JESSICA GALLAGHER (NPI# 1467700401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467700401 |
| Entity Type | Individual |
| Full Name | JESSICA GALLAGHER |
| Credential | LPN |
| Practice Address |
3815 Harrison Ave Rockford IL 61108-7631 |
| Practice Telephone | 8153911000 |
| Mailing Telephone | 8153911000 |
| Enumeration Date | 2012-08-23 |
| Last Update Date | 2020-02-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 043-104419 | IL | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124197793 | Jessica D Gallagher | Family Medicine | 888 Dayton St Unit 106, Yellow Springs, OH 45387-1778 | 2006-11-07 |
| 1609431006 | Jessica Gallagher | Physician Assistant | 1729 Burrstone Rd, New Hartford, NY 13413-1001 | 2019-05-01 |
| 1720592843 | Jessica Elizabeth Gallagher | Nurse Practitioner | 21260 Chippendale Ave W, Farmington, MN 55024-1427 | 2017-11-28 |
| 1235513748 | Jessica Gallagher | Pharmacist | 1501 San Pedro Dr Se # 119, Rm 1d-113d, Albuquerque, NM 87108-5153 | 2015-07-14 |
| 1760861207 | Jessica Gallagher | Specialist | 17620 Redland Rd Ste A, Rockville, MD 20855-1245 | 2015-05-28 |
| 1730582313 | Jessica Marie Gallagher | Nurse Practitioner | 15846 Manchester Rd, Ellisville, MO 63011-2208 | 2014-09-26 |
| 1336402858 | Jessica Lynn Gallagher | Specialist | 200 Madison Ave, North Baldwin, NY 11510-1333 | 2012-06-19 |
| 1457483158 | Jessica Rooney Gallagher | Specialist/Technologist | 77 Massachusetts Ave, Kasser Sports Medicine Center, Cambridge, MA 02139-4301 | 2007-03-09 |
| Street Address |
3815 HARRISON AVE |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61108-7631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568459709 | Rosecrance Inc | Clinic/Center | 3815 Harrison Ave, Outpatient, Rockford, IL 61108-7631 | 2005-10-03 |
| 1497364020 | Kaitlyn Sornsin | Registered Nurse | 3815 Harrison Ave, Rockford, IL 61108-7631 | 2020-07-29 |
| 1760017800 | Amanda Renee Miller | Registered Nurse | 3815 Harrison Ave, Rockford, IL 61108-7631 | 2020-03-09 |
| 1194355867 | Andrew Walters | Registered Nurse | 3815 Harrison Ave, Rockford, IL 61108-7631 | 2020-01-22 |
| 1609406347 | Linda Jones | Registered Nurse | 3815 Harrison Ave, Rockford, IL 61108-7631 | 2020-01-22 |
| 1801426788 | Amanda Leever | Registered Nurse | 3815 Harrison Ave, Rockford, IL 61108-7631 | 2020-01-20 |
| 1336779263 | Stephanie Nicole Hardcastle | Registered Nurse | 3815 Harrison Ave, Rockford, IL 61108-7631 | 2020-01-20 |
| 1972133841 | Jennifer Lee Sanders | Registered Nurse | 3815 Harrison Ave, Rockford, IL 61108-7631 | 2020-01-20 |
| 1144850314 | Laura Olson | Registered Nurse | 3815 Harrison Ave, Rockford, IL 61108-7631 | 2020-01-16 |
| 1609406842 | Peter Loehr | Registered Nurse | 3815 Harrison Ave, Rockford, IL 61108-7631 | 2020-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952862617 | Isr Enterprises, Inc. | Homemaker | 129 Phelps Ave, Bldg 10, Ste 1008, Rockford, IL 61108 | 2019-03-26 |
| 1003306465 | Adrienne Nicole Black | Behavior Technician | 519 Woodland Dr, Woodland Dr, Rockford, IL 61108 | 2018-05-11 |
| 1184085201 | Integrative Healing Center, LLC | Clinic/Center | 6019 Fincham Drive, Rockford, IL 61108 | 2016-03-17 |
| 1730547936 | Perryville Dentist PC | Dentist | 845 S Perryville Rd, Unit 119, Rockford, IL 61108 | 2016-02-02 |
| 1023489853 | Nicole Ping Ticknor | Counselor | 433 S. Phelps Ave., Suite 2, Rockford, IL 61108 | 2015-10-20 |
| 1275940348 | Northwest Home Care, Inc. | Home Health | 1437 S. Bell School Road, Suite 7, Rockford, IL 61108 | 2014-07-21 |
| 1487072922 | Alecia Greenlee | Psychiatry & Neurology | Rosecrance Community Mental Health, 3815 Harrison Avenue, Rockford, IL 61108 | 2014-04-02 |
| 1871925446 | Maria Laura Gustafson | Interpreter | 3208 Wesleyan Ave., Rockford, IL 61108 | 2013-08-06 |
| 1346582822 | Joseph Peevey | Pathology | 5666 E State Street, Department of Pathology, Rockford, IL 61108 | 2013-03-21 |
| 1134466923 | James Henry Peck | Hearing Instrument Specialist | 2424 Charles St, Rockford, IL 61108 | 2013-01-14 |
| Find all providers in zip 61108 | ||||
| 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 |
|---|---|---|---|---|
| 1982225538 | Heidi Lynne Datema | Licensed Practical Nurse | 4499 Summit Forest Dr Ne, Rockford, MI 49341-7842 | 2020-05-05 |
| 1558920975 | Therese Marie Taylor | Licensed Practical Nurse | 148 N Main St Apt 2, Rockford, MI 49341-1016 | 2019-06-10 |
| 1356868277 | Jessica Danae Arreguin | Licensed Practical Nurse | 3121 Rural St, Rockford, IL 61107-3460 | 2017-08-23 |
| 1568813830 | Crystal Willis | Licensed Practical Nurse | 253 Roddy Branch Rd, Rockford, TN 37853-3108 | 2016-06-28 |
| 1063881936 | Matthew Field | Licensed Practical Nurse | 6897 Peninsula Dr Ne, Rockford, MI 49341-8790 | 2015-09-21 |
| 1487033643 | Ellen Kuczynski | Licensed Practical Nurse | 6644 Checkerberry Ln Ne, Rockford, MI 49341-8918 | 2015-05-21 |
| 1811332893 | Pamela Jane Moorhead | Licensed Practical Nurse | 12266 Lappley Ave Ne, Rockford, MI 49341-8453 | 2013-05-06 |
| 1871639930 | Silvia M Pike | Licensed Practical Nurse | 528 Washington St, Rockford, IL 61104-1547 | 2007-01-29 |
| 1306883475 | Elizabeth Erin Doorenbos | Licensed Practical Nurse | 6545 13 Mile Rd Ne, Rockford, MI 49341-9714 | 2006-05-31 |
| 1801360201 | Danielle Sladjana Filipov | Licensed Practical Nurse | 3815 Harrison Ave, Rockford, IL 61108-7631 | 2019-01-18 |
| Find all providers in ROCKFORD | ||||
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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.