MISS KAYLA D MUMMEL (NPI# 1649703141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649703141 |
Entity Type | Individual |
Full Name | MISS KAYLA D MUMMEL |
Credential | RN |
Practice Address |
900 W Temple Ave Suite 101 Effingham IL 62401 |
Practice Telephone | 2173472500 |
Mailing Telephone | 2173472500 |
Mailing Fax Number | 2173429775 |
Enumeration Date | 2017-04-11 |
Last Update Date | 2017-04-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WR0006X |
Registered Nurse Specialization: Registered Nurse First Assistant |
041433036 | IL | Nursing Service Providers |
Street Address |
900 W TEMPLE AVE SUITE 101 |
City | EFFINGHAM |
State | IL |
Zip Code | 62401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467448456 | Bashar Alzahabi | Emergency Medicine | 900 W Temple Ave, Ste 103, Effingham, IL 62401-2186 | 2005-09-23 |
1275918393 | Kari Fulk | Registered Nurse | 900 W Temple Ave, Suite 101, Effingham, IL 62401-2121 | 2015-07-30 |
1326464520 | Jfj Eyecare Ltd | Optometrist | 900 W Temple Ave, Suite 104 & 105, Effingham, IL 62401-2121 | 2014-03-12 |
1770831323 | Kevin A Calder | Surgery | 900 W Temple Ave, Effingham, IL 62401 | 2012-08-29 |
1003179615 | St Anthony's Memorial Hospital Sis of Third Order of St Francis | Durable Medical Equipment & Medical Supplies | 900 W Temple Ave, Effingham, IL 62401-2121 | 2012-06-19 |
1083922090 | Paul D. Oltman, M.d., S.c. | Family Medicine | 900 W Temple Ave, Suite 204, Effingham, IL 62401-2121 | 2010-09-24 |
1811209786 | Sean R Morgan | Dentist | 900 W Temple Ave, Suite 208, Effingham, IL 62401-2121 | 2010-07-08 |
1154651776 | Southern Illinois Healthcare Foundation, Inc. | Dentist | 900 W Temple Ave, Suite 208, Effingham, IL 62401-2121 | 2010-01-04 |
1598998981 | Brandi Wood | Licensed Practical Nurse | 900 W Temple Ave, Suite 101, Effingham, IL 62401-2121 | 2009-09-01 |
1740439504 | Daniel L Shadle | Registered Nurse | 900 W Temple Ave, Effingham, IL 62401-2121 | 2008-09-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568021269 | Rhodes To Health, LLC | Chiropractor | 200 E. Fayette Ave, Effingham, IL 62401 | 2019-06-07 |
1467951699 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 903 N Maple St, Effingham, IL 62401 | 2018-02-02 |
1033632187 | Diel Counseling Inc. | Counselor | 444 S. Willow #7, Effingham, IL 62401 | 2017-07-20 |
1770930968 | Community Support Systems | Intermediate Care Facility, Mentally Retarded | 2311 Veterans Drive, Effingham, IL 62401 | 2016-05-18 |
1194107102 | Radhika Annam | Internal Medicine | 500 N. Maple St., Joslin Diabetes Center Affiliate At Hshs Medical Group, Effingham, IL 62401 | 2015-06-25 |
1912334558 | Ruben Boyajian, Md | Surgery | 904 Medical Park Drive, Suite 2, Effingham, IL 62401 | 2013-09-27 |
1427483502 | Daniel E Czajkowski | Physical Therapist | 2611 S Banker St, Effingham, Il, Effingham, IL 62401 | 2013-09-09 |
1093140501 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 1200 Network Centre Drive, Suite #2, Effingham, IL 62401 | 2013-09-04 |
1689926487 | Wellness Loft Inc. | Counselor | 408 South 4th St., Effingham, IL 62401 | 2012-10-04 |
1598011470 | Patricia R. Diel | Social Worker | 444 S. Willow, Suite 7, Effingham, IL 62401 | 2012-07-30 |
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Taxonomy Code | 163WR0006X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Registered Nurse First Assistant |
A perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon. |
Notes: Source: AORN Official Statement on RNFAs ratified by the AORN House of Delegates in 2004. [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275918393 | Kari Fulk | Registered Nurse | 900 W Temple Ave, Suite 101, Effingham, IL 62401-2121 | 2015-07-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356830681 | Anna Wiktoria Siepierska | Registered Nurse | 4220 W 95th St Ste 1000, Oak Lawn, IL 60453-2793 | 2018-05-02 |
1588040349 | Dana Young | Registered Nurse | 104 E Ashland Ave, Mt Zion, IL 62549-1271 | 2015-08-04 |
1700288115 | Susan Jean Brach | Registered Nurse | 393 South Williams Road, Inverness, IL 60067-4559 | 2014-09-17 |
1801298302 | Kim Opalacz | Registered Nurse | 17613 71st Ave, Tinley Park, IL 60477-3817 | 2014-09-16 |
1972843175 | Surgical Assistant Innovations, LLC | Registered Nurse | 1236 Shagbark Ct, Fox Lake, IL 60020-0806 | 2013-02-25 |
1386914430 | Barbara Sue Giffin | Registered Nurse | 305 W. Jackson Suite 402, Carbondale, IL 62901 | 2012-01-06 |
1255612537 | Jeanine Marie Tackla | Registered Nurse | 924 Burnham Ct, Glenview, IL 60025-4140 | 2011-08-31 |
1760623664 | Gerise M. Martinez | Registered Nurse | 8955 N 1000w Rd, Manteno, IL 60950-3587 | 2009-03-23 |
1518119650 | Shauna L Bostian | Registered Nurse | 12 Park Pl Ste B, Swansea, IL 62226-2923 | 2008-10-21 |
1194973636 | Janis Clare Jurkus | Registered Nurse | 5802 Staunton Rd, Edwardsville, IL 62025-6322 | 2008-09-08 |
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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.