DAKOTA L FELCKOWSKI (NPI# 1437719291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437719291 |
Entity Type | Individual |
Full Name | DAKOTA L FELCKOWSKI |
Credential | APRN |
Practice Address |
4282 E Rockton Rd Roscoe IL 61073-7420 |
Mailing Address |
Po Box 78866 Milwaukee WI 53278-8866 |
Practice Telephone | 7796969000 |
Practice Fax Number | 7796968170 |
Mailing Telephone | 7796967150 |
Enumeration Date | 2019-06-14 |
Last Update Date | 2019-06-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
209-019504 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
4282 E ROCKTON RD |
City | ROSCOE |
State | IL |
Zip Code | 61073-7420 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134168586 | Gayle R Crays | Family Medicine | 4282 E Rockton Rd, Roscoe, IL 61073 | 2006-06-04 |
1356850739 | Tonya L Tidwell | Registered Nurse | 4282 E Rockton Rd, Roscoe, IL 61073-7420 | 2017-09-28 |
1295188803 | Nicole M Milani | Registered Nurse | 4282 E Rockton Rd, Roscoe, IL 61073-7420 | 2016-07-19 |
1386054062 | Swedishamerican Hospital | Internal Medicine | 4282 E Rockton Rd, Roscoe, IL 61073 | 2014-05-02 |
1841600715 | Amanda Huber | Registered Nurse | 4282 E Rockton Rd, Roscoe, IL 61073 | 2014-05-01 |
1770915589 | Syeda Roshan | Podiatrist | 4282 E Rockton Rd, Roscoe, IL 61073 | 2013-08-02 |
1922395763 | Jeffrey David Gurtizen | Family Medicine | 4282 E Rockton Rd, Roscoe, IL 61073 | 2011-06-30 |
1902035777 | Manika Bhateja | Pediatrics | 4282 E Rockton Rd, Roscoe, IL 61073 | 2009-07-14 |
1598701088 | Tarek Samir Harb | Obstetrics & Gynecology | 4282 E Rockton Rd, Roscoe, IL 61073 | 2006-06-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396234746 | Zachary J Rio | Physical Therapist | 4675 Bluestem Rd Ste 1, Roscoe, IL 61073 | 2018-05-01 |
1548702954 | Vicki Foti | Registered Nurse | 4828 Rockton Road, Roscoe, IL 61073 | 2016-11-16 |
1174074975 | James B Garrison | Social Worker | 11447 2nd St, Ste 9b, Roscoe, IL 61073 | 2016-10-18 |
1932457355 | Annie Pamela Stephens | Chiropractor | 11673 Main St., Roscoe, IL 61073 | 2012-08-15 |
1255602819 | Trent Michael Hippard | Chiropractor | 15724 B Elevator Rd, Roscoe, IL 61073 | 2012-01-13 |
1689856437 | Martha M Muldowney | Dentist | 5464 Pine Lane, Roscoe, IL 61073 | 2007-12-04 |
1396885794 | Richard Scott Newcomb | Optometrist | 11710 Main St Suite 2, Roscoe, IL 61073 | 2007-02-07 |
1356459754 | Margaret Allensworth Franklin | Counselor | 9830 Double Ditch Circle, Roscoe, IL 61073 | 2006-08-26 |
1811002660 | Cjn Therapy Services LLC | Counselor | 5334 Williams Drive, Roscoe, IL 61073 | 2006-08-20 |
1033142575 | Trina Renee Morgan | Chiropractor | 5724 B Elevator Rd, Roscoe, IL 61073 | 2006-07-08 |
Find all providers in zip 61073 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740881291 | Sarah Zeigler Olsen | Nurse Practitioner | 600 S Randall Rd Ste 220, Algonquin, IL 60102-5937 | 2020-11-02 |
1467051151 | Mallory Jo Brooks | Nurse Practitioner | 2306 E County Road 1800 N, Carthage, IL 62321-3101 | 2020-10-22 |
1508475294 | Diedra M Ahlert | Nurse Practitioner | 1320 Lexington Dr, Collinsville, IL 62234-4348 | 2020-07-28 |
1679182802 | Danielle L Shubert | Nurse Practitioner | 9423 Holy Cross Ln Ste 111, Breese, IL 62230-3510 | 2020-07-23 |
1154962900 | Janna Hoppe | Nurse Practitioner | 24600 W 127th St Ste 345, Plainfield, IL 60585-9507 | 2019-10-02 |
1841858529 | Katherine R Conkling | Nurse Practitioner | 4941 Benchmark Centre Dr Ste 100, Swansea, IL 62226-2038 | 2019-05-29 |
1942767280 | Danielle R Wetzel | Nurse Practitioner | 2040 Ogden Ave Ste 215, Aurora, IL 60504-7205 | 2019-02-22 |
1669937231 | Colleen Ann Larkin | Nurse Practitioner | 10939 S Troy St, Chicago, IL 60655-2211 | 2019-02-07 |
1568939684 | Katelyn Marie Reed | Nurse Practitioner | 415 N 9th St Ste 4w64, Springfield, IL 62702-5303 | 2018-10-26 |
1255813218 | Michelle Christine Bollinger | Nurse Practitioner | 415 N 9th St Ste 4w16, Springfield, IL 62702-5303 | 2018-09-05 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on DAKOTA L FELCKOWSKI.
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.