MS. CHONTAY L MCKAY (NPI# 1649622622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649622622 |
| Entity Type | Individual |
| Full Name | MS. CHONTAY L MCKAY |
| Credential | FNP-C |
| Practice Address |
601 James R Thompson Blvd Building D, Suite 2015 East Saint Louis IL 62201-1129 |
| Mailing Address |
1013 Timberwood Trails Dr Florissant MO 63031-7511 |
| Practice Telephone | 6184826959 |
| Practice Fax Number | 6184828311 |
| Mailing Telephone | 3143132804 |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2020-04-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2015043224 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
209014333 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
2015043224 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | PENDING | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1013 Timberwood Trails Dr, Florissant, MO 630317511 | 3143132804 |
| Street Address |
601 JAMES R THOMPSON BLVD BUILDING D, SUITE 2015 |
| City | EAST SAINT LOUIS |
| State | IL |
| Zip Code | 62201-1129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831291830 | Linda Washington Omondi | Nurse Practitioner | 601 James R Thompson Blvd, Building D, Suite 2015, East Saint Louis, IL 62201-1129 | 2006-09-01 |
| 1992153639 | Megan Degroot | Counselor | 601 James R Thompson Blvd, Building D, Suite 2015, East Saint Louis, IL 62201-1129 | 2016-06-02 |
| 1104230168 | Board of Trustees of Southern Illinois University | Clinic/Center | 601 James R Thompson Blvd, Building D, Suite 2015, East Saint Louis, IL 62201-1129 | 2014-06-18 |
| 1427470368 | Kim Wenona White | Clinical Nurse Specialist | 601 James R Thompson Blvd, Building D, Suite 2015, East Saint Louis, IL 62201-1129 | 2014-01-13 |
| 1467753459 | Janet C Whitworth | Nurse Practitioner | 601 James R Thompson Blvd, Bldg D 2015, East Saint Louis, IL 62201-1129 | 2010-11-08 |
| 1518140326 | Southern Illinois University Edwardsville | Clinic/Center | 601 James R Thompson Blvd, Building D 2015, East Saint Louis, IL 62201-1129 | 2007-12-14 |
| 1215078928 | Theresa M Benassi-powles | Nurse Practitioner | 601 James R Thompson Blvd, Building D 2015, East Saint Louis, IL 62201-1129 | 2007-02-08 |
| 1205976636 | Virginia L Behrhorst | Nurse Practitioner | 601 James R Thompson Blvd, Building D 2015, East Saint Louis, IL 62201-1129 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417593724 | Brighter Hope Inc | Clinic/Center | 1400 E. Broadway, East St Louis, IL 62201 | 2019-11-21 |
| 1659759918 | Olde Tyme Optical | Technician/Technologist | 100 N. 8th St E., Suite 264, E. St. Louis, IL 62201 | 2015-05-07 |
| 1689890006 | Carrie Ann Settlemoir | Chiropractor | 699 Rte. 203, Suite 101, E.st.louis, IL 62201 | 2007-04-17 |
| 1659417582 | Brett Irvin | Dentist | 1511 East Broadway, St Louis, IL 62201 | 2007-01-29 |
| 1386700771 | Laura A. Collier | Registered Nurse | 540 North 6th Street, East Saint Louis, IL 62201 | 2006-12-29 |
| 1366508053 | Yetzenia Aramis Arauz | Registered Nurse | 2568 North 41st Street, Fairmont City, IL 62201 | 2006-12-28 |
| 1255426466 | Hee Man Song | Specialist | 100 North 8th Street, Suite 232, East St Louis, IL 62201 | 2006-10-04 |
| 1821109737 | Richard Joseph Fleming | Physical Therapist | 144 Lincoln Place Ct, Suite 1, Belleville, IL 62201 | 2006-08-31 |
| 1942510508 | Southern Illinois Health Care Foundation, Inc. | Family Medicine | 505 S 8th St, East Saint Louis, IL 62201 | 2010-10-18 |
| 1104157437 | United We Trust Home Care | Case Management | 327 Missouri Ave, Suite 300, East Saint Louis, IL 62201 | 2010-01-27 |
| Find all providers in zip 62201 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043704349 | Tina Teresa Mond | Nurse Practitioner | 100 N 8th St Ste 120, East Saint Louis, IL 62201-2989 | 2018-06-19 |
| 1730232083 | Cheryl V Acker | Nurse Practitioner | 638 N 20th St, East Saint Louis, IL 62205-1812 | 2007-01-19 |
| 1053963470 | Stephanie Michelle Tate-patterson | Nurse Practitioner | 4901 State St, East Saint Louis, IL 62205-1356 | 2019-07-16 |
| 1710406962 | Christa R Dyson-spiller | Nurse Practitioner | 4901 State St, East Saint Louis, IL 62205-1356 | 2017-09-19 |
| 1467753459 | Janet C Whitworth | Nurse Practitioner | 601 James R Thompson Blvd, Bldg D 2015, East Saint Louis, IL 62201-1129 | 2010-11-08 |
| 1518130707 | Roberta Cheryl Pritchard-palmer | Nurse Practitioner | 100 N 8th St, East Saint Louis, IL 62201-2989 | 2008-04-08 |
| 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 | EAST SAINT LOUIS |
| Zip Code | 62201 |
Please comment or provide details below to improve the information on MS. CHONTAY L MCKAY.
| 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.