PHYLLIS WILKINSON (NPI# 1447667027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447667027 |
| Entity Type | Individual |
| Full Name | PHYLLIS WILKINSON |
| Credential | RN |
| Practice Address |
1604 Visa Dr Ste 2 Normal IL 61761 |
| Mailing Address |
1604 Visa Dr. Ste. #2 Normal IL 61761 |
| Practice Telephone | 3098464716 |
| Practice Fax Number | 3094547348 |
| Mailing Telephone | 3098464716 |
| Mailing Fax Number | 3094547348 |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 041.392963 | IL | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588724355 | Phyllis Wilkinson | Counselor | 45 Executive Dr, Jackson, TN 38305-2337 | 2006-12-11 |
| Street Address |
1604 VISA DR STE 2 |
| City | NORMAL |
| State | IL |
| Zip Code | 61761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659490761 | Definitive Neurodiagnostics LLC | Specialist/Technologist, Other | 1604 Visa Dr, Suite 1, Normal, IL 61761-2195 | 2007-03-28 |
| 1487209664 | Sam Daliri | Dentist | 1604 Visa Dr, Normal, IL 61761-2195 | 2019-08-05 |
| 1346783982 | Everyone's Family Dental Normal LLC | Dentist | 1604 Visa Dr, Ste 3, Normal, IL 61761-2195 | 2016-11-30 |
| 1134678790 | Michael Hansen | Specialist/Technologist, Other | 1604 Visa Dr, Ste 1, Normal, IL 61761 | 2016-09-23 |
| 1295281228 | Brenna Catherine Maxine Knott | Specialist/Technologist, Other | 1604 Visa Dr, Normal, IL 61761-2195 | 2016-08-30 |
| 1750766499 | Dhaval Patel | Dentist | 1604 Visa Dr, Normal, IL 61761-2195 | 2015-07-23 |
| 1467830869 | Deborah Berryman | Specialist/Technologist, Other | 1604 Visa Dr, Suite 1, Normal, IL 61761-2195 | 2015-05-18 |
| 1184002578 | Susan Ribordy | Specialist/Technologist, Other | 1604 Visa Dr, Suite 1, Normal, IL 61761-2195 | 2015-05-18 |
| 1629484324 | Brian Choi | Dentist | 1604 Visa Dr, Unit #3, Normal, IL 61761-2195 | 2014-07-02 |
| 1659782373 | Jay Sweis Dds PC | Dentist | 1604 Visa Dr, Suite 3, Normal, IL 61761-2195 | 2014-05-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681796 | Brittany Nicole Mekley | Nurse Practitioner | 201 N. University, Normal, IL 61761 | 2020-08-28 |
| 1679108971 | Krystal Halliday | Occupational Therapist | 1815 N Towanda Barnes Rd, Normal, IL 61761 | 2020-03-06 |
| 1265915474 | Laine E Burek | Nurse Practitioner | 1765 Bradford Ln., Normal, IL 61761 | 2018-09-13 |
| 1801389986 | Ashley Michelle James | Specialist/Technologist | 347 S. University St, Normal, IL 61761 | 2018-06-12 |
| 1447750708 | Shelley R. Ruch | Specialist/Technologist, Other | 1604 Visa Drive, Ste 1, Normal, IL 61761 | 2018-02-13 |
| 1497275069 | Mclean County Nursing Home | Non-emergency Medical Transport (VAN) | 901 N. Main St, Normal, IL 61761 | 2017-06-23 |
| 1235673666 | Megan Threm | Registered Nurse | 900 Franklin Ave Community Health Care Clinic, Normal, IL 61761 | 2016-12-04 |
| 1437513553 | Tiesha Smith | Specialist | 1800 Rockingham Dr, Apt 1d, Normal, IL 61761 | 2016-04-06 |
| 1285031658 | New Day Recovery | Community/Behavioral Health | 402 Summit, Normal, IL 61761 | 2014-12-01 |
| 1174927701 | Alyssa Marie Bruck | Occupational Therapist | 700 N Walnut St, Normal, IL 61761 | 2014-10-10 |
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| 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 |
|---|---|---|---|---|
| 1093124927 | Sarah Strode | Licensed Practical Nurse | 1604 Visa Dr. St, Ste. 2, Normal, IL 61761 | 2014-08-05 |
| 1851770713 | Kara Lyn Mace | Licensed Practical Nurse | 1604 Visa Dr., Ste. 2, Normal, IL 61761 | 2015-05-26 |
| 1306253307 | Kayla Coonrat | Licensed Practical Nurse | 1604 Visa Dr., Ste 2, Normal, IL 61761 | 2014-07-22 |
| 1043627045 | Brenda Gregory | Licensed Practical Nurse | 1604 Visa Dr., Ste. 2, Normal, IL 61761 | 2014-07-22 |
| 1144637729 | Amber Gray | Licensed Practical Nurse | 1604 Visa Dr., Ste 2, Normal, IL 61761 | 2014-07-16 |
| 1336556919 | Tonja Huff | Licensed Practical Nurse | 1604 Visa Dr., Ste. 2, Normal, IL 61761 | 2014-07-16 |
| 1326455908 | Kari Endres | Licensed Practical Nurse | 1604 Visa Dr., Ste. 2, Normal, IL 61761 | 2014-07-16 |
| 1316354996 | Robin Billingsley | Licensed Practical Nurse | 1604 Visa Dr., Ste. 2, Normal, IL 61761 | 2014-07-16 |
| 1164839742 | Christie M Little | Licensed Practical Nurse | 1604 Visa Dr., Ste. 2, Normal, IL 61761 | 2014-07-16 |
| 1629043385 | Margaret K Starr | Licensed Practical Nurse | 2200 Fort Jesse Rd, Ste 240, Normal, IL 61761-6286 | 2006-02-17 |
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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.