MARISSA BETH HAKE (NPI# 1679065742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679065742 |
Entity Type | Individual |
Full Name | MARISSA BETH HAKE |
Credential | RN |
Practice Address |
11020 State Route 250 Lawrenceville IL 62439-3379 |
Mailing Address |
11362 Country Club Rd Lawrenceville IL 62439-4325 |
Practice Telephone | 6189433754 |
Practice Fax Number | 6189433657 |
Mailing Telephone | 6189433754 |
Mailing Fax Number | 6189433657 |
Enumeration Date | 2018-06-04 |
Last Update Date | 2018-06-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163W00000X | Registered Nurse | 041425862 | IL | Nursing Service Providers |
Street Address |
11020 STATE ROUTE 250 |
City | LAWRENCEVILLE |
State | IL |
Zip Code | 62439-3379 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770515728 | Kimothy Ann Fulk | Nurse Practitioner | 11020 State Route 250, Lawrenceville, IL 62439-3379 | 2006-07-07 |
1417511619 | Jodi Stone | Counselor | 11020 State Route 250, Lawrenceville, IL 62439-3379 | 2019-04-24 |
1396200531 | Andrew F. Caldwell | Counselor | 11020 State Route 250, Lawrenceville, IL 62439 | 2019-02-01 |
1649773946 | Angela Parish | Nurse Practitioner | 11020 State Route 250, Lawrenceville, IL 62439-3379 | 2018-03-13 |
1144739194 | Logan Kermicle | Counselor | 11020 State Route 250, Lawrenceville, IL 62439 | 2017-09-21 |
1578018172 | Leslie K Shan | Counselor | 11020 State Route 250, Lawrenceville, IL 62439 | 2016-08-24 |
1982055687 | David Patrick Penk | Counselor | 11020 State Route 250, Lawrenceville, IL 62439 | 2016-06-24 |
1366824559 | Emily Michele Brown | Counselor | 11020 State Route 250, Lawrenceville, IL 62439 | 2015-06-24 |
1205233822 | Jenna Gonzalez | Counselor | 11020 State Route 250, Lawrenceville, IL 62439-3379 | 2014-11-25 |
1497151641 | Sarah Fehrenbacher | Counselor | 11020 State Route 250, Lawrenceville, IL 62439-3379 | 2014-11-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801406590 | Allyson Fiscus | Nurse Practitioner | 11020 Il-250, Lawrenceville, IL 62439 | 2020-08-06 |
1164071700 | Lauren E Welton | Case Manager/Care Coordinator | 11362 Country Club Road, Lawrenceville, IL 62439 | 2019-09-06 |
1962063354 | Connie Deckard | Counselor | Lawrence County Health Department Behavior Health, 11020 State Route 250, Lawrenceville, IL 62439 | 2019-06-26 |
1225485527 | Megan Joergens | Social Worker | 11120 State Route 250, Lawrenceville, IL 62439 | 2016-05-17 |
1235509456 | Christy M Wimberly | Private Vehicle | 1417 Dubios St., Lawrenceville, IL 62439 | 2015-09-30 |
1144637521 | Joy Singson Uy | Physical Therapist | 2101 James St United Methodist Village North, Lawrenceville, IL 62439 | 2014-07-17 |
1760791792 | Lawrence Co | Secured Medical Transport (VAN) | 2009 Lexington Ave, Lawrenceville, IL 62439 | 2010-09-24 |
1134358922 | Lawrence County Health Department | Public Health or Welfare | Rural Route3 Box 430, Lawrenceville, IL 62439 | 2009-07-14 |
1366678161 | Judith Joan Phipps | Counselor | Rr1 Box 277, Lawrenceville, IL 62439 | 2009-06-08 |
1366648784 | S. Hurn Baek | Radiology | Lawrence County Memorial Hospital, Radiology, 2200 W. State St., Lawrenceville, IL 62439 | 2007-06-22 |
Find all providers in zip 62439 |
Taxonomy Code | 163W00000X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
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1770028409 | Sevara Jean Bailey | Registered Nurse | 1901 Shadwell Way # 5g, Lawrenceville, GA 30043-4908 | 2017-01-04 |
1104368273 | Vernica Anderson | Registered Nurse | 10523 Maple Leaf Dr, Lawrenceville, NJ 08648-1231 | 2016-11-07 |
1619334562 | Kimberley Renee Cole | Registered Nurse | 575 Professional Dr., Suite 150, Lawrenceville, GA 30046 | 2016-01-23 |
1366816639 | Hazel Santos | Registered Nurse | 2208 Wildcat Cliffs Ln, Lawrenceville, GA 30043-2964 | 2015-11-24 |
Find all providers in LAWRENCEVILLE |
City | LAWRENCEVILLE |
Zip Code | 62439 |
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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.