MRS. NATASCHA R JEFFRIES (NPI# 1629409362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629409362 |
| Entity Type | Individual |
| Full Name | MRS. NATASCHA R JEFFRIES |
| Other Name | NATASCHA R RICE |
| Credential | FNP, PMHNP |
| Practice Address |
6000 Bond Ave Centreville IL 62207-2328 |
| Practice Telephone | 6183322083 |
| Practice Fax Number | 6183376039 |
| Mailing Telephone | 6183322083 |
| Mailing Fax Number | 6183326039 |
| Enumeration Date | 2013-12-05 |
| Last Update Date | 2019-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
2013035192 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209010921 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | STATE LICENSE | 209010921 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2001 State St, East Saint Louis, IL 622051803 | 6182719191 | 6182719617 |
| Street Address |
6000 BOND AVE |
| City | CENTREVILLE |
| State | IL |
| Zip Code | 62207-2328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386633295 | Heather Surratt | Dentist | 6000 Bond Ave, Sihf - Mcc, Centreville, IL 62207-2328 | 2005-10-14 |
| 1730574617 | Lara E. Stein | Obstetrics & Gynecology | 6000 Bond Ave, Centreville, IL 62207-2328 | 2015-03-30 |
| 1134546690 | Bhawna Sharma | Psychiatry & Neurology | 6000 Bond Ave, Centreville, IL 62207-2328 | 2014-03-23 |
| 1700035730 | Megan Lynette Preville | Dentist | 6000 Bond Ave, Dental Clinic, Centreville, IL 62207-2328 | 2008-09-15 |
| 1265612105 | Donna Marie Meyers | Registered Nurse | 6000 Bond Ave, Centreville, IL 62207-2328 | 2007-11-08 |
| 1730245291 | Marcia Mcgraw-houchens | Registered Nurse | 6000 Bond Ave, Centreville, IL 62207-2328 | 2006-12-29 |
| 1609813500 | Southern Illinois Healthcare Foundation Inc | Obstetrics & Gynecology | 6000 Bond Ave, Centreville, IL 62207-2328 | 2006-05-31 |
| 1184608986 | Bonnie J Summers | Nurse Practitioner | 6000 Bond Ave, Centreville, IL 62207-2328 | 2005-12-05 |
| 1689664286 | Vandana Gupta | Dentist | 6000 Bond Ave, Centreville, IL 62207-2328 | 2005-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114493723 | Monica Marie Magowan | Nurse Practitioner | Touchette Regional Hospital, 5900 Bond Ave, Centreville, IL 62207 | 2018-10-22 |
| 1063708345 | Porshia Lenee' Egerson | Student in an Organized Health Care Education/Training Program | 6032 Clarita Ave, Centreville, IL 62207-1019 | 2011-06-24 |
| 1679742506 | Comprehensive Mental Health Center of St. Clair County, Inc. | Community/Behavioral Health | 1501 S G St, East Saint Louis, IL 62207-2057 | 2008-02-25 |
| 1780853614 | Comprehensive Mental Health Center of St. Clair County, Inc. | Clinic/Center | 1500 Wilford Ave, East Saint Louis, IL 62207-2066 | 2008-02-25 |
| 1891395893 | Cheryl Lynn Eubanks | Technician | 1710 Mccasland Ave, East Saint Louis, IL 62207-2245 | 2020-10-28 |
| 1871086082 | Medicate Pharmacy Inc | Pharmacy | 5869 Bond Ave, Centreville, IL 62207-2300 | 2018-06-12 |
| 1255357224 | Mohammad Hashemi | Radiology | 5900 Bond Ave, East Saint Louis, IL 62207-2326 | 2006-07-14 |
| 1952900763 | Danielle Victoria Williams | Dietitian, Registered | 5900 Bond Ave, Centreville, IL 62207-2326 | 2020-10-22 |
| 1750992459 | Touchette Regional Hospital Inc | Psychiatric Unit | 5900 Bond Ave, Centreville, IL 62207-2326 | 2020-08-14 |
| 1932722295 | Alecia E Marks | Social Worker | 5900 Bond Ave, Centreville, IL 62207-2326 | 2020-05-21 |
| Find all providers in zip 62207 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811542764 | Global Family Medicine LLC | Nurse Practitioner | 14073 Lotus Ln Apt 915, Centreville, VA 20120-7402 | 2019-08-07 |
| 1346809985 | Rajwinder Kaur Sohi | Nurse Practitioner | 14562 Old Mill Rd, Centreville, VA 20121-6217 | 2019-06-07 |
| 1114493723 | Monica Marie Magowan | Nurse Practitioner | Touchette Regional Hospital, 5900 Bond Ave, Centreville, IL 62207 | 2018-10-22 |
| 1699274753 | Sarah Caitlin Brown | Nurse Practitioner | 5895 Trinity Pkwy Ste 100, Centreville, VA 20120 | 2018-02-05 |
| 1538554076 | Patricia Lee | Nurse Practitioner | 1281 Abercrombie Rd, Centreville, AL 35042-5104 | 2015-04-01 |
| 1275946162 | James Hawley | Nurse Practitioner | 260 W Main Street, Centreville, MS 39631 | 2014-06-09 |
| 1982761078 | Candace S Cane | Nurse Practitioner | 13880 Braddock Rd Ste 209, Lavonna Shade, Office Manager, Centreville, VA 20121-2463 | 2007-01-02 |
| 1093316663 | Samantha Jo Moody | Nurse Practitioner | 658 E Main St, Centreville, MI 49032-9627 | 2020-11-02 |
| 1811507114 | Amber Smith Flowers | Nurse Practitioner | 178 Highway 24 E, Centreville, MS 39631-4171 | 2020-08-03 |
| 1558970210 | Jasmine Bush | Nurse Practitioner | 405 Belcher St, Centreville, AL 35042-2946 | 2020-07-29 |
| Find all providers in CENTREVILLE | ||||
| City | CENTREVILLE |
| Zip Code | 62207 |
Please comment or provide details below to improve the information on MRS. NATASCHA R JEFFRIES.
| 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.