MIRANDA FUNK-GARRETT (NPI# 1548491566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548491566 |
| Entity Type | Individual |
| Full Name | MIRANDA FUNK-GARRETT |
| Credential | NP |
| Practice Address |
1909 N Morton Ave Morton IL 61550-1426 |
| Mailing Address |
5100 Reliable Pkwy Chicago IL 60686-0001 |
| Practice Telephone | 3092639124 |
| Mailing Telephone | 3096724809 |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2009-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209007704 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1909 N MORTON AVE |
| City | MORTON |
| State | IL |
| Zip Code | 61550-1426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518971977 | Ronald Hake | Family Medicine | 1909 N Morton Ave, Morton, IL 61550-1426 | 2006-07-28 |
| 1609424050 | Michelle Leann Eckhoff | Physical Therapist | 1909 N Morton Ave, Morton, IL 61550-1426 | 2019-08-29 |
| 1417503988 | Holly Elizabeth Kelson | Nurse Practitioner | 1909 N Morton Ave, Morton, IL 61550-1426 | 2019-08-12 |
| 1215480587 | Ashley Brandt | Nurse Practitioner | 1909 N Morton Ave, Morton, IL 61550-1426 | 2016-08-03 |
| 1275967770 | Heather Lenae Burnett | Nurse Practitioner | 1909 N Morton Ave, Morton, IL 61550-1426 | 2013-09-03 |
| 1992098438 | Sara Lyn Hodgen | Physical Therapy Assistant | 1909 N Morton Ave, Morton, IL 61550-1426 | 2011-05-17 |
| 1073817334 | Laura Lee Luginbuhl | Speech-Language Pathologist | 1909 N Morton Ave, Morton, IL 61550-1426 | 2010-12-30 |
| 1922312545 | Matthew Rupiper | Physical Therapist | 1909 N Morton Ave, Morton, IL 61550-1426 | 2010-08-06 |
| 1447578174 | Professional Therapy Services, Inc. | Occupational Therapist | 1909 N Morton Ave, Morton, IL 61550-1426 | 2010-05-05 |
| 1386885101 | Brooke A Wagner | Speech-Language Pathologist | 1909 N Morton Ave, Morton, IL 61550-1426 | 2009-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497398648 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 853 W Jackson Plaza, Morton, IL 61550 | 2019-10-21 |
| 1760924732 | The Center for Youth and Family Solutions | Residential Treatment Facility, Emotionally Disturbed Children | 260 E. Queenwood Rd., Cyfs Educational Building, Morton, IL 61550 | 2016-11-08 |
| 1770983181 | Jennifer Vissering | Nurse Practitioner | 435 Maxine Drive Suite #4, Morton, IL 61550 | 2014-09-04 |
| 1316387236 | Saint Johns Hospital | Rehabilitation Hospital | 141 E Maywood Street, Morton, IL 61550 | 2013-06-25 |
| 1801145610 | Nancy J. Anderson | Counselor | 42 Jasper Drive, Morton, IL 61550 | 2012-09-07 |
| 1689894834 | Kevin Littlefield | Dentist | 320 E Jackson, Morton, IL 61550 | 2007-04-30 |
| 1215081765 | Krueger & Associates LLC | Dentist | 213 S Clifton Street, Morton, IL 61550 | 2007-01-22 |
| 1073686218 | Darin Scott Hoffmire | Social Worker | 2401 South Fourth Street, Morton, IL 61550 | 2006-11-16 |
| 1629161856 | William Edwards | Pediatrics | 435 Maxine Drive, Suites 3 & 4, Morton, IL 61550 | 2006-10-02 |
| 1396844932 | G Gene Sidler | Internal Medicine | 619 Jackson St, Morton, IL 61550 | 2006-09-21 |
| Find all providers in zip 61550 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316593445 | Nikhia C Williams | Nurse Practitioner | 435 Maxine Dr Suite 4, Morton, IL 61550-2498 | 2019-08-14 |
| 1770983181 | Jennifer Vissering | Nurse Practitioner | 435 Maxine Drive Suite #4, Morton, IL 61550 | 2014-09-04 |
| 1124303730 | Malinda M Babcock | Nurse Practitioner | 435 Maxine Dr Ste 3&4, Morton, IL 61550-2498 | 2011-10-14 |
| 1083168447 | Katherine Merila | Nurse Practitioner | 435 Maxine Drive Suite #4, Morton, IL 61550 | 2016-08-15 |
| 1215480587 | Ashley Brandt | Nurse Practitioner | 1909 N Morton Ave, Morton, IL 61550-1426 | 2016-08-03 |
| 1710346309 | Darlene G Esken | Nurse Practitioner | 435 Maxine Dr, Morton, IL 61550-2498 | 2016-02-11 |
| 1346616372 | Jamie L Muller | Nurse Practitioner | 435 Maxine Dr, Morton, IL 61550-2498 | 2015-08-13 |
| 1578645537 | Dana J. Deshon | Nurse Practitioner | 435 Maxine Dr, Morton, IL 61550-2498 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578523 | Kaitlin Lawson Kalnitz | Nurse Practitioner | 745 Mcclintock Dr Ste 360, Burr Ridge, IL 60527-0875 | 2020-11-06 |
| 1841890290 | Maria Malanych | Nurse Practitioner | 5731 Rosinweed Ln, Naperville, IL 60564-1635 | 2020-10-27 |
| 1639778160 | Roxanna Lee Gunnels | Nurse Practitioner | 1 Bronze Pointe Plaza Suite 1a, Swansea, IL 62226 | 2020-10-26 |
| 1295334811 | Mary Farley | Nurse Practitioner | 7308 Northwood Dr, Wonder Lake, IL 60097-8606 | 2020-10-24 |
| 1164021168 | Stephanie Schuster | Nurse Practitioner | 2665 Prairieview Ln N, Aurora, IL 60502-6343 | 2020-10-21 |
| 1316546641 | Vanessa K Bajaj | Nurse Practitioner | 1123 N Claremont Dr, Palatine, IL 60074-4002 | 2020-10-19 |
| 1003414442 | Gachugu Medical Clinic | Nurse Practitioner | 1 E Ferguson Ave, Wood River, IL 62095-1903 | 2020-10-16 |
| 1477151272 | Yolanda K Bradford | Nurse Practitioner | 2700 S California Ave, Chicago, IL 60608-5108 | 2020-10-14 |
| 1265030019 | Andrea Mclean | Nurse Practitioner | 2500 W Reynolds St # 205, Pontiac, IL 61764-9774 | 2020-10-14 |
| 1558968628 | Timothy Nenoff | Nurse Practitioner | 24722 Lincolnway St, Plainfield, IL 60544-2412 | 2020-10-02 |
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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.