REBECCA WIGANT


Address: 5405 N Knoxville Ave, Peoria, IL 61614-5016
Phone: 3096914410

REBECCA WIGANT (NPI# 1528318128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528318128
Entity Type Individual
Full Name REBECCA WIGANT
Credential APN
Practice Address 5405 N Knoxville Ave
Peoria
IL 61614-5016
Practice Telephone 3096914410
Practice Fax Number 3096924730
Mailing Telephone 3096914410
Mailing Fax Number 3096924730
Enumeration Date 2012-09-12
Last Update Date 2012-09-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
041346716 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5405 N KNOXVILLE AVE
City PEORIA
State IL
Zip Code 61614-5016

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558336214 Tinoy Kizhakekuttu Internal Medicine 5405 N Knoxville Ave, Heartcare Midwest, Peoria, IL 61614-5016 2006-02-17
1750920039 Moriah Johnson Nurse Practitioner 5405 N Knoxville Ave, Peoria, IL 61614-5016 2020-01-03
1942859681 Amy Underwood Fallings Nurse Practitioner 5405 N Knoxville Ave, Peoria, IL 61614-5016 2019-09-05
1912473273 Tien T Pham Nurse Practitioner 5405 N Knoxville Ave, Peoria, IL 61614-5016 2018-10-15
1396254728 Karen C Knaak Nurse Practitioner 5405 N Knoxville Ave, Peoria, IL 61614-5016 2017-09-28
1720455611 Elizabeth Schwandner Nurse Practitioner 5405 N Knoxville Ave, Peoria, IL 61614-5016 2015-08-26
1558707182 Osf Heart & Vascular Institute Internal Medicine 5405 N Knoxville Ave, Peoria, IL 61614-5016 2013-05-22
1588999700 Heather B Martin Physician Assistant 5405 N Knoxville Ave, Peoria, IL 61614-5016 2009-10-06
1285876607 Ekanka Mukhopadhyay Internal Medicine 5405 N Knoxville Ave, Peoria, IL 61614-5016 2009-03-31
1891950713 Chetan Bhardwaj Internal Medicine 5405 N Knoxville Ave, Peoria, IL 61614-5016 2008-07-21
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548818511 Christine Svoboda Social Worker 6919 N Knoxville Ave Ste 100 and 202, Peoria, IL 61614 2019-09-03
1639649007 Kathy Karouzos Counseling, LLC Clinic/Center 330 W. Ivy Ln., Peoria, IL 61614 2018-11-28
1205312790 Kathleen Marie Hendricks Nurse Practitioner 2809 W Willow Knolls Dr, Peoria, IL 61614 2018-07-17
1629563937 Mary Elizabeth Cunningham Counselor 6219 N. Eldorado Dr., Peoria, IL 61614 2018-06-28
1861937955 Angela Gilles Social Worker 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 2016-12-27
1467994897 Melissa Saxsma Specialist 5009 N Executive Dr, Peoria, IL 61614 2016-11-16
1902258874 Rashid Plastic Surgery, LLC Plastic Surgery 804 W Trailcreek Drive, Peoria, IL 61614 2016-07-05
1215313143 Melissa Lynn Phelan Nurse Practitioner 122 E Morningside Dr, Peoria, IL 61614 2015-08-03
1811380165 All Ways Caring Services, Inc. In Home Supportive Care 6919 N Knoxville Ave, Suite 102, Peoria, IL 61614 2015-03-11
1568875920 Schuler & Arkwell Orthodontic Partnership Dentist 2425 Cornerstone Ct. Ste. A, Peoria, IL 61614 2014-06-03
Find all providers in zip 61614

Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275171340 James John Newman Nurse Practitioner 8267 W Bloomfield Rd, Peoria, AZ 85381-8191 2019-12-19
1356990774 Patricia Ellen Williams Nurse Practitioner 9645 W Ross Ave, Peoria, AZ 85382-5150 2019-09-09
1073015319 Sara Kristine Rosenbery Nurse Practitioner 515 Ne Glen Oak Ave Ste 202, Peoria, IL 61603 2018-03-02
1619373529 Rachael Devita Nurse Practitioner 10052 W Patrick Ln, Peoria, AZ 85383-2890 2014-11-05
1235418385 Matthew R Carr Nurse Practitioner 736 Sw Washington, Suite 2a, Peoria, IL 61602-1653 2011-08-08
1518294925 Joy Christine Schramm Nurse Practitioner 1oo Ne Adams St, Peoria, IL 61629-1410 2009-11-05
1336164805 Lisa D. Menzie Nurse Practitioner 7733 W North Ln, Peoria, AZ 85345-6600 2006-07-13
1265030548 Christina David Nurse Practitioner 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2020-10-09
1306443056 Austyn Powers Nurse Practitioner 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 2020-10-06
1164045225 Blaine Romero Nurse Practitioner 13640 N Plaza Del Rio Blvd Ste 340, Peoria, AZ 85381-4846 2020-05-24
Find all providers in PEORIA

Competitor

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City PEORIA
Zip Code 61614

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Dataset Information

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.

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