CZAREENAH DELA CRUZ APOSTOL (NPI# 1598398265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598398265 |
Entity Type | Individual |
Full Name | CZAREENAH DELA CRUZ APOSTOL |
Practice Address |
904 E Martin Luther King Dr Centralia IL 62801-3058 |
Practice Telephone | 6185331391 |
Practice Fax Number | 6185330012 |
Mailing Telephone | 6185331391 |
Mailing Fax Number | 6185330012 |
Enumeration Date | 2020-02-20 |
Last Update Date | 2020-02-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 164W00000X | Licensed Practical Nurse | 043118612 | IL | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 370915481007 | 05 |
Street Address |
904 E MARTIN LUTHER KING DR |
City | CENTRALIA |
State | IL |
Zip Code | 62801-3058 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356996151 | Matthew Crawford | Counselor | 904 E Martin Luther King Dr, Centralia, IL 62801 | 2019-08-08 |
1063010411 | Briea Webster | Counselor | 904 E Martin Luther King Dr, Centralia, IL 62801-3058 | 2020-10-16 |
1245837186 | Kyniesha Overall | Counselor | 904 E Martin Luther King Dr, Centralia, IL 62801 | 2020-10-05 |
1528675030 | Jennifer Upton | Counselor | 904 E Martin Luther King Dr, Centralia, IL 62801 | 2020-09-29 |
1841805538 | Josye Lynn Carter | Counselor | 904 E Martin Luther King Dr, Centralia, IL 62801-3058 | 2020-09-10 |
1235740267 | Mikayla Meyer | Counselor | 904 E Martin Luther King Dr, Centralia, IL 62801-3058 | 2020-08-13 |
1437760469 | Haleigh Zimmerman | Counselor | 904 E Martin Luther King Dr, Centralia, IL 62801-3058 | 2020-08-13 |
1003439340 | Victoria Bledsoe | Counselor | 904 E Martin Luther King Dr, Centralia, IL 62801-3058 | 2020-05-21 |
1235761792 | Leslie Carver | Counselor | 904 E Martin Luther King Dr, Centralia, IL 62801-3058 | 2020-02-12 |
1861032021 | Danielle Ranes | Counselor | 904 E Martin Luther King Dr, Centralia, IL 62801-3058 | 2020-01-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588130314 | Kennah White | Counselor | 904 E. Mlk Drive, Centralia, IL 62801 | 2018-10-19 |
1245721588 | Lindsey Nicole Fogliasso | Counselor | 904 East Mlk Dr., Centralia, IL 62801 | 2018-05-22 |
1629573365 | Prabhat Shrestha | Student in an Organized Health Care Education/Training Program | 605 Sable Drive, Centralia, IL 62801 | 2018-03-26 |
1619496098 | Whitney Rathmann | Speech-Language Pathologist | 224 South Locust, Centralia, IL 62801 | 2017-09-17 |
1376082685 | Athena A Smith | Counselor | 904 E. Martin Luther King Dr, Centralia, IL 62801 | 2017-02-20 |
1447704069 | Meghan Branch | Counselor | 904 Martin Luther King Dr, Centralia, IL 62801 | 2016-08-11 |
1568820637 | Midland Area Agency On Aging | Case Management | 434 S Poplar Street, Centralia, IL 62801 | 2016-02-04 |
1104201714 | Keri Douglas | Nurse Practitioner | 1054 M. L. King Drive #125, Centrailia, IL 62801 | 2015-07-24 |
1215331509 | Melissa Dane | Counselor | 904 E Martin Luther King Dr., Centralia, IL 62801 | 2014-10-15 |
1932447745 | Amanda Winchell | Counselor | 904 Mlk Dr, Centralia, IL 62801 | 2013-01-29 |
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Taxonomy Code | 164W00000X |
Grouping | Nursing Service Providers |
Classification | Licensed Practical Nurse |
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205469103 | Vicki Lee Lucht | Licensed Practical Nurse | 3510 Steelhammer Dr # 3, Centralia, WA 98531-4551 | 2020-02-19 |
1316561764 | Molly Kathleen Bryan | Licensed Practical Nurse | 3510 Steelhammer Dr, Centralia, WA 98531-4551 | 2020-06-02 |
1467019653 | Patty Kathleen Noble | Licensed Practical Nurse | 3510 Steelhammer Dr, Centralia, WA 98531-4551 | 2019-05-22 |
1346804002 | Charlet Mersereau | Licensed Practical Nurse | 3510 Steelhammer Dr, Centralia, WA 98531-4551 | 2019-04-29 |
1215591060 | Steven Gomez | Licensed Practical Nurse | 3510 Steelhammer Dr, Centralia, WA 98531-4551 | 2019-04-26 |
1639683824 | Beth Angle | Licensed Practical Nurse | 904 E. Martin Luther King Drive, Centralia, IL 62801-3058 | 2017-11-27 |
1023287406 | Darice Teitzel | Licensed Practical Nurse | 1900 Cooks Hill Rd, Centralia, WA 98531-9073 | 2008-02-29 |
1518135540 | Shawn Suessman | Licensed Practical Nurse | 1900 Cooks Hill Rd, Centralia, WA 98531-9073 | 2008-02-12 |
1922286475 | Washington Orthopaedic Center, Inc., Ps | Licensed Practical Nurse | 1900 Cooks Hill Rd, Centralia, WA 98531-9073 | 2008-02-07 |
1194903815 | Debra Axt | Licensed Practical Nurse | 1900 Cooks Hill Rd, Centralia, WA 98531-9073 | 2008-02-05 |
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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.