JESSICA L THORMAN (NPI# 1508429630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508429630 |
| Entity Type | Individual |
| Full Name | JESSICA L THORMAN |
| Credential | FNP-C |
| Practice Address |
3333 N Seminary St Galesburg IL 61401-1251 |
| Mailing Address |
15440 E 1400th St Macomb IL 61455-8710 |
| Practice Telephone | 3093443161 |
| Mailing Telephone | 3093338969 |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2019-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.019218 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508305590 | Jessica Thorman | Physical Therapist | 1650 Republic Pkwy, Suite 103, Mesquite, TX 75150-6916 | 2017-02-23 |
| Street Address |
3333 N SEMINARY ST |
| City | GALESBURG |
| State | IL |
| Zip Code | 61401-1251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023009826 | Premier Anesthesiology LLC | Anesthesiology | 3333 N Seminary St, Galesburg, IL 61401-1251 | 2005-10-31 |
| 1790399343 | Edward William Mitzelfelt | Nurse Anesthetist, Certified Registered | 3333 N Seminary St, Galesburg, IL 61401-1251 | 2020-09-01 |
| 1558981951 | Brett Andrew Eandi | Physician Assistant | 3333 N Seminary St, Galesburg, IL 61401-1251 | 2020-04-26 |
| 1871055848 | Kaylee Diane Smith | Speech-Language Pathologist | 3333 N Seminary St, Galesburg, IL 61401-1251 | 2019-04-01 |
| 1306308374 | Sarah Nelson | Speech-Language Pathologist | 3333 N Seminary St, Galesburg, IL 61401-1251 | 2019-04-01 |
| 1962960393 | Jessica Mcallister | Nurse Practitioner | 3333 N Seminary St, Galesburg, IL 61401-1251 | 2019-03-05 |
| 1457823437 | Hannah Mikkalson | Physician Assistant | 3333 N Seminary St, Galesburg, IL 61401-1251 | 2019-01-01 |
| 1326528928 | Rachel Neece | Physical Therapist | 3333 N Seminary St, Galesburg, IL 61401-1251 | 2018-08-14 |
| 1235658436 | Nichole Renae Gomez | Speech-Language Pathologist | 3333 N Seminary St, Galesburg, IL 61401-1251 | 2017-09-19 |
| 1508302530 | Lauren Siemers | Speech-Language Pathologist | 3333 N Seminary St, Galesburg, IL 61401-1251 | 2017-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174973 | Jeff Engwall | Pharmacist | 359 Knox Square Drive, Galesburg, IL 61401 | 2020-11-03 |
| 1861962441 | Becky Cameron | Counselor | 2323 Windish Dr., Galesburg, IL 61401 | 2018-11-27 |
| 1295245496 | Aaron Thomas Wachtel | Dentist | 1172 Monroe Street, Galesburg, IL 61401 | 2017-10-03 |
| 1588182224 | Alicia Warren | Speech-Language Pathologist | 932 Harrison St., Galesburg, IL 61401 | 2017-09-01 |
| 1770986770 | Virginia G Kasser | Psychologist | 575 N Kellogg, Galesburg, IL 61401 | 2014-10-03 |
| 1063814309 | Lakshmi Kalyani Gudavalli | Physical Therapist | 275 E Carl Sandburg Drive, Marigold Rehabilitation, Galesburg, IL 61401 | 2014-09-18 |
| 1821350489 | James Eugene Tiller | Psychologist | 2101 Windish Drive, Galesburg, IL 61401 | 2012-06-11 |
| 1720285836 | Donald J. Regnier | Hearing Instrument Specialist | 4l Plaza, Suite 57, Galesburg, IL 61401 | 2007-07-02 |
| 1306066535 | Arnold John Minor | Dentist | 69 N Chambers St, Galesburg, IL 61401 | 2007-04-30 |
| 1114140373 | Community Residential Centers Inc | Intermediate Care Facility, Mentally Retarded | 239 S Cherry Street, Galesburg, IL 61401 | 2007-04-10 |
| Find all providers in zip 61401 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043709660 | Susie Marie Avery | Nurse Practitioner | 1887 Sunset Dr, Galesburg, IL 61401-8531 | 2018-05-09 |
| 1225687734 | Tiffany K Pinger | Nurse Practitioner | 3375 N Seminary St, Galesburg, IL 61401-1251 | 2019-09-06 |
| 1831757103 | Tracie Leigh Placher | Nurse Practitioner | 3375 N Seminary St, Galesburg, IL 61401-1251 | 2019-06-03 |
| 1467017749 | Christina Jane Chambers | Nurse Practitioner | 834 N Seminary St Ste 201, Galesburg, IL 61401-2898 | 2019-05-02 |
| 1164984225 | Julie Anne Maner-stevenson | Nurse Practitioner | 3315 N Seminary St, Galesburg, IL 61401-1251 | 2019-04-05 |
| 1962960393 | Jessica Mcallister | Nurse Practitioner | 3333 N Seminary St, Galesburg, IL 61401-1251 | 2019-03-05 |
| 1780159046 | Heather Godsil | Nurse Practitioner | 834 N Seminary St Ste 201, Galesburg, IL 61401-2852 | 2018-10-12 |
| 1063915882 | Stephanie Steele | Nurse Practitioner | 600 S Linwood Rd, Galesburg, IL 61401-9016 | 2018-03-18 |
| 1144746637 | Richard Alvin Finedell Jr. | Nurse Practitioner | 10310 Miller Dr, Galesburg, MI 49053 | 2017-08-17 |
| 1770037251 | Cynthia Dawn Raya | Nurse Practitioner | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2016-08-12 |
| Find all providers in GALESBURG | ||||
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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.