical Therapist | 126 S. 1st St., Vandalia, IL 62471 | 2006-04-04 |
| 1548221799 | Arkom Chulamorkodt | Family Medicine | 606 W Jackson St, Vandalia, IL 62471 | 2006-03-29 |
| 1568581163 | Ashley Hadowsky | Physical Therapist | 126 S. First Street, Vandalia, IL 62471 | 2007-03-28 |
| Find all providers in zip 62471 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962037382 | Gretchen Elaine Mogle | Nurse Practitioner | 1655 Carolina Dr, Vandalia, OH 45377-9761 | 2020-03-05 |
| 1568012300 | Teresa Lynn Vanhoose | Nurse Practitioner | 235 W. National Rd., Vandalia, OH 45377-1969 | 2019-09-13 |
| 1114499894 | Audrey Elizabeth Bateman | Nurse Practitioner | 900 S Dixie Dr Ste 40, Vandalia, OH 45377-2656 | 2018-12-19 |
| 1740768803 | Michelle Mitchell | Nurse Practitioner | 6700 Commerce Center Drive, Vandalia, OH 45322 | 2018-08-01 |
| 1922592815 | Lori Jean Pearson | Nurse Practitioner | 1 E. National Road, Suite 100, Vandalia, OH 45377 | 2018-06-14 |
| 1598212615 | Heather Branam | Nurse Practitioner | 810 Falls Creek Dr Ste B, Vandalia, OH 45377-8600 | 2016-09-07 |
| 1093345050 | Lynne A Lee | Nurse Practitioner | 505 Corporate Center Dr Unit A, Vandalia, OH 45377-1168 | 2020-01-18 |
| 1588200364 | Matthew Edward Weems | Nurse Practitioner | 650 W Taylor St, Vandalia, IL 62471-1227 | 2019-11-27 |
| 1871138701 | Craig M Sisco | Nurse Practitioner | 780 Northwoods Blvd, Vandalia, OH 45377-9462 | 2019-11-14 |
| 1528613254 | Brenda Lee Chewning | Nurse Practitioner | 780 Northwoods Blvd, Vandalia, OH 45377-9462 | 2019-08-08 |
| Find all providers in VANDALIA | ||||
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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.