JODY K GURTLER (NPI# 1518158914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518158914 |
| Entity Type | Individual |
| Full Name | JODY K GURTLER |
| Credential | NP |
| Practice Address |
1701 W. Curtis Road Pediatrics Champaign IL 61822 |
| Mailing Address |
Po Box 6004 Urbana IL 61803-6004 |
| Practice Telephone | 2173656202 |
| Practice Fax Number | 2173261234 |
| Mailing Telephone | 2173836792 |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2012-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
209004436 | IL | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | 209004436 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 041206785 | 05 | |
| IL | MEDICARE GROUP PTAN | IL2613 | 01 |
| Street Address |
1701 W. CURTIS ROAD PEDIATRICS |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205866415 | Ines O Baquero | Obstetrics & Gynecology | 1701 W. Curtis Road, Ob/gyn, Champaign, IL 61822 | 2006-07-04 |
| 1669791166 | Sean Patrick Fullan | Pediatrics | 1701 W. Curtis Road, Champaign, IL 61822-9678 | 2010-05-24 |
| 1518195155 | William D. Holmes | Dermatology | 1701 W. Curtis Road, Champaign, IL 61822-9678 | 2009-06-22 |
| 1457590408 | Tina Yi-ting Yang | Family Medicine | 1701 W. Curtis Road, Champaign, IL 61822-9678 | 2009-02-16 |
| 1922159110 | Jeremy Medler | Physician Assistant | 1701 W. Curtis Road, Dermatology, Champaign, IL 61822 | 2007-01-15 |
| 1649347550 | Joyce S Rhee | Internal Medicine | 1701 W. Curtis Road, Adult Medicine, Champaign, IL 61822 | 2006-11-29 |
| 1518067743 | Gretchen B Sperka | Internal Medicine | 1701 W. Curtis Road, Adult Medicine, Champaign, IL 61822 | 2006-09-25 |
| 1710084124 | Paul R Wilson | Internal Medicine | 1701 W. Curtis Road, Adult Medicine, Champaign, IL 61822 | 2006-09-20 |
| 1891898110 | Janet W Welch | Internal Medicine | 1701 W. Curtis Road, Adult Medicine, Champaign, IL 61822 | 2006-09-06 |
| 1427151646 | Keith B White | Psychologist | 1701 W. Curtis Road, Psychology, Champaign, IL 61822 | 2006-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083180830 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 2718 N Prospect Avenue, Champaign, IL 61822 | 2018-10-19 |
| 1487129730 | Siegfred T. Celis | Occupational Therapy Assistant | 1820 Oak Park Drive, Champaign, IL 61822 | 2018-10-12 |
| 1134633746 | Osf Healthcare System | Home Health | 1501 Interstate Dr Ste C, Champaign, IL 61822 | 2017-11-20 |
| 1386164200 | Carlo Sandico | Physical Therapist | 612 Corey Lane, Champagne, IL 61822 | 2017-06-21 |
| 1295270288 | Jennifer Lee Lugo | Registered Nurse | 3101 Fields South Dr., Champaign, IL 61822 | 2016-12-29 |
| 1902341209 | Jala Simmons | Behavioral Analyst | 4112 Fieldstone Rd, Suite B, Champaign, IL 61822 | 2016-12-22 |
| 1639552433 | Muhammad Ajmal | Internal Medicine | 1701 Curtis Road, Carle Clinic, Champaign, IL 61822 | 2015-06-30 |
| 1518363761 | Margaret A. Hallden | Hearing Instrument Specialist | 3354 Big Pine Trail #c, Audibel Hearing Aids, Champaign, IL 61822 | 2014-11-17 |
| 1801291638 | Kristen Karlsen | Pharmacist | 3114 Village Office Place, Champaign, IL 61822 | 2014-10-22 |
| 1649601543 | Jeff Chu | Optometrist | 507 W. Town Center Blvd, Champaign, IL 61822 | 2013-12-03 |
| Find all providers in zip 61822 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497312672 | Haleigh D Wadsworth | Nurse Practitioner | 2718 N Prospect Ave, Champaign, IL 61822-1298 | 2019-05-23 |
| 1528621265 | Tara Kutz | Nurse Practitioner | 2710 N Prospect Ave, Champaign, IL 61822-1298 | 2019-04-18 |
| 1457891806 | Bobby Hill Jr. | Nurse Practitioner | 606 N Country Fair Dr Ste A, Champaign, IL 61821-2485 | 2017-03-05 |
| 1982143582 | Ijeoma Anukwu | Nurse Practitioner | 5003 Chestnut Grove Dr, Champaign, IL 61822-3323 | 2017-02-15 |
| 1144237389 | Theresa E. Hardy | Nurse Practitioner | 1112 W Daniel St, Champaign, IL 61821-4516 | 2006-08-01 |
| 1508464637 | Tricia Hogg | Nurse Practitioner | 1701 Curtis Rd, Champaign, IL 61822-9678 | 2020-10-12 |
| 1114563640 | Mary K Kiesewetter | Nurse Practitioner | 1802 S Mattis Ave, Champaign, IL 61821-5923 | 2019-11-19 |
| 1023653342 | Maddison P. Draper | Nurse Practitioner | 2718 N Prospect Ave, Champaign, IL 61822-1298 | 2019-11-11 |
| 1932740305 | Janice Frerichs | Nurse Practitioner | 1701 W. Curtis, Champaign, IL 61822 | 2019-10-07 |
| 1255895108 | Brittany N Anderson | Nurse Practitioner | 2043 S Neil St, Champaign, IL 61820-7219 | 2019-01-24 |
| Find all providers in CHAMPAIGN | ||||
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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.