KATHY MARREN (NPI# 1568430379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568430379 |
| Entity Type | Individual |
| Full Name | KATHY MARREN |
| Credential | GNP |
| Practice Address |
1801 Windsor Rd Champaign IL 61822-6217 |
| Mailing Address |
101 W University Ave Champaign IL 61820-3909 |
| Practice Telephone | 2173665434 |
| Practice Fax Number | 2173666106 |
| Mailing Telephone | 2173661326 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2011-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
041362173 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
083575 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1801 WINDSOR RD |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61822-6217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720066251 | Heather Konzelmann | Physician Assistant | 1801 Windsor Rd, Champaign, IL 61822-6217 | 2006-01-05 |
| 1861865305 | Tara Schultz | Nurse Practitioner | 1801 Windsor Rd, Champaign, IL 61822-6217 | 2015-11-05 |
| 1588046288 | Michael Kuhlenschmidt | Internal Medicine | 1801 Windsor Rd, Champaign, IL 61822-6217 | 2015-06-18 |
| 1154724623 | Joanita Maison | Nurse Practitioner | 1801 Windsor Rd, Champaign, IL 61822-6217 | 2014-09-29 |
| 1760899090 | Obiajulu Patrick Onwuekwe | Registered Nurse | 1801 Windsor Rd, Champaign, IL 61822-6217 | 2014-07-18 |
| 1336555184 | Natalie Jefferson | Registered Nurse | 1801 Windsor Rd, Champaign, IL 61822-6217 | 2014-07-01 |
| 1700214244 | Katerina Rosenbeck | Nurse Practitioner | 1801 Windsor Rd, Champaign, IL 61822-6217 | 2013-10-18 |
| 1982959516 | Leslie Baker Horner | Pharmacist | 1801 Windsor Rd, Champaign, IL 61822-6217 | 2012-07-19 |
| 1417222670 | Tegan Mccormick | Internal Medicine | 1801 Windsor Rd, Champaign, IL 61822-6217 | 2012-03-20 |
| 1356645667 | Lindsey George | Family Medicine | 1801 Windsor Rd, Champaign, IL 61822-6217 | 2010-12-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083180830 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 2718 N Prospect Avenue, Champaign, IL 61822 | 2018-10-19 |
| 1487129730 | Siegfred T. Celis | Occupational Therapy Assistant | 1820 Oak Park Drive, Champaign, IL 61822 | 2018-10-12 |
| 1134633746 | Osf Healthcare System | Home Health | 1501 Interstate Dr Ste C, Champaign, IL 61822 | 2017-11-20 |
| 1386164200 | Carlo Sandico | Physical Therapist | 612 Corey Lane, Champagne, IL 61822 | 2017-06-21 |
| 1295270288 | Jennifer Lee Lugo | Registered Nurse | 3101 Fields South Dr., Champaign, IL 61822 | 2016-12-29 |
| 1902341209 | Jala Simmons | Behavioral Analyst | 4112 Fieldstone Rd, Suite B, Champaign, IL 61822 | 2016-12-22 |
| 1639552433 | Muhammad Ajmal | Internal Medicine | 1701 Curtis Road, Carle Clinic, Champaign, IL 61822 | 2015-06-30 |
| 1518363761 | Margaret A. Hallden | Hearing Instrument Specialist | 3354 Big Pine Trail #c, Audibel Hearing Aids, Champaign, IL 61822 | 2014-11-17 |
| 1801291638 | Kristen Karlsen | Pharmacist | 3114 Village Office Place, Champaign, IL 61822 | 2014-10-22 |
| 1649601543 | Jeff Chu | Optometrist | 507 W. Town Center Blvd, Champaign, IL 61822 | 2013-12-03 |
| Find all providers in zip 61822 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553472 | Nicholas Johnson | Nurse Practitioner | 8455 S Luella Ave, Chicago, IL 60617-1953 | 2020-09-23 |
| 1710592175 | Mary Maloney | Nurse Practitioner | 348 Westglen Dr, Glen Carbon, IL 62034-1002 | 2020-09-12 |
| 1134738800 | Benjamin Scott Hulfachor | Nurse Practitioner | 4143 N Central Park Ave Apt G, Chicago, IL 60618-2062 | 2020-07-28 |
| 1083222368 | Izolda Rosario | Nurse Practitioner | 501 W Lake St Ste 207, Elmhurst, IL 60126-1419 | 2020-07-22 |
| 1043832785 | Melanie Glander | Nurse Practitioner | 18357 Cowing Ct, Homewood, IL 60430-3332 | 2020-05-16 |
| 1699306902 | Ife Muyiwa-ojo | Nurse Practitioner | 729 E Carpenter St, Springfield, IL 62702-5321 | 2020-01-27 |
| 1962040345 | Doctors Orders Inc. | Nurse Practitioner | 5113 S Harper Ave Ste 2, Chicago, IL 60615-4119 | 2019-12-16 |
| 1801455993 | Parul Arora | Nurse Practitioner | 1717 W Congress Pkwy Ste 1125, Chicago, IL 60612-3809 | 2019-06-11 |
| 1891358222 | Kelly Jo Erke | Nurse Practitioner | 20830 N 1970 East Rd, Danville, IL 61834-6228 | 2019-04-22 |
| 1689136319 | Brittany Sue Borkowski | Nurse Practitioner | 5841 S Maryland Ave # W700, Chicago, IL 60637-1443 | 2019-04-02 |
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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.