DOROTHY J LOOP (NPI# 1629292123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629292123 |
| Entity Type | Individual |
| Full Name | DOROTHY J LOOP |
| Credential | RN |
| Practice Address |
900 S Deer Rd Macomb IL 61455-2639 |
| Mailing Address |
11510 N 950th Rd Macomb IL 61455-7972 |
| Practice Telephone | 3098374876 |
| Mailing Telephone | 3098335354 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2009-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
041.113213 | IL | Nursing Service Providers |
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
041.113213 | IL | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RN LICENSE | 041.113213 | 01 |
| IL | BWAY INC FEIN | 370984175 | 01 |
| Street Address |
900 S DEER RD |
| City | MACOMB |
| State | IL |
| Zip Code | 61455-2639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396867420 | John Robert Prain | Counselor | 900 S Deer Rd, Macomb, IL 61455-2639 | 2007-04-06 |
| 1104394295 | Aimee Anderson | Counselor | 900 S Deer Rd, Macomb, IL 61455-2639 | 2018-11-06 |
| 1902385222 | Crystal D Stimpson | Registered Nurse | 900 S Deer Rd, Macomb, IL 61455-2639 | 2018-08-08 |
| 1588032460 | Illinois Medicaid-substance Abuse Macomb | Counselor | 900 S Deer Rd, Macomb, IL 61455-2639 | 2015-09-09 |
| 1457625592 | Amanda Michele Bolte | Counselor | 900 S Deer Rd, Macomb, IL 61455-2639 | 2012-03-07 |
| 1821217084 | Kathleen E Markey | Registered Nurse | 900 S Deer Rd, Macomb, IL 61455-2639 | 2007-04-25 |
| 1518185925 | Bridgeway Inc | Psychiatry & Neurology | 900 S Deer Rd, Macomb, IL 61455-2639 | 2007-04-23 |
| 1629292156 | Rachelle D Mccoy | Registered Nurse | 900 S Deer Rd, Macomb, IL 61455-2639 | 2007-04-13 |
| 1982827499 | Bridgeway, Inc | Community/Behavioral Health | 900 S Deer Rd, Macomb, IL 61455-2639 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043869944 | Wesley Village, Inc | Speech-Language Pathologist | 1200 East Grant Street, Macomb, IL 61455 | 2019-09-04 |
| 1780154013 | Hannah Lauren Bengtson | Optometrist | 820 E. Jackson St., Macomb, IL 61455 | 2018-11-29 |
| 1255832564 | Lifeguard Ambulance Service of Illinois Inc. | Ambulance | 219 W Jackson St, Macomb, IL 61455 | 2018-02-22 |
| 1821516816 | Michelle Deann Sargeant | Speech-Language Pathologist | 315 N. Bonham, Macomb, IL 61455 | 2017-08-30 |
| 1972020360 | Kara Marie Wright | Speech-Language Pathologist | 315 N. Bonham St., Macomb, IL 61455 | 2017-08-25 |
| 1720356504 | Dawn M. Kedzior | Social Worker | 103 South Johnson Street, Macomb, IL 61455 | 2011-12-07 |
| 1255632642 | Michael Kurt Sharp | Audiologist | Memorial Hall, Second Floor, W Murray St, Macomb, IL 61455 | 2010-11-16 |
| 1952538704 | Mary L. Smith | Developmental Therapist | 1 University Circle, Western Il Univ, Cntr for Best Practices In Early Childhood Education, Macomb, IL 61455 | 2009-06-19 |
| 1982857827 | Macomb Oncology Institute Ltd | Radiology | 401 East Grant Street, Macomb, IL 61455 | 2008-10-23 |
| 1245488345 | Sonja E Schmidt | Social Worker | 119 Wetzel Hall, Western Illinois University, Macomb, IL 61455 | 2008-09-03 |
| Find all providers in zip 61455 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821217084 | Kathleen E Markey | Registered Nurse | 900 S Deer Rd, Macomb, IL 61455-2639 | 2007-04-25 |
| 1629292156 | Rachelle D Mccoy | Registered Nurse | 900 S Deer Rd, Macomb, IL 61455-2639 | 2007-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011645 | Cheryl D Jones | Registered Nurse | 375th Mdg, 310 W. Losey Street, Scott Afb, IL 62225 | 2020-04-13 |
| 1447898721 | Sophia Bracey | Registered Nurse | 443 Fairway Ct, University Park, IL 60484 | 2019-12-17 |
| 1336704089 | Nkechinyere Uzoma | Registered Nurse | 3709 Culloden St, Flossmoor, IL 60422-4318 | 2019-05-08 |
| 1235601410 | Hannah Dawn Saguin Cimafranca | Registered Nurse | 1900 W Polk St Unit 154, Chicago, IL 60612-3723 | 2018-12-28 |
| 1609347269 | Deborah De La Haye | Registered Nurse | 3523 W 76th St, Chicago, IL 60652-1405 | 2018-12-07 |
| 1336619188 | Sutara M Giles | Registered Nurse | 13933 Laramie Ave Apt 205, Crestwood, IL 60418-1654 | 2018-12-04 |
| 1487124335 | Albeza Veronica Ruiz | Registered Nurse | 2331 199th St, Lynwood, IL 60411-9665 | 2018-12-03 |
| 1407322837 | Lawanda Burnett-berry | Registered Nurse | 1801 W Polk St, Suite 154, Chicago, IL 60612 | 2018-10-24 |
| 1891262226 | Cyndril Bendijo Carreon-palencia | Registered Nurse | 1900 W Polk St Rm 154, Chicago, IL 60612-3723 | 2018-10-24 |
| 1407322316 | Charity Nwaru | Registered Nurse | 1313 Meyer Ct, Homewood, IL 60430-4545 | 2018-10-17 |
| 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.