KATIE ROEDL (NPI# 1457743338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457743338 |
| Entity Type | Individual |
| Full Name | KATIE ROEDL |
| Credential | APN |
| Practice Address |
1106 N Merchant St Effingham IL 62401-2128 |
| Mailing Address |
1106 N Merchant St Po Box 665 Effingham IL 62401-2128 |
| Practice Telephone | 2173427000 |
| Practice Fax Number | 2173427002 |
| Mailing Telephone | 2173427000 |
| Mailing Fax Number | 2173427002 |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2020-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209012561 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1106 N MERCHANT ST |
| City | EFFINGHAM |
| State | IL |
| Zip Code | 62401-2128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396720983 | Thomas Heischmidt | Internal Medicine | 1106 N Merchant St, Effingham, IL 62401-2128 | 2005-12-07 |
| 1013542869 | Rebecca Holkenbrink | Counselor | 1106 N Merchant St, Effingham, IL 62401-2128 | 2020-03-11 |
| 1649739095 | Beth Schumacher | Nurse Practitioner | 1106 N Merchant St, Effingham, IL 62401-2128 | 2019-03-15 |
| 1083117352 | Janet Lynn Strange | Social Worker | 1106 N Merchant St, Effingham, IL 62401-2128 | 2018-03-13 |
| 1881103869 | Sarah Vaughn | Nurse Practitioner | 1106 N Merchant St, Effingham, IL 62401-2128 | 2017-09-22 |
| 1407211568 | Courtney Miller | Nurse Practitioner | 1106 N Merchant St, Effingham, IL 62401-2128 | 2015-12-16 |
| 1912318619 | Melissa Semple | Counselor | 1106 N Merchant St, Effingham, IL 62401-2128 | 2014-05-15 |
| 1376962076 | Richelle Volk | Nurse Practitioner | 1106 N Merchant St, Effingham, IL 62401-2128 | 2014-04-09 |
| 1396163879 | Candi Jo Estes | Nurse Practitioner | 1106 N Merchant St, Effingham, IL 62401-2128 | 2014-04-02 |
| 1053657254 | Meagan Zerrusen | Specialist/Technologist | 1106 N Merchant St, Effingham, IL 62401-2128 | 2012-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568021269 | Rhodes To Health, LLC | Chiropractor | 200 E. Fayette Ave, Effingham, IL 62401 | 2019-06-07 |
| 1467951699 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 903 N Maple St, Effingham, IL 62401 | 2018-02-02 |
| 1033632187 | Diel Counseling Inc. | Counselor | 444 S. Willow #7, Effingham, IL 62401 | 2017-07-20 |
| 1770930968 | Community Support Systems | Intermediate Care Facility, Mentally Retarded | 2311 Veterans Drive, Effingham, IL 62401 | 2016-05-18 |
| 1194107102 | Radhika Annam | Internal Medicine | 500 N. Maple St., Joslin Diabetes Center Affiliate At Hshs Medical Group, Effingham, IL 62401 | 2015-06-25 |
| 1912334558 | Ruben Boyajian, Md | Surgery | 904 Medical Park Drive, Suite 2, Effingham, IL 62401 | 2013-09-27 |
| 1427483502 | Daniel E Czajkowski | Physical Therapist | 2611 S Banker St, Effingham, Il, Effingham, IL 62401 | 2013-09-09 |
| 1093140501 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 1200 Network Centre Drive, Suite #2, Effingham, IL 62401 | 2013-09-04 |
| 1689926487 | Wellness Loft Inc. | Counselor | 408 South 4th St., Effingham, IL 62401 | 2012-10-04 |
| 1598011470 | Patricia R. Diel | Social Worker | 444 S. Willow, Suite 7, Effingham, IL 62401 | 2012-07-30 |
| Find all providers in zip 62401 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598312258 | Emily Elizabeth Schultz | Nurse Practitioner | 802 Park Hills Dr, Effingham, IL 62401-3122 | 2019-08-19 |
| 1447600259 | Angela Marie Brumleve | Nurse Practitioner | 900 W Temple Ave Ste 1500, Effingham, IL 62401-2121 | 2016-06-13 |
| 1770718694 | Susan Dunlap | Nurse Practitioner | 15650 N Blue Point Trl, Effingham, IL 62401-7696 | 2009-05-20 |
| 1922169945 | Rebecca Eugenia Sparks | Nurse Practitioner | 1200 W Niccum Ave, Swuite 1, Effingham, IL 62401-4217 | 2006-12-13 |
| 1588273916 | Mary Jo Bierman | Nurse Practitioner | 912 N Henrietta St, Effingham, IL 62401-1788 | 2020-07-31 |
| 1811530868 | Shelbi Birch | Nurse Practitioner | 900 W Temple Ave Ste 208, Effingham, IL 62401-2187 | 2019-10-22 |
| 1790332450 | Rebekah E Doty | Nurse Practitioner | 900 W Temple Ave Ste 208, Effingham, IL 62401-2187 | 2019-08-19 |
| 1871078378 | Viola Michelle Oliver | Nurse Practitioner | 1115 N Wenthe Dr, Effingham, IL 62401-1612 | 2018-10-01 |
| 1881103869 | Sarah Vaughn | Nurse Practitioner | 1106 N Merchant St, Effingham, IL 62401-2128 | 2017-09-22 |
| 1902350499 | Kristina M. Schnepper | Nurse Practitioner | 300 N Maple St, Effingham, IL 62401-2003 | 2016-08-12 |
| Find all providers in EFFINGHAM | ||||
Please comment or provide details below to improve the information on KATIE ROEDL.
| 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.