KRISTA DECOURSEY WASHBURN (NPI# 1538538129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538538129 |
| Entity Type | Individual |
| Full Name | KRISTA DECOURSEY WASHBURN |
| Other Name | KRISTA DECOURSEY |
| Credential | PA-C |
| Practice Address |
5140 N California Ave Suite 780 Chicago IL 60625-3645 |
| Practice Telephone | 7739071035 |
| Practice Fax Number | 7739073245 |
| Mailing Telephone | 7739071035 |
| Mailing Fax Number | 7739073245 |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2016-05-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
085.005580 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5140 N CALIFORNIA AVE SUITE 780 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60625-3645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326046681 | Olga Zuk | Internal Medicine | 5140 N California Ave, Suite 115, Chicago, IL 60625-3645 | 2005-07-11 |
| 1346847654 | Mariam El-zein | Pharmacist | 5140 N California Ave, Chicago, IL 60625-3645 | 2020-10-08 |
| 1437767522 | Yelena Sahakian | Pharmacist | 5140 N California Ave, Chicago, IL 60625-3645 | 2020-07-15 |
| 1073137964 | Conor Wood Farley | Emergency Medicine | 5140 N California Ave, Chicago, IL 60625-3645 | 2020-06-05 |
| 1679197644 | Corey Czarnecki | Podiatrist | 5140 N California Ave, Chicago, IL 60625-3645 | 2020-06-04 |
| 1881218055 | Joseph Yeo | Student in an Organized Health Care Education/Training Program | 5140 N California Ave, Chicago, IL 60625-3645 | 2020-06-03 |
| 1669095881 | Agnieszka Stefania Bar | Student in an Organized Health Care Education/Training Program | 5140 N California Ave, Chicago, IL 60625-3645 | 2020-05-21 |
| 1144842279 | Spencer Grant Suppes | Student in an Organized Health Care Education/Training Program | 5140 N California Ave, Chicago, IL 60625-3645 | 2020-05-12 |
| 1407483035 | Karthik Seetharaman | Student in an Organized Health Care Education/Training Program | 5140 N California Ave, Chicago, IL 60625-3645 | 2020-03-24 |
| 1083263636 | Abigail Saskowski | Pharmacist | 5140 N California Ave, Chicago, IL 60625-3645 | 2019-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726615 | B Wise Rehabilitation Pllc | Physical Therapist | 4754 N Lincoln Ave, Fl 1, Chicago, IL 60625 | 2020-10-07 |
| 1700490448 | Anita Saini | Pharmacist | 5140 N California Ave, Chicago, Il 60625, Chicago, IL 60625 | 2020-09-01 |
| 1699303164 | Marina Karamanis | Student in an Organized Health Care Education/Training Program | Swedish Hospital, 5140 N. California Ave, Chicago, IL 60625 | 2020-03-31 |
| 1063050227 | Jacqueline Guadalupe Saldana | Behavioral Analyst | 8616 W Catalpa Ave, Suite 1106, Chicago, IL 60625 | 2019-12-18 |
| 1912557802 | Six Senses Therapy LLC | Social Worker | 2334 W. Lawrence Avenue, Suite 204c, Chicago, IL 60625 | 2019-09-13 |
| 1982266110 | Noreen Randhawa | Family Medicine | Swedish Hospital Part of North Shore, 5145 N. California Ave., Chicago, IL 60625 | 2019-07-09 |
| 1376102202 | Nita Gupta | Student in an Organized Health Care Education/Training Program | Graduate Medical Education Department, 5145 N. California Ave, Chicago, IL 60625 | 2019-06-13 |
| 1841763471 | Alexandra Taskier | Counselor | 5359 N Bowmanville Ave., Chicago, IL 60625 | 2019-01-07 |
| 1013490143 | Paula Bielnicka | Pharmacist | Swedish Covenant Hospital - Pharmacy, 5140 N California Ave, Chicago, IL 60625 | 2018-09-14 |
| 1902397078 | Rebecca Abraham | Hospitalist | 5145 N California Ave Ofc M331, Chicago, IL 60625 | 2018-05-24 |
| Find all providers in zip 60625 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518591759 | Julie Jenkot | Physician Assistant | 333 N Michigan Ave Fl 14, Chicago, IL 60601-3901 | 2020-02-26 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1598238883 | Andrea Budzon | Physician Assistant | 2940 N Kimball Ave Apt 2, Chicago, IL 60618-6846 | 2019-01-09 |
| 1760995161 | Leena Abed Hamdan | Physician Assistant | 251 E Huron St Fl 1, Chicago, IL 60611-2908 | 2017-11-08 |
| 1134580079 | Joseph Smith II | Physician Assistant | 654 E 84th St, Chicago, IL 60619-5802 | 2016-03-18 |
| 1679950232 | Alexis Davidman | Physician Assistant | 20 S Clark St Ste, Chicago, IL 60603-1802 | 2015-05-04 |
| 1669861589 | Stewart David Harsant | Physician Assistant | 1702 N Milwaukee Ave, Chicago, IL 60647-5424 | 2015-01-15 |
| 1063817013 | Jenna Lynn Sniegowski | Physician Assistant | 675 N Saint Clair St Fl 21, Chicago, IL 60611-5975 | 2014-11-01 |
| 1851700066 | Lauren Lew | Physician Assistant | 555 West Madison St. Apt 4903, Chicago, IL 60661 | 2014-08-13 |
| 1306270137 | Brianne Patricia Randall | Physician Assistant | California Blvd. At 15th St., Chicago, IL 60608 | 2013-08-28 |
| Find all providers in CHICAGO | ||||
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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.