KIRSTIE ALI MCGRATH (NPI# 1639708688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639708688 |
Entity Type | Individual |
Full Name | KIRSTIE ALI MCGRATH |
Practice Address |
6 Hairpin Dr Edwardsville IL 62026-1000 |
Practice Telephone | 6186503956 |
Practice Fax Number | 6186503854 |
Mailing Telephone | 6186503956 |
Mailing Fax Number | 6186503854 |
Enumeration Date | 2020-04-02 |
Last Update Date | 2020-08-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209021435 | IL | Physician Assistants & Advanced Practice Nursing Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | 390200000X | IL | Student, Health Care |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
6 HAIRPIN DR |
City | EDWARDSVILLE |
State | IL |
Zip Code | 62026-1000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174140321 | Jane Marie Brown | Student in an Organized Health Care Education/Training Program | 6 Hairpin Dr, Edwardsville, IL 62026-1000 | 2020-07-02 |
1245856657 | Tyler R Tanzyus | Student in an Organized Health Care Education/Training Program | 6 Hairpin Dr, Edwardsville, IL 62026-1000 | 2020-06-22 |
1013533579 | Amanda Lorin Taylor Hawkins | Student in an Organized Health Care Education/Training Program | 6 Hairpin Dr, Edwardsville, IL 62026-1000 | 2020-06-22 |
1285250712 | Kaitlyn Sue Mcgough | Student in an Organized Health Care Education/Training Program | 6 Hairpin Dr, Edwardsville, IL 62026-1000 | 2020-06-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861018301 | Kari Kristine Hullinger | Student in an Organized Health Care Education/Training Program | Alumni Hall Room 2117, Edwardsville, IL 62026-0001 | 2020-06-21 |
1962028407 | Melissa Welge | Student in an Organized Health Care Education/Training Program | Southern Illinois University 6 Hairpin Dr, Edwardsville, IL 62026-0001 | 2020-06-21 |
1447876974 | Bailey Johnston | Student in an Organized Health Care Education/Training Program | 1 Hairpin Dr, Edwardsville, IL 62026-0001 | 2020-06-20 |
1649896374 | Abigail Kirstie Brohammer | Student in an Organized Health Care Education/Training Program | Siue School of Nursing Alumni Hall Room 2117, Edwardsville, IL 62026-0001 | 2020-06-18 |
1609498633 | Jenny Lieu | Student in an Organized Health Care Education/Training Program | 1 Hairpin Drive, Edwardsville, IL 62026-0001 | 2020-05-13 |
1174858005 | Sheryl L Salaris | Psychiatry & Neurology | Siue Health Counseling Services, Student Success Center, Rm. 0220, Edwardsville, IL 62026-0001 | 2009-10-09 |
1962659664 | Stacey M Thacker | Clinic/Center | 200 University Park Dr, Campus Box 2000, Edwardsville, IL 62026-0001 | 2008-08-25 |
1427182658 | Brian Shin | Dentist | 195 University Park Dr, Edwardsville, IL 62026-0001 | 2007-03-16 |
1164490736 | Gerald L Schlemer | Specialist/Technologist | Southern Illinois University Edwardsville, Campus Box 1129 Athletics, Edwardsville, IL 62026-0001 | 2006-03-09 |
1245847276 | Mai-linh Thi Nguyen | Student in an Organized Health Care Education/Training Program | 1 Hairpin Dr, Edwardsville, IL 62026-0001 | 2020-09-24 |
Find all providers in zip 62026 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790249449 | Amanda Marie Vogel | Nurse Practitioner | 4024 Sequoia Dr, Edwardsville, IL 62025-7710 | 2019-01-28 |
1083126353 | Gerthy Cipus Pierre | Nurse Practitioner | 1706 Cloverdale Dr, Edwardsville, IL 62025-5500 | 2017-10-26 |
1871614123 | Margaret Montibeller | Nurse Practitioner | Siue Health Service, Student Success Center, Edwardsville, IL 62026-1055 | 2007-04-03 |
1609304401 | Beth Ann Denmon | Nurse Practitioner | 6616 Center Grove Rd., Edwardsville, IL 62025 | 2017-05-24 |
1588078018 | Jacquelyn M. Clement | Nurse Practitioner | Southern Illinois University Edwardsville, School of Nursing, Edwardsville, IL 62026-1066 | 2014-06-12 |
1508086398 | Lisa Joan Duffy | Nurse Practitioner | 75 South Wyoming Avenue Suite 2, Edwardsville, PA 18704 | 2007-04-26 |
1285673780 | Jamie J Ott | Nurse Practitioner | 1181 S State Route 157, Suite 200c, Edwardsville, IL 62025-3710 | 2006-06-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538760277 | Jennifer Michelle Kennedy | Nurse Practitioner | 3006 Lakeview Dr, Metropolis, IL 62960-3119 | 2020-11-07 |
1881295541 | Britney Julia Durst | Nurse Practitioner | 5905 N Prospect Rd, Peoria, IL 61614-4311 | 2020-11-07 |
1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
1598365140 | Caitlyn Windsor | Nurse Practitioner | 24525 Grange Rd, Geneseo, IL 61254-8429 | 2020-10-31 |
1578163515 | Deanna Bassette | Nurse Practitioner | 243 E 31st St Apt 401, Chicago, IL 60616-5212 | 2020-10-29 |
1891395745 | Vrunda Shah Patel | Nurse Practitioner | 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 | 2020-10-29 |
1346840337 | Catherine Suh | Nurse Practitioner | 1380 Marcy Ln, Wheeling, IL 60090-4422 | 2020-10-28 |
Find all providers with the same taxonomy |
City | EDWARDSVILLE |
Zip Code | 62026 |
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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.