TINA M. SCHAFFER (NPI# 1558380246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558380246 |
| Entity Type | Individual |
| Full Name | TINA M. SCHAFFER |
| Credential | ANP |
| Practice Address |
105 S Major St Eureka IL 61530-1246 |
| Mailing Address |
Po Box 2451 Bloomington IL 61702-2451 |
| Practice Telephone | 3094674691 |
| Practice Fax Number | 3094676229 |
| Mailing Telephone | 3092682172 |
| Mailing Fax Number | 3092683649 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209005632 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD | 10215111 | 01 |
| Street Address |
105 S MAJOR ST |
| City | EUREKA |
| State | IL |
| Zip Code | 61530-1246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841230752 | Jennifer S. Hoffman | Nurse Practitioner | 105 S Major St, Eureka, IL 61530-1246 | 2006-06-08 |
| 1780101204 | Carle Eureka Hospital | Clinic/Center | 105 S Major St, Eureka, IL 61530-1246 | 2017-08-25 |
| 1831610898 | Alexa Miller | Family Medicine | 105 S Major St, Eureka, IL 61530-1246 | 2017-06-29 |
| 1861913899 | Hilary Norton | Family Medicine | 105 S Major St, Eureka, IL 61530-1246 | 2017-06-29 |
| 1962941419 | Alexandra Cessna Farmer | Physician Assistant | 105 S Major St, Eureka, IL 61530-1246 | 2017-02-16 |
| 1013385079 | Morgan Elizabeth Harris | Nurse Practitioner | 105 S Major St, Eureka, IL 61530-1246 | 2015-09-08 |
| 1629155460 | Bromenn Physicians Management Corporation | Family Medicine | 105 S Major St, Eureka, IL 61530-1246 | 2006-11-01 |
| 1437178415 | David L. Miller | Family Medicine | 105 S Major St, Eureka, IL 61530-1246 | 2006-07-19 |
| 1295754984 | Amy Zacharias | Family Medicine | 105 S Major St, Eureka, IL 61530-1246 | 2006-07-19 |
| 1982623666 | Keith E. Knepp | Family Medicine | 105 S Major St, Eureka, IL 61530-1246 | 2006-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134464316 | Tazwood Mental Health Center, Inc. | Community/Behavioral Health | 101 S. Major Street, Eureka, IL 61530 | 2012-11-29 |
| 1508009234 | Woodford County | Substance Abuse Rehabilitation Facility | 105 E Court St, Eureka, IL 61530 | 2009-04-10 |
| 1609889914 | Apostolic Christian Home of Eureka | Skilled Nursing Facility | 610 W. Cruger St., Eureka, IL 61530 | 2006-08-15 |
| 1326003344 | Eric John Larson | Counselor | 109 E Eureka, Eureka, IL 61530 | 2006-04-20 |
| 1467789511 | Julie Tuttle | Clinical Nurse Specialist | 530 Ne Glen Oak Ave, Peoria, IL 61530 | 2009-11-11 |
| 1720073414 | Maple Lawn Health Center | Skilled Nursing Facility | 700 N Main St, Eureka, IL 61530-1085 | 2005-09-19 |
| 1992158356 | Kendra Mickelson | Skilled Nursing Facility | 700 N Main St, Eureka, IL 61530-1085 | 2016-07-20 |
| 1720439110 | Loft Rehabilitation and Nursing LLC | Skilled Nursing Facility | 700 N Main St, Eureka, IL 61530-1085 | 2016-06-27 |
| 1841470374 | Maple Lawn Homes Inc. | Clinic/Center | 700 N Main St, Eureka, IL 61530-1085 | 2007-11-13 |
| 1093818767 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 501 W Center St, Eureka, IL 61530-1111 | 2006-09-07 |
| Find all providers in zip 61530 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134609324 | Megan Rochelle Robison | Nurse Practitioner | 6 Hogan Cir Apt 305, Eureka, MO 63025-3810 | 2018-08-16 |
| 1689124414 | Matthew Keen | Nurse Practitioner | 615 Top Notch Ln, Eureka, MO 63025-1169 | 2016-10-05 |
| 1164834578 | Roxane Heiob | Nurse Practitioner | 1525 J St, Eureka, CA 95501-2657 | 2014-05-20 |
| 1356492771 | Yvette Alise Faust | Nurse Practitioner | 2607 Harris St, Eureka, CA 95503-4806 | 2007-01-13 |
| 1841230752 | Jennifer S. Hoffman | Nurse Practitioner | 105 S Major St, Eureka, IL 61530-1246 | 2006-06-08 |
| 1790742534 | Paula Israel Rhude | Nurse Practitioner | 301 P St, Eureka, CA 95501-0627 | 2006-04-26 |
| 1275517674 | Marina Lans Early | Nurse Practitioner | 2200 Tydd Street, Eureka, CA 95501-1284 | 2005-11-30 |
| 1942298955 | Veronica Renee Wizes | Nurse Practitioner | 1773 Harrison Ave, Eureka, CA 95501-1338 | 2005-10-12 |
| 1447864756 | Shoua Lor | Nurse Practitioner | 2200 Tydd St, Eureka, CA 95501-1284 | 2020-09-03 |
| 1467066209 | Rolando Subijano | Nurse Practitioner | 2505 Lucas St Ste A, Eureka, CA 95501-3340 | 2020-08-31 |
| Find all providers in EUREKA | ||||
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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.