BRIDGETTE ANN WOODALL (NPI# 1558718650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558718650 |
| Entity Type | Individual |
| Full Name | BRIDGETTE ANN WOODALL |
| Credential | NP-C |
| Practice Address |
215 E 1st St Dixon IL 61021-3166 |
| Practice Telephone | 8152855422 |
| Mailing Telephone | 8152855422 |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.014291 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
215 E 1ST ST |
| City | DIXON |
| State | IL |
| Zip Code | 61021-3166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912978222 | Monther F El Bzour | Internal Medicine | 215 E 1st St, Ste 214, Dixon, IL 61021 | 2006-01-27 |
| 1609474097 | Maggie Helen Connors | Nurse Practitioner | 215 E 1st St, Dixon, IL 61021-3166 | 2020-10-16 |
| 1770145849 | Saima Sardar | Podiatrist | 215 E 1st St, Dixon, IL 61021-3166 | 2019-06-28 |
| 1447812508 | Kanika Kochhar | Podiatrist | 215 E 1st St, Dixon, IL 61021-3166 | 2019-06-28 |
| 1053763664 | Kyle Swanson | Podiatrist | 215 E 1st St, Suite 310, Dixon, IL 61021-3166 | 2016-07-07 |
| 1730553306 | Alissa Kirchner | Speech-Language Pathologist | 215 E 1st St, Dixon, IL 61021-3166 | 2015-11-19 |
| 1215338157 | Steven Yeschek | Podiatrist | 215 E 1st St, Dixon, IL 61021-3166 | 2014-09-10 |
| 1144431289 | Patricia J Geisz | Physical Therapist | 215 E 1st St, Commerce Towers, Suite 318-319, Dixon, IL 61021-3166 | 2007-05-24 |
| 1518178284 | Deb A Bowers | Physical Therapy Assistant | 215 E 1st St, Dixon, IL 61021-3166 | 2007-05-24 |
| 1093925661 | Lisa Marie Lindquist | Occupational Therapy Assistant | 215 E 1st St, Dixon, IL 61021-3166 | 2007-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699331082 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1600 South Galena Ave, Dixon, IL 61021 | 2019-05-12 |
| 1285135590 | Richard Allen Sibert | Counselor | 325 Il Route 2,dixon Il, Dixon, IL 61021 | 2018-02-22 |
| 1518485432 | Madeline Luniewicz | Counselor | 325 Il-2, Dixon, IL 61021 | 2017-08-30 |
| 1669992566 | Nicole Marie Shaffer | Specialist/Technologist | 650 Reynoldswood Road, Dixon, IL 61021 | 2017-06-21 |
| 1346660446 | Lydia Sitter | Audiologist | 215 3. 1st Street, Suite 317, Ksb Medical Group, Dixon, IL 61021 | 2014-04-16 |
| 1053600080 | Janet I. Malmberg | Nurse Practitioner | 309 South Galena Ave, Suite 100, Dixon, IL 61021 | 2011-03-30 |
| 1376775262 | Kelly L Klein | Optometrist | 511 Palmyra Street, Ksb Eye & Vision Care, Dixon, IL 61021 | 2009-08-11 |
| 1013119106 | Michael Joseph Sarno | Physical Therapist | 401 E. First Street, Dixon, IL 61021 | 2007-06-01 |
| 1891905600 | Thomas G. Gehlbach | Internal Medicine | 215 E 1st St Ste 111, Dixon, IL 61021 | 2007-05-23 |
| 1699987230 | Sameer Jain | Family Medicine | 102 S. Hennepin Ave., Ksb Medical Group, Dixon, IL 61021 | 2007-05-04 |
| Find all providers in zip 61021 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346716693 | Chelsea Smith | Nurse Practitioner | 215 E 1st St Ste 214, Dixon, IL 61021-3175 | 2018-10-15 |
| 1346347960 | Regina M Elder | Nurse Practitioner | 1871 Us Highway 41a S, Dixon, KY 42409-9448 | 2006-09-17 |
| 1164427324 | Carlene S Mcmillian | Nurse Practitioner | 206 W. 2nd Street, Dixon, MO 65459-0940 | 2005-06-15 |
| 1609474097 | Maggie Helen Connors | Nurse Practitioner | 215 E 1st St, Dixon, IL 61021-3166 | 2020-10-16 |
| 1063029247 | Valarie Pfoutz | Nurse Practitioner | 403 E 1st St, Dixon, IL 61021-3116 | 2020-09-30 |
| 1639786288 | Stephanie Marie Berlin | Nurse Practitioner | 403 E 1st St, Dixon, IL 61021-3116 | 2020-09-28 |
| 1639786270 | Marissa Leigh Frost | Nurse Practitioner | 403 E 1st St, Dixon, IL 61021-3116 | 2020-09-28 |
| 1508414756 | Ann C Lee | Nurse Practitioner | 403 E 1st St, Dixon, IL 61021-3116 | 2019-08-30 |
| 1871141465 | Sara Lee Fordham | Nurse Practitioner | 403 E 1st St, Dixon, IL 61021-3116 | 2019-08-28 |
| 1801383211 | Marla Joy Schwarz | Nurse Practitioner | 403 E 1st St, Dixon, IL 61021-3116 | 2018-04-20 |
| Find all providers in DIXON | ||||
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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.