KIMBERLY PIECZYNSKI (NPI# 1558413054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558413054 |
| Entity Type | Individual |
| Full Name | KIMBERLY PIECZYNSKI |
| Credential | N.P. |
| Practice Address |
2900 Foxfield Rd Suite 203 St Charles IL 60174-5799 |
| Practice Telephone | 6307974255 |
| Practice Fax Number | 6307974259 |
| Mailing Telephone | 6307974255 |
| Mailing Fax Number | 6307974259 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2011-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
209 003073 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | CDPG BCBS | 0222075 | 01 |
| IL | CDPG NPI | 1033149844 | 01 |
| MEDICARE PTAN (GROUP) | 920540 | 01 | |
| MEDICARE PTAN (INDIVIDUAL) | 920540008 | 01 |
| Street Address |
2900 FOXFIELD RD SUITE 203 |
| City | ST CHARLES |
| State | IL |
| Zip Code | 60174-5799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487657524 | Vivian S Vanroekel | Internal Medicine | 2900 Foxfield Rd, St Charles, IL 60174-5799 | 2005-05-23 |
| 1114475522 | Mario Blanquel | Specialist/Technologist | 2900 Foxfield Rd, St Charles, IL 60174-5799 | 2016-09-14 |
| 1548637879 | Caitlin Rogers | Nurse Practitioner | 2900 Foxfield Rd, St Charles, IL 60174-5799 | 2015-08-21 |
| 1780093187 | Elliot Paul Johnson | Physician Assistant | 2900 Foxfield Rd, Suite 102, St Charles, IL 60174-5799 | 2014-08-11 |
| 1518383629 | Rebecca Thulson | Nurse Practitioner | 2900 Foxfield Rd, Suite 101, St Charles, IL 60174-5799 | 2014-03-13 |
| 1831523414 | Jeffrey David Samburg | Physical Therapist | 2900 Foxfield Rd, Suite 205, St Charles, IL 60174-5799 | 2013-08-30 |
| 1821422809 | Samuel Lloyd Wilson | Physical Therapist | 2900 Foxfield Rd, Suite 205, St Charles, IL 60174-5799 | 2013-08-27 |
| 1861752123 | Julie Ann Gorski | Family Medicine | 2900 Foxfield Rd, St Charles, IL 60174-5799 | 2012-05-21 |
| 1760776371 | Melissa Fish | Family Medicine | 2900 Foxfield Rd, St Charles, IL 60174-5799 | 2011-06-01 |
| 1720381965 | Central Dupage Health | Non-Pharmacy Dispensing Site | 2900 Foxfield Rd, St Charles, IL 60174-5799 | 2010-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306474192 | Halinas Residential Home Care | Registered Nurse | 825 North Fifth Avenue, St. Charles, IL 60174 | 2020-03-29 |
| 1205354503 | Connor Lavallie | Chiropractor | 240 W River Dr, St Charles, IL 60174 | 2017-09-07 |
| 1427579952 | Melanie Elizabeth Long | Counselor | 5n147 Oak Leaf Ct, St Charles, IL 60174 | 2017-07-06 |
| 1255860656 | Hannah Elizabeth Gambrel | Counselor | 12 South 7th Avenue, St. Charles, IL 60174 | 2017-06-08 |
| 1275981490 | Anju Patel | Pharmacist | 2038 Praire St, St. Charles, IL 60174 | 2016-05-27 |
| 1316328529 | Allison Jensen | Dentist | 11 S. 2nd Ave #11, St. Charles, IL 60174 | 2015-06-12 |
| 1225466576 | Chelsea Wright | Social Worker | 522 W Main St Unit 2d, St Charles, IL 60174 | 2013-10-24 |
| 1114261427 | Bryan R. Cichon Dds PC | Dentist | 700 S. Randall Rd., Suite #1, St. Charles, IL 60174 | 2012-11-27 |
| 1124372289 | Stacey Lynn Conner | Developmental Therapist | 910 Manley Rd, St. Charles, IL 60174 | 2012-10-28 |
| 1093070567 | St. Charles Service Corporation | Physical Therapist | 1615 W. Main Street, St. Charles, IL 60174 | 2012-07-10 |
| Find all providers in zip 60174 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255625281 | Mark Kruszewski | Nurse Practitioner | 3310 W Main St, Suite 200, St Charles, IL 60175-1000 | 2011-06-07 |
| 1942241492 | Christina L. Willis | Nurse Practitioner | 3310 W Main St, Suite 200, St Charles, IL 60175-1000 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881291 | Sarah Zeigler Olsen | Nurse Practitioner | 600 S Randall Rd Ste 220, Algonquin, IL 60102-5937 | 2020-11-02 |
| 1467051151 | Mallory Jo Brooks | Nurse Practitioner | 2306 E County Road 1800 N, Carthage, IL 62321-3101 | 2020-10-22 |
| 1508475294 | Diedra M Ahlert | Nurse Practitioner | 1320 Lexington Dr, Collinsville, IL 62234-4348 | 2020-07-28 |
| 1679182802 | Danielle L Shubert | Nurse Practitioner | 9423 Holy Cross Ln Ste 111, Breese, IL 62230-3510 | 2020-07-23 |
| 1154962900 | Janna Hoppe | Nurse Practitioner | 24600 W 127th St Ste 345, Plainfield, IL 60585-9507 | 2019-10-02 |
| 1841858529 | Katherine R Conkling | Nurse Practitioner | 4941 Benchmark Centre Dr Ste 100, Swansea, IL 62226-2038 | 2019-05-29 |
| 1942767280 | Danielle R Wetzel | Nurse Practitioner | 2040 Ogden Ave Ste 215, Aurora, IL 60504-7205 | 2019-02-22 |
| 1669937231 | Colleen Ann Larkin | Nurse Practitioner | 10939 S Troy St, Chicago, IL 60655-2211 | 2019-02-07 |
| 1568939684 | Katelyn Marie Reed | Nurse Practitioner | 415 N 9th St Ste 4w64, Springfield, IL 62702-5303 | 2018-10-26 |
| 1255813218 | Michelle Christine Bollinger | Nurse Practitioner | 415 N 9th St Ste 4w16, Springfield, IL 62702-5303 | 2018-09-05 |
| Find all providers with the same taxonomy | ||||
| City | ST CHARLES |
| Zip Code | 60174 |
Please comment or provide details below to improve the information on KIMBERLY PIECZYNSKI.
| 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.