KATELYN ROSE MOELLER (NPI# 1588145601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588145601 |
| Entity Type | Individual |
| Full Name | KATELYN ROSE MOELLER |
| Credential | PA |
| Practice Address |
251 Marketplace Dr # 1 Freeburg IL 62243-4082 |
| Mailing Address |
3708 Round Hill Rd Apt 11 Swansea IL 62226-1221 |
| Practice Telephone | 6185390067 |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2018-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
251 MARKETPLACE DR # 1 |
| City | FREEBURG |
| State | IL |
| Zip Code | 62243-4082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225351703 | Apex Physical Therapy | Physical Therapist | 251 Marketplace Center, Freeburg, IL 62243 | 2010-03-11 |
| 1346308178 | Debra Ann Biekert | Speech-Language Pathologist | 934 Bay Pointe Dr, Freeburg, IL 62243 | 2006-12-05 |
| 1831289750 | Groceries of Southern Illinois, LLC | Pharmacy | 369 Marketplace Dr, Freeburg, IL 62243 | 2006-10-13 |
| 1255316725 | Vidya Deshpande | Pathology | 45 Sheffield Drive, Belleville, IL 62243 | 2005-12-07 |
| 1619537867 | Angela Kay Kern | Nurse Practitioner | 251 Marketplace Dr, Freeburg, IL 62243 | 2019-06-19 |
| 1386961464 | Jamie L Hahne | Massage Therapist | 102 N State St, Freeburg, IL 62243-1214 | 2010-04-28 |
| 1982600375 | Jannell W Vetter | Physical Therapist | 102 N State St, Freeburg, IL 62243-1246 | 2005-06-22 |
| 1902030927 | Matthew R. Leonard, S.c. | Chiropractor | 102 N State St, Suite A, Freeburg, IL 62243-1246 | 2009-05-05 |
| 1609995687 | Burl Wayne Hand IIi | Dentist | 201b W High St, Freeburg, IL 62243-1313 | 2007-03-28 |
| 1578727103 | Occupational Health Centers of Illinois PC | Clinic/Center | 501 W Apple St, Freeburg, IL 62243-1389 | 2008-07-13 |
| Find all providers in zip 62243 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707298 | Eliza Ballen | Physician Assistant | 335 Sylvan Rd, Lake Bluff, IL 60044-2562 | 2020-07-21 |
| 1477177947 | Rybecca Janovyak | Physician Assistant | 14432 High Rd, Lockport, IL 60441-9402 | 2020-06-01 |
| 1518591759 | Julie Jenkot | Physician Assistant | 333 N Michigan Ave Fl 14, Chicago, IL 60601-3901 | 2020-02-26 |
| 1801429873 | Hinjal D Jha | Physician Assistant | 22285 N Pepper Rd Ste 409, Lake Barrington, IL 60010-2542 | 2020-02-19 |
| 1770120222 | Alvina Shaikh | Physician Assistant | 4009 Warren Ave, Bellwood, IL 60104-2066 | 2019-12-03 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1538705272 | Bethany Mae Frisby | Physician Assistant | 8630 W Golf Rd, Niles, IL 60714-5600 | 2019-11-18 |
| 1134761984 | Ella-marie Rakowski | Physician Assistant | 25 Acorn Dr, Hawthorn Woods, IL 60047-7407 | 2019-10-14 |
| 1467001859 | Timothy Omotayo Adesanya | Physician Assistant | Graham Correctional Center, 12078 Illinois Rte 185, Hilliboro, IL 62049 | 2019-09-09 |
| 1518514066 | Victoria Moore | Physician Assistant | 979 W Main St, West Dundee, IL 60118-2088 | 2019-08-20 |
| Find all providers with the same taxonomy | ||||
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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.