MRS. JUDY G LATTA (NPI# 1659483303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659483303 |
| Entity Type | Individual |
| Full Name | MRS. JUDY G LATTA |
| Credential | M.S. |
| Practice Address |
1300 Charleston Ave Mattoon IL 61938-4016 |
| Mailing Address |
906 N Pembroke St Effingham IL 62401-3258 |
| Practice Telephone | 2172346405 |
| Practice Fax Number | 2172586136 |
| Mailing Telephone | 2172346405 |
| Mailing Fax Number | 2172586136 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
IL | Behavioral Health & Social Service Providers |
| Street Address |
1300 CHARLESTON AVE |
| City | MATTOON |
| State | IL |
| Zip Code | 61938-4016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790853265 | Elizabeth Mcqueen | Counselor | 1300 Charleston Ave, Mattoon, IL 61938-4016 | 2006-12-01 |
| 1609988724 | Lauren Bullard | Counselor | 1300 Charleston Ave, Mattoon, IL 61938-4016 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831134 | St Anthony's Memorial Hospital of The Hospital Sisters of The Third Or | Clinic/Center | 101 Coles Centre Pkwy, Ste 101, Mattoon, IL 61938 | 2020-04-30 |
| 1215436449 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 300 Coles Centre Pkwy, Mattoon, IL 61938 | 2018-02-02 |
| 1841707726 | Mattoon Chiropractic LLC | Chiropractor | 905 Remington Rd, Mattoon, IL 61938 | 2018-01-02 |
| 1164892758 | Dr. Charles L. Schnibben Ltd. | Dentist | 1502 Lakeland Blvd, Mattoon, IL 61938 | 2015-09-25 |
| 1982000139 | Judy A. Clark | Hearing Instrument Specialist | 1302 Charleston Avenue, Audibel Hearing Aids, Mattoon, IL 61938 | 2014-11-17 |
| 1023419884 | Christopher Steven Lillie | Physician Assistant | 200 Richmond Ave East, Family Medical Center, Mattoon, IL 61938 | 2014-09-11 |
| 1295055168 | Jennifer Harp | Mechanotherapist | 232 Richmond Ave East, Mattoon, IL 61938 | 2010-06-02 |
| 1447482682 | Gene Clark Hearing Aid Service | Hearing Aid Equipment | 208 Wabash, Mattoon, IL 61938 | 2009-08-21 |
| 1326229774 | Central Illinois Family Health Center | Nurse Practitioner | 10555 East County Rd 800 North, Mattoon, IL 61938 | 2007-11-14 |
| 1568656445 | Bernie Ranchero | Family Medicine | 1004 Health Center Dr Ste 210, Mattoon, IL 61938 | 2007-09-04 |
| Find all providers in zip 61938 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659321651 | Lorrie A Bierman | Counselor | 1518 Rudy Ave, Mattoon, IL 61938-5932 | 2006-05-11 |
| 1477097210 | Amanda Stout | Counselor | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2016-12-13 |
| 1023552023 | Jessica Milburn | Counselor | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2016-12-09 |
| 1205265816 | Beverly Joyce Bledsoe | Counselor | 312 N 2nd St, Mattoon, IL 61938-4452 | 2013-11-04 |
| 1194096784 | Krista A Taylor | Counselor | 2512 Hurst Dr, Mattoon, IL 61938-9200 | 2012-01-13 |
| 1760759500 | Megan Bennett | Counselor | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2011-11-22 |
| 1053649301 | Michel Dean Tozer | Counselor | 1005 Health Center Dr Ste 101, Mattoon, IL 61938-4693 | 2009-11-25 |
| 1811009863 | Lynette Ashmore | Counselor | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2006-08-31 |
| 1609988724 | Lauren Bullard | Counselor | 1300 Charleston Ave, Mattoon, IL 61938-4016 | 2006-08-31 |
| 1073625042 | Barbara E Estes | Counselor | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2006-08-31 |
| Find all providers in MATTOON | ||||
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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.