CARRIE L HORACK (NPI# 1518284348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518284348 |
Entity Type | Individual |
Full Name | CARRIE L HORACK |
Credential | WHNP |
Practice Address |
2709 N Knoxville Ave Peoria IL 61604 |
Mailing Address |
101 Parkedge Ct East Peoria IL 61611-4775 |
Practice Telephone | 3092531701 |
Mailing Telephone | 3092531701 |
Enumeration Date | 2010-05-04 |
Last Update Date | 2018-06-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
209008103 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2709 N KNOXVILLE AVE |
City | PEORIA |
State | IL |
Zip Code | 61604 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295749885 | Champa Gowda | Internal Medicine | 2709 N Knoxville Ave, Peoria, IL 61604-2867 | 2006-07-28 |
1225672611 | Sara Elizabeth Sawyer | Advanced Practice Midwife | 2709 N Knoxville Ave, Peoria, IL 61604-2867 | 2019-10-29 |
1902813447 | Norman Nathan | Internal Medicine | 2709 N Knoxville Ave, Peoria, IL 61604-2867 | 2006-08-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205357928 | Nydia I Rodriguez | Nurse's Aide | 3305 N Finnell Ave, Peoria, IL 61604 | 2017-07-03 |
1720327976 | Brin Diagnostics Inc. | Clinical Medical Laboratory | 3216 W Kenwood, West Peoria, IL 61604 | 2013-02-07 |
1225373715 | Ngocyen Thi Ngo | Pharmacist | 2515 N Knoxville Avenue, Peoria, IL 61604 | 2012-12-10 |
1194027003 | Schelly Chiropractic, Inc | Chiropractor | 1208 W Loucks, Peoria, IL 61604 | 2010-11-29 |
1770755852 | Dental Sealants & More | Dentist | 2126 N. University St., Peoria, IL 61604 | 2008-03-28 |
1821266123 | David L Krick | Dentist | 2022 N University, Peoria, IL 61604 | 2008-02-20 |
1568658409 | Advanced Physicians Health Care, S.c. | Chiropractor | 1200 West Loucks Ave, Peoria, IL 61604 | 2007-09-24 |
1902006000 | Noel Liu | Dentist | 3127 N. University St., Unit C, Peoria, IL 61604 | 2007-07-18 |
1568586386 | Susan B Bordenave-bishop | Dentist | 2116 N. Sheridan, Peoria, IL 61604 | 2007-03-19 |
1174689897 | Paul Anthony Amodeo | Dentist | 3100 N Dries Lane, Suite 301, Peoria, IL 61604 | 2006-12-28 |
Find all providers in zip 61604 |
Taxonomy Code | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598836017 | Sheree K Sarver | Nurse Practitioner | 705 Ne Jefferson St, Peoria, IL 61603 | 2006-11-13 |
1831161272 | Mary Ann Liner | Nurse Practitioner | 705 Ne Jefferson Ave, Peoria, IL 61603-3843 | 2006-02-01 |
1679944219 | Jenna Lynn Hamilton | Nurse Practitioner | 320 E Armstrong Ave, Peoria, IL 61603-3172 | 2015-10-08 |
1750665881 | Michele Lynn Settelmyer | Nurse Practitioner | 2901 N Knoxville Ave, Peoria, IL 61603-1747 | 2011-10-07 |
1942589551 | Jamie Leigh King | Nurse Practitioner | 320 E Armstrong Ave, Peoria, IL 61603-3172 | 2011-08-12 |
1659662070 | Erin Jean Overcash | Nurse Practitioner | 7309 N Knoxville Ave, Suite 300, Peoria, IL 61614-2085 | 2011-04-20 |
1063745404 | Kimberly A. Cheek | Nurse Practitioner | 900 Main St Ste 660, Peoria, IL 61602-1060 | 2009-09-17 |
1578701421 | Krista Cebuhar | Nurse Practitioner | 705 Ne Jefferson Ave, Peoria, IL 61603-3843 | 2009-01-30 |
1184869224 | Mariam R Cloud | Nurse Practitioner | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2008-12-03 |
1861594749 | Denise J Leonardi | Nurse Practitioner | 2321 N Wisconsin Ave, Peoria, IL 61603 | 2006-09-02 |
Find all providers in PEORIA |
Please comment or provide details below to improve the information on CARRIE L HORACK.
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.