SHERRI M BOWALD (NPI# 1528585635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528585635 |
| Entity Type | Individual |
| Full Name | SHERRI M BOWALD |
| Credential | APN |
| Practice Address |
310 E Torrance Ave Pontiac IL 61764-2748 |
| Mailing Address |
Po Box 768 Pontiac IL 61764-0768 |
| Practice Telephone | 8158446109 |
| Practice Fax Number | 8158443561 |
| Mailing Telephone | 8158446109 |
| Mailing Fax Number | 8158443561 |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2020-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
209016430 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
310 E TORRANCE AVE |
| City | PONTIAC |
| State | IL |
| Zip Code | 61764-2748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649239674 | Institute for Human Resources of Livingston County, Il | Community/Behavioral Health | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2006-03-20 |
| 1518574938 | Sydni Lee Neal | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2020-09-29 |
| 1558978965 | Kimberly Ezzo | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2020-09-29 |
| 1376152975 | Sarah E Vitzthum | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2020-07-29 |
| 1063054724 | Rachel Boros | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2019-10-15 |
| 1417599176 | Kelsey Ann Anello | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2019-10-15 |
| 1972150456 | Allison Hart | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2019-08-20 |
| 1477106003 | Kevin Steidinger | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2019-07-23 |
| 1386107902 | Alexandra Kingma | Social Worker | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2019-04-10 |
| 1144783762 | Alyssa Ross | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2019-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497165211 | Barbara Kay Browning | Counselor | 310 E. Torrance Ave, Pontiac, IL 61764 | 2014-05-01 |
| 1407287121 | Institute for Human Resources of Livingston County, Il | Community/Behavioral Health | 301 E Torrance Ave, Pontiac, IL 61764 | 2013-12-05 |
| 1982031241 | Annette G Franzen | Psychologist | 700 W Lincoln St # 406, Pontiac, IL 61764 | 2013-10-02 |
| 1871739185 | Woodridge of Ponitac LLC | Assisted Living Facility | 120 North Deerfield Road, Pontiac, IL 61764 | 2008-12-17 |
| 1861601171 | William Earl Hammond | Chiropractor | 210b Ladd, Pontiac, IL 61764 | 2007-05-22 |
| 1932259983 | Amy Duffy | Counselor | 210 W Water St Ste 1, Pontiac, IL 61764 | 2007-01-11 |
| 1326123340 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 1034 W. Reynolds Street, Pontiac, IL 61764 | 2006-10-26 |
| 1205932977 | Gary Merl Leverton | Dentist | 518 West Madison St, Pontiac, IL 61764 | 2006-09-16 |
| 1891899886 | Robert E Heins | Family Medicine | 520 West Madison, Madison Street Clinic PC, Pontiac, IL 61764 | 2006-09-11 |
| 1710081708 | Kenneth N Jordan | Family Medicine | 520 West Madison Street, Madison Street Clinic PC, Pontiac, IL 61764 | 2006-09-11 |
| Find all providers in zip 61764 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679108153 | Jamila Moninuola Oladipo | Nurse Practitioner | 700 W Lincoln St, Pontiac, IL 61764-2323 | 2020-03-05 |
| 1699145144 | Patricia A Cartwright | Nurse Practitioner | 50 N Perry St, Pontiac, MI 48342-2217 | 2015-09-27 |
| 1437495298 | Anthony David Diloreto | Nurse Practitioner | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2012-12-26 |
| 1013275007 | Elizabeth Jeanne Robert | Nurse Practitioner | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2012-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790384451 | Ghea Tiping Degillo | Nurse Practitioner | 4711 Golf Rd Ste 500, Skokie, IL 60076-1208 | 2020-10-22 |
| 1750989620 | Rodney J Pena Jr. | Nurse Practitioner | 1362 Trotters Ln, Bourbonnais, IL 60914-4519 | 2020-10-13 |
| 1609482231 | Crystal Lynn Jordan | Nurse Practitioner | 638 Oakbrook Ave, Chatham, IL 62629 | 2020-09-18 |
| 1497369672 | Mojisola Abayemi Akinfe | Nurse Practitioner | 8572 Stone Creek Blvd, Frankfort, IL 60423-9338 | 2020-09-03 |
| 1508475039 | Hilary Eichie | Nurse Practitioner | 20025 Division St., Crest Hill, IL 60403 | 2020-07-30 |
| 1518585942 | Tabs Behavioral Health Inc | Nurse Practitioner | 13316 Vicarage Dr, Plainfield, IL 60585-5050 | 2020-07-13 |
| 1154946788 | Latisha Trenice Stennis | Nurse Practitioner | 8106 Carol Dr, East Saint Louis, IL 62203-1838 | 2020-06-09 |
| 1114549755 | Maria Andreea Bordeianu | Nurse Practitioner | 6050 N California Ave, Chicago, IL 60659-3916 | 2020-05-16 |
| 1104448968 | Abosede Rachel Babalola | Nurse Practitioner | 2214 Monarch St, Bourbonnais, IL 60914-2780 | 2020-05-14 |
| 1659909406 | Mudira Temilola Oyewole | Nurse Practitioner | 493 Leslie Ct, Des Plaines, IL 60016-8818 | 2020-03-28 |
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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.