MARY ELIZABETH BLOOMFIELD (NPI# 1457869232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457869232 |
| Entity Type | Individual |
| Full Name | MARY ELIZABETH BLOOMFIELD |
| Credential | APRN, NP |
| Practice Address |
604 N Broad St Carlinville IL 62626-1021 |
| Practice Telephone | 2178549411 |
| Practice Fax Number | 2178542858 |
| Mailing Telephone | 2178549411 |
| Mailing Fax Number | 2178542858 |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2018-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209017121 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RN | 041336300 | 01 |
| Street Address |
604 N BROAD ST |
| City | CARLINVILLE |
| State | IL |
| Zip Code | 62626-1021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598762262 | Kamal K Chopra | Family Medicine | 604 N Broad St, Carlinville, IL 62626-1021 | 2005-07-07 |
| 1518285295 | Carlinville Medical Clinic, Inc. | Internal Medicine | 604 N Broad St, Carlinville, IL 62626-1021 | 2010-05-05 |
| 1912976549 | Cathy Lynn Guidish | Nurse Practitioner | 604 N Broad St, Carlinville, IL 62626-1021 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710521984 | Cottages At Carlinville, Inc | Assisted Living Facility | 18804 Rt. 4, Carlinville, IL 62626 | 2019-10-31 |
| 1184266348 | Susan Lynne Fite | Pharmacist | 18600 Shipman Blacktop Road, Carlinville, IL 62626 | 2019-10-09 |
| 1669013215 | Rebecca Lynn Sanson | Pharmacist | 18600 Shipman Blacktop, Carlinville, IL 62626 | 2019-10-04 |
| 1497396048 | Jill Louise Kasting | Pharmacist | 18600 Shipman Blacktop Rd, Carlinville, IL 62626 | 2019-10-04 |
| 1134561822 | Fenton Family Chiropractic PC | Chiropractor | 490 West Side Square, Carlinville, IL 62626 | 2013-07-23 |
| 1992020499 | Carlinville Area Hospital Association | Clinic/Center | 1115 Morgan Street #2, Carlinville, IL 62626 | 2010-03-29 |
| 1730213026 | Carlinville Medical Clinic, Inc. | Nurse Practitioner | 604 N. Broad, Carlinville, IL 62626 | 2007-03-16 |
| 1720155906 | Rodney Lee Bailey | Dentist | 201 Mccausland, Suite A, Carlinsville, IL 62626 | 2006-11-30 |
| 1255412599 | Nicolas E Kravanya Dmd LLC | Dentist | 204 Oakland Ave, Carlinville, IL 62626 | 2006-10-17 |
| 1558456210 | Locust Street Resource Center | Clinic/Center | 320 South Locust Street, Carlinville, IL 62626 | 2006-10-04 |
| Find all providers in zip 62626 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730213026 | Carlinville Medical Clinic, Inc. | Nurse Practitioner | 604 N. Broad, Carlinville, IL 62626 | 2007-03-16 |
| 1932647195 | Rebecca K. Loy | Nurse Practitioner | 20613 N Broad St, Carlinville, IL 62626-3720 | 2017-02-08 |
| 1124428453 | Ann Louise Zahniser | Nurse Practitioner | 1115 Morgan St, #2, Carlinville, IL 62626-1430 | 2014-08-22 |
| 1912976549 | Cathy Lynn Guidish | Nurse Practitioner | 604 N Broad St, Carlinville, IL 62626-1021 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760277 | Jennifer Michelle Kennedy | Nurse Practitioner | 3006 Lakeview Dr, Metropolis, IL 62960-3119 | 2020-11-07 |
| 1881295541 | Britney Julia Durst | Nurse Practitioner | 5905 N Prospect Rd, Peoria, IL 61614-4311 | 2020-11-07 |
| 1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
| 1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
| 1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
| 1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
| 1598365140 | Caitlyn Windsor | Nurse Practitioner | 24525 Grange Rd, Geneseo, IL 61254-8429 | 2020-10-31 |
| 1578163515 | Deanna Bassette | Nurse Practitioner | 243 E 31st St Apt 401, Chicago, IL 60616-5212 | 2020-10-29 |
| 1891395745 | Vrunda Shah Patel | Nurse Practitioner | 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 | 2020-10-29 |
| 1346840337 | Catherine Suh | Nurse Practitioner | 1380 Marcy Ln, Wheeling, IL 60090-4422 | 2020-10-28 |
| Find all providers with the same taxonomy | ||||
| City | CARLINVILLE |
| Zip Code | 62626 |
Please comment or provide details below to improve the information on MARY ELIZABETH BLOOMFIELD.
| 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.