MS. SUSAN L COLLMAN (NPI# 1558664276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558664276 |
| Entity Type | Individual |
| Full Name | MS. SUSAN L COLLMAN |
| Other Name | MS. SUSAN L CARPENTER |
| Credential | NP |
| Practice Address |
12860 Troxler Ave Highland IL 62249-2898 |
| Practice Telephone | 6186512810 |
| Practice Fax Number | 6186510077 |
| Mailing Telephone | 6186512810 |
| Mailing Fax Number | 6186510077 |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2019-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 277000013 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12860 TROXLER AVE |
| City | HIGHLAND |
| State | IL |
| Zip Code | 62249-2898 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780687640 | Alejandro J Alvarado | Internal Medicine | 12860 Troxler Ave, Highland, IL 62249-2898 | 2005-05-24 |
| 1386120376 | Christina Jean Carey | Nurse Practitioner | 12860 Troxler Ave, Highland, IL 62249-2898 | 2018-07-13 |
| 1588068464 | Rebecca Merchiori | Nurse Practitioner | 12860 Troxler Ave, Highland, IL 62249-2898 | 2014-10-21 |
| 1245572213 | Jacqueline Ann Bode | Nurse Practitioner | 12860 Troxler Ave, Highland, IL 62249-2898 | 2013-03-18 |
| 1700109923 | Jordan Wade Vickery | Chiropractor | 12860 Troxler Ave, Highland, IL 62249-2898 | 2010-03-02 |
| 1639406879 | Kim M Mank | Nurse Practitioner | 12860 Troxler Ave, Highland, IL 62249-2898 | 2009-11-09 |
| 1326175670 | Lynn D Billhartz | Physician Assistant | 12860 Troxler Ave, Highland, IL 62249-2898 | 2007-02-27 |
| 1659481299 | Robert Francis Schaefer | Family Medicine | 12860 Troxler Ave, Highland, IL 62249-2898 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750981601 | Michelle Denise Schiefer | Pharmacist | 12495 Il Hwy 143, Highland, IL 62249 | 2020-10-29 |
| 1184235335 | Stephanie Ann Pfeffer | Speech-Language Pathologist | 2813 Il-160, Highland, IL 62249 | 2020-08-12 |
| 1205317898 | Nahant Dialysis LLC | Clinic/Center | 2491 Industrial Dr Ste 200, Highland, IL 62249 | 2018-08-22 |
| 1811432180 | Apollo Medical Holdings | Home Health | 188 Woodcrest Dr, Highland, IL 62249 | 2016-12-22 |
| 1881935781 | Donald Lloyd Chaney | Family Medicine | 3833 Meadow Lane, Highland, IL 62249 | 2013-03-04 |
| 1871842112 | Dental Professionals of Illinois, P.C. | Dentist | 12605 Troxler Ave, Highland, IL 62249 | 2012-08-31 |
| 1770866428 | 3f Vision LLC | Optometrist | Unit # 1 12603 Il Highway 143, Highland, IL 62249 | 2011-09-20 |
| 1396075305 | Theresa E Howard | Counselor | 3636 Villa Park Drive, Highland, IL 62249 | 2010-01-14 |
| 1710127295 | Eric Bernard Kosel | Dentist | 380 Suppiger Way #3, Highland, IL 62249 | 2009-02-24 |
| 1528206745 | Holley Anne Friesz Heidel | Speech-Language Pathologist | 13 Triland Court, Highland, IL 62249 | 2009-01-26 |
| Find all providers in zip 62249 | ||||
| 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 |
|---|---|---|---|---|
| 1518379130 | Kelly Lynn Elder | Nurse Practitioner | 2838 45th St Ste A, Highland, IN 46322-2905 | 2014-06-02 |
| 1144485996 | Kristi Lee Woods | Nurse Practitioner | 1006 Walnut St, Highland, IL 62249-1542 | 2008-07-22 |
| 1487766036 | David Hattenbrun | Nurse Practitioner | 629 N Chodikee Lake Rd, Highland, NY 12528-2726 | 2006-08-31 |
| 1164400917 | Lori Beck | Nurse Practitioner | 147 N Milford Rd, Suite 101, Highland, MI 48357-4500 | 2006-01-03 |
| 1396373551 | Nicole Louise Arena | Nurse Practitioner | 8437 Kennedy Ave, Highland, IN 46322-1140 | 2020-03-31 |
| 1952936114 | Folake Aje | Nurse Practitioner | 9030 Cline Ave, Highland, IN 46322-2204 | 2020-03-09 |
| 1730642745 | Sarah Bonomo | Nurse Practitioner | 3606 Highland Ave Ste 108, Highland, CA 92346-2608 | 2019-04-08 |
| 1386120376 | Christina Jean Carey | Nurse Practitioner | 12860 Troxler Ave, Highland, IL 62249-2898 | 2018-07-13 |
| 1306330444 | Charlene De Grassi | Nurse Practitioner | 7000 Boulder Ave, Highland, CA 92346 | 2018-06-21 |
| 1477955201 | Jill Van Tholen | Nurse Practitioner | 3445 Ridge Rd, Highland, IN 46322-2049 | 2014-09-24 |
| Find all providers in HIGHLAND | ||||
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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.