MONICA L LONGNECKER


Address: 6824 Newburg Rd, Rockford, IL 61108-4330
Phone: 7796967610

MONICA L LONGNECKER (NPI# 1639693617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639693617
Entity Type Individual
Full Name MONICA L LONGNECKER
Credential APN
Practice Address 6824 Newburg Rd
Rockford
IL 61108-4330
Mailing Address Po Box 1567
Rockford
IL 61110-0067
Practice Telephone 7796967610
Practice Fax Number 7796968592
Enumeration Date 2017-08-01
Last Update Date 2017-08-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 041-402043 IL Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
209-016457 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 6824 NEWBURG RD
City ROCKFORD
State IL
Zip Code 61108-4330

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104827641 Thomas M Schiller Family Medicine 6824 Newburg Rd, Rockford, IL 61108 2005-08-09
1073021762 Cassandra Vlk Alcock Nurse Practitioner 6824 Newburg Rd, Rockford, IL 61108-4330 2018-01-16
1093129835 Christopher Rhyne Family Medicine 6824 Newburg Rd, Rockford, IL 61108-4330 2014-06-19
1114360252 Lauren A Ives Family Medicine 6824 Newburg Rd, Rockford, IL 61108 2013-04-08
1225376288 Sumaira Iqbal Family Medicine 6824 Newburg Rd, Rockford, IL 61108-4330 2013-01-27
1215215744 Christina Tan Soriano Family Medicine 6824 Newburg Rd, Rockford, IL 61108-4330 2011-08-02
1902967391 Ralph W Everson Family Medicine 6824 Newburg Rd, Rockford, IL 61108 2006-12-12
1225126873 Swedishamerican Hospital Nurse Practitioner 6824 Newburg Rd, Rockford, IL 61108 2006-10-10
1821029091 Alvydas J Baris Family Medicine 6824 Newburg Rd, Rockford, IL 61108 2006-07-06
1790727766 Danny L Copeland Family Medicine 6824 Newburg Rd, Rockford, IL 61108-4330 2006-06-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952862617 Isr Enterprises, Inc. Homemaker 129 Phelps Ave, Bldg 10, Ste 1008, Rockford, IL 61108 2019-03-26
1003306465 Adrienne Nicole Black Behavior Technician 519 Woodland Dr, Woodland Dr, Rockford, IL 61108 2018-05-11
1184085201 Integrative Healing Center, LLC Clinic/Center 6019 Fincham Drive, Rockford, IL 61108 2016-03-17
1730547936 Perryville Dentist PC Dentist 845 S Perryville Rd, Unit 119, Rockford, IL 61108 2016-02-02
1023489853 Nicole Ping Ticknor Counselor 433 S. Phelps Ave., Suite 2, Rockford, IL 61108 2015-10-20
1275940348 Northwest Home Care, Inc. Home Health 1437 S. Bell School Road, Suite 7, Rockford, IL 61108 2014-07-21
1487072922 Alecia Greenlee Psychiatry & Neurology Rosecrance Community Mental Health, 3815 Harrison Avenue, Rockford, IL 61108 2014-04-02
1871925446 Maria Laura Gustafson Interpreter 3208 Wesleyan Ave., Rockford, IL 61108 2013-08-06
1346582822 Joseph Peevey Pathology 5666 E State Street, Department of Pathology, Rockford, IL 61108 2013-03-21
1134466923 James Henry Peck Hearing Instrument Specialist 2424 Charles St, Rockford, IL 61108 2013-01-14
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174138481 Kelly Ann Twigg Nurse Practitioner 5669 Shelley Rd, Rockford, OH 45882-9577 2020-09-14
1699389882 Mary Ann Shaw Nurse Practitioner 207 W Main Ave, Rockford, IA 50468-1213 2020-09-04
1124632922 Catherine Nwosu Nurse Practitioner 3455 Holiday Dr Apt 10, Rockford, IL 61109-2489 2020-08-31
1790314631 Toni A Hughart Nurse Practitioner 6000 E State St, Rockford, IL 61108-2521 2020-04-03
1578199220 Keli S Griseta Nurse Practitioner 3505 N Bell School Rd, Rockford, IL 61114-6624 2020-03-13
1457986069 Nicole P Falatic Nurse Practitioner 153 Glen Eagle Dr Ne, Rockford, MI 49341-1183 2020-03-04
1194367912 Matt J Kriebs Nurse Practitioner 1235 N Mulford Rd Suite 103, Rockford, IL 61107 2019-10-14
1952869943 Angela Marie Hawkins Nurse Practitioner 8201 E. Riverside Blvd, Pediatric Neurology, Rockford, IL 61114 2019-03-08
1487110540 Karrie Hagger Nurse Practitioner 7476 Countryshire Ln, Rockford, IL 61107-2774 2019-02-13
1336652700 Stacey Jo Caler Nurse Practitioner 363 Financial Ct Unit 300, Rockford, IL 61107-6671 2017-11-08
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Competitor

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City ROCKFORD
Zip Code 61108

Improve Information

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Dataset Information

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.

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