TAMMY BARBOUR (NPI# 1528385762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528385762 |
| Entity Type | Individual |
| Full Name | TAMMY BARBOUR |
| Credential | DNP APRN-CNS |
| Practice Address |
123 Lincoln Place Ct Belleville IL 62221-5884 |
| Practice Telephone | 6182345677 |
| Mailing Telephone | 6182345677 |
| Mailing Fax Number | 6182345679 |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2020-01-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | 209017477 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SA2100X |
Clinical Nurse Specialist Specialization: Acute Care |
2015028841 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3635 Vista Ave, Fdt 12 South, Saint Louis, MO 631102539 | 3145778000 | 3145778019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285901827 | Tammy Ellen Barbour | Registered Nurse | 25 Vanrensselaer Dr., Rensselaer Academy, Rensselaer, NY 12144 | 2011-11-28 |
| 1336676170 | Tammy Barbour | Social Worker | 625 W Elm Ave, Hanover, PA 17331-5125 | 2017-05-11 |
| Street Address |
123 LINCOLN PLACE CT |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62221-5884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942331822 | Scott Andrew Holdegraver | Physical Therapist | 123 Lincoln Place Ct, Belleville, IL 62221-5884 | 2007-03-09 |
| 1699142612 | Si Medical Weight Loss | Clinic/Center | 123 Lincoln Place Ct, Belleville, IL 62221-5884 | 2015-08-25 |
| 1730433277 | Docrx Inc | Family Medicine | 123 Lincoln Place Ct, Belleville, IL 62221-5884 | 2012-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679134829 | Dr. Cynthia C. Banderet, Dmd, PC | Clinic/Center | 2630 Mascoutah Ave., Suite A, Belleville, IL 62221 | 2019-06-27 |
| 1942763487 | John Joseph Oldani | Psychologist | Bassc - Belleville Area Special Services Cooperative, 2411 Pathways Crossing, Belleville, IL 62221 | 2019-04-11 |
| 1114497781 | Kendra D Edwards | Counselor | 900 Royal Height Rd Suite 2150, Belleville, IL 62221 | 2018-11-27 |
| 1326537358 | Barbara S Laidlaw | Counselor | 2362 Country Rd, Belleville, IL 62221 | 2018-05-04 |
| 1083133946 | Kierra Jackson | In Home Supportive Care | 2611 Sierra Drive Apt. F, Belleville, IL 62221 | 2017-09-12 |
| 1972022994 | Kathleen Denise Defranco | Speech-Language Pathologist | 2028 Lebanon Ave., Belleville, IL 62221 | 2017-09-11 |
| 1700302270 | Mark Hofelich | Pharmacist | 515 Carlyle Avenue, Belleville, IL 62221 | 2017-08-16 |
| 1912422247 | Cherie Ann Klosterman | Psychologist | Belleville Area Special Services Cooperative, 2411 Pathways Crossing, Belleville, IL 62221 | 2017-08-08 |
| 1134391329 | Barbara Beckley | Home Health Aide | 2726 Cascade Lake Drive, Shiloh, IL 62221 | 2008-03-27 |
| 1356561666 | Belleville Area Spc Srv Co - Adm | Local Education Agency (LEA) | 2411 Pathways Crossing, Belleville, IL 62221 | 2007-04-27 |
| Find all providers in zip 62221 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649771544 | Lindsey Michelle Senci | Clinical Nurse Specialist | 4600 Memorial Dr Ste W3, Belleville, IL 62226-5359 | 2018-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932728169 | Amy Lynn Katsikas | Clinical Nurse Specialist | 1405 North Green Mount Road, Suite 511, O'fallon, IL 62269-3494 | 2020-04-08 |
| 1407349343 | Tina Marie Bauman | Clinical Nurse Specialist | 1555 Barrington Rd Ste 1400, Hoffman Estates, IL 60169-5038 | 2018-06-13 |
| 1639547417 | Virginia Ann Baker | Clinical Nurse Specialist | 5758 S Maryland Ave # Mc9024, Chicago, IL 60637-1426 | 2015-09-09 |
| 1861860058 | Jennifer Michelle Kelsey | Clinical Nurse Specialist | 420 Ne Glen Oak Avenue, Suite 401, Peoria, IL 61603 | 2015-09-04 |
| 1821474388 | Deborah Ann Lawrence | Clinical Nurse Specialist | 17800 Kedzie Ave Fl 4, Hazel Crest, IL 60429-2029 | 2015-08-07 |
| 1245615947 | Gabriel Oluwakotanmi | Clinical Nurse Specialist | 8056 S Harper Ave, Chicago, IL 60619-4637 | 2015-07-23 |
| 1013398718 | Associated Physicians Group Ltd | Clinical Nurse Specialist | 4414 W Center Dr, Alton, IL 62002-5932 | 2015-06-18 |
| 1396148391 | Elizabeth Moon | Clinical Nurse Specialist | 252 Thrush Cir, Lindenhurst, IL 60046-7948 | 2014-10-03 |
| 1831435189 | Rena Thompson | Clinical Nurse Specialist | 7537 N Bell Ave, Suite 1, Chicago, IL 60645-2484 | 2012-12-13 |
| 1144564188 | Melanie Ann Reeves | Clinical Nurse Specialist | 530 Ne Glen Oak Ave Po Box G13, Peoria, IL 61637-0001 | 2012-11-15 |
| Find all providers with the same taxonomy | ||||
| City | BELLEVILLE |
| Zip Code | 62221 |
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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.