KARRIANN MARIE LONGTIN (NPI# 1629213624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629213624 |
| Entity Type | Individual |
| Full Name | KARRIANN MARIE LONGTIN |
| Credential | MSN, RN, CPNP-AC |
| Practice Address |
400 S Kennedy Dr Ste 900 Bradley IL 60915-2683 |
| Mailing Address |
1482 Northfield Meadows Blvd Bourbonnais IL 60914-4612 |
| Practice Telephone | 8159323132 |
| Practice Fax Number | 8159322397 |
| Mailing Telephone | 8155923122 |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2018-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0222X |
Nurse Practitioner Specialization: Pediatrics, Critical Care |
209007369 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
400 S KENNEDY DR STE 900 |
| City | BRADLEY |
| State | IL |
| Zip Code | 60915-2683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285232991 | Healthy Medical Inc | Family Medicine | 535 N. East St., Suite A, Bradley, IL 60915 | 2020-10-14 |
| 1679826309 | Heather Sevier | Specialist/Technologist | 328 S Dearborn Ave, Bradley, IL 60915 | 2012-10-18 |
| 1013266584 | Arlene De Leon Delacruz | Physical Therapist | 400 South Kennedy Dr., Bradley, IL 60915 | 2012-08-30 |
| 1023370699 | Jessica Sorensen | Physician Assistant | 350 N Kinzie Ave, Bradley, IL 60915 | 2012-06-11 |
| 1184993164 | Debra Malone | Behavioral Analyst | 136-142 1/2 South Clinton, Bradley, IL 60915 | 2011-12-21 |
| 1376840421 | Joshua R Johnson | Physician Assistant | 400 S. Kennedy, Bradley, IL 60915 | 2011-02-24 |
| 1801192133 | Eloise Adams | Behavioral Analyst | 136 142 1/2 South Clinton, Bradley, IL 60915 | 2011-02-03 |
| 1386948685 | Rico J Hale | Behavioral Analyst | 136 142 South Clinton, Bradley, IL 60915 | 2010-12-29 |
| 1558665851 | Joyce A Bollhorst | Behavioral Analyst | 136-142 South Clinton, Bradley, IL 60915 | 2010-12-29 |
| 1538469655 | Kankakee Valley Chiropractic | Chiropractor | 300 North Kennedy Drive, Suite 2, Bradley, IL 60915 | 2010-10-22 |
| Find all providers in zip 60915 | ||||
| Taxonomy Code | 363LP0222X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801071 | Kathrine Sunstedt | Nurse Practitioner | 420 Ne Glen Oak Ave Ste 201, Peoria, IL 61603-3112 | 2020-11-04 |
| 1245837863 | Emily Anne Whitlow | Nurse Practitioner | 5023 W Agatite Ave Unit 1, Chicago, IL 60630-3907 | 2020-10-06 |
| 1508271727 | Amy Wilhelmi | Nurse Practitioner | 21 Carey Ln, Streamwood, IL 60107-6662 | 2014-06-26 |
| 1700115235 | Janis Marie Quinn | Nurse Practitioner | 225 E. Chicago Ave, Chicago, IL 60611-2605 | 2009-12-11 |
| 1649272154 | Beth Nachtsheim Bolick | Nurse Practitioner | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2005-08-15 |
| 1942828306 | Stephanie Allison Gierman | Nurse Practitioner | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-07-11 |
| 1851925622 | Lauren Alyssa Shaughnessy | Nurse Practitioner | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-03-02 |
| 1326683236 | Brittany Brennan | Nurse Practitioner | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2019-11-14 |
| 1093378986 | Trudy Jean Johnson | Nurse Practitioner | 5841 S Maryland Ave # Mc1145, Chicago, IL 60637-1443 | 2019-04-17 |
| 1730651167 | Kara Hildebrandt | Nurse Practitioner | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2018-12-25 |
| 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.