LISA FRIEBOHLE (NPI# 1629466743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629466743 |
| Entity Type | Individual |
| Full Name | LISA FRIEBOHLE |
| Practice Address |
1120 E War Memorial Dr Peoria Heights IL 61616-7757 |
| Practice Telephone | 3096854411 |
| Practice Fax Number | 3096853648 |
| Mailing Telephone | 3096854411 |
| Mailing Fax Number | 3096853648 |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2014-12-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209-012200 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1120 E WAR MEMORIAL DR |
| City | PEORIA HEIGHTS |
| State | IL |
| Zip Code | 61616-7757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255327631 | Stephen C Doughty | Internal Medicine | 1120 E War Memorial Dr, Peoria Heights, IL 61616-7757 | 2005-09-21 |
| 1659790350 | Kevin Spangler | Nurse Practitioner | 1120 E War Memorial Dr, Peoria Heights, IL 61616 | 2014-04-09 |
| 1518058619 | James D Ausfahl | Family Medicine | 1120 E War Memorial Dr, Peoria Heights, IL 61616-7757 | 2006-09-27 |
| 1700977667 | Ioan Mosoiu | Family Medicine | 1120 E War Memorial Dr, Peoria Heights, IL 61616-7757 | 2006-09-27 |
| 1932290780 | Josef Unhold | Family Medicine | 1120 E War Memorial Dr, Peoria Heights, IL 61616-7757 | 2006-09-27 |
| 1710078563 | Ronald Sumner | Family Medicine | 1120 E War Memorial Dr, Peoria Heights, IL 61616-7757 | 2006-09-27 |
| 1851482731 | Donald Habecker | Internal Medicine | 1120 E War Memorial Dr, Peoria Heights, IL 61616-7757 | 2006-09-27 |
| 1033200928 | Jumuna Patel | Family Medicine | 1120 E War Memorial Dr, Peoria Heights, IL 61616-7757 | 2006-09-27 |
| 1427149210 | Eldon Samuel | Family Medicine | 1120 E War Memorial Dr, Peoria Heights, IL 61616-7757 | 2006-09-27 |
| 1114026754 | Mark Montefolka | Family Medicine | 1120 E War Memorial Dr, Peoria Heights, IL 61616 | 2006-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558748350 | Jennifer Lynn Kroll | Pediatrics | 1317 E Kelly Ave, Peoria Heights, IL 61616 | 2015-04-30 |
| 1649583485 | Aline Azar | Internal Medicine | 1120 E War Memorial Drive, Peoria Heights, IL 61616 | 2010-07-22 |
| 1417137217 | Reza Vakili | Dentist | 4450 N. Prospect Rd, Suite S5, Peoria Heights, IL 61616 | 2007-11-08 |
| 1588700348 | Sandra Kay Chatwood | Counselor | 3709 N Atlantic Ave, Peoria Heights, IL 61616 | 2007-01-29 |
| 1578619524 | Donald B Braunagel | Dentist | 924b F Glen Ave, Peoria Heights, IL 61616 | 2007-01-25 |
| 1417009481 | Jeffrey Scott Whitson | Dentist | 924 E Glen Ave, #b, Peoria Heights, IL 61616 | 2007-01-18 |
| 1003986019 | Sharshon Pharmacy. Inc. | Pharmacy | 4600 N. Prospect Rd., Suite 2, Peoria Heights, IL 61616 | 2006-11-08 |
| 1467683334 | Unlimited Advacare Systems, Inc | Durable Medical Equipment & Medical Supplies | 819 E London Ave, Peoria, IL 61616-1360 | 2009-07-27 |
| 1083759476 | Rose Garden Care Center Inc. | Skilled Nursing Facility | 1629 E Gardner Ln, Peoria Heights, IL 61616-3613 | 2007-02-21 |
| 1699317594 | Aperion Care Peoria Heights LLC | Durable Medical Equipment & Medical Supplies | 1629 E Gardner Ln, Peoria Heights, IL 61616-3613 | 2019-10-11 |
| Find all providers in zip 61616 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578523 | Kaitlin Lawson Kalnitz | Nurse Practitioner | 745 Mcclintock Dr Ste 360, Burr Ridge, IL 60527-0875 | 2020-11-06 |
| 1841890290 | Maria Malanych | Nurse Practitioner | 5731 Rosinweed Ln, Naperville, IL 60564-1635 | 2020-10-27 |
| 1639778160 | Roxanna Lee Gunnels | Nurse Practitioner | 1 Bronze Pointe Plaza Suite 1a, Swansea, IL 62226 | 2020-10-26 |
| 1295334811 | Mary Farley | Nurse Practitioner | 7308 Northwood Dr, Wonder Lake, IL 60097-8606 | 2020-10-24 |
| 1164021168 | Stephanie Schuster | Nurse Practitioner | 2665 Prairieview Ln N, Aurora, IL 60502-6343 | 2020-10-21 |
| 1316546641 | Vanessa K Bajaj | Nurse Practitioner | 1123 N Claremont Dr, Palatine, IL 60074-4002 | 2020-10-19 |
| 1003414442 | Gachugu Medical Clinic | Nurse Practitioner | 1 E Ferguson Ave, Wood River, IL 62095-1903 | 2020-10-16 |
| 1477151272 | Yolanda K Bradford | Nurse Practitioner | 2700 S California Ave, Chicago, IL 60608-5108 | 2020-10-14 |
| 1265030019 | Andrea Mclean | Nurse Practitioner | 2500 W Reynolds St # 205, Pontiac, IL 61764-9774 | 2020-10-14 |
| 1558968628 | Timothy Nenoff | Nurse Practitioner | 24722 Lincolnway St, Plainfield, IL 60544-2412 | 2020-10-02 |
| Find all providers with the same taxonomy | ||||
| City | PEORIA HEIGHTS |
| Zip Code | 61616 |
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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.