SAMANTHA ANN BANEY (NPI# 1679128730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679128730 |
Entity Type | Individual |
Full Name | SAMANTHA ANN BANEY |
Credential | APRN |
Practice Address |
2313 N Rockton Ave Rockford IL 61103-3618 |
Mailing Address |
15355 E Dees Dr Monroe Center IL 61052-9747 |
Practice Telephone | 8159642200 |
Practice Fax Number | 8159657722 |
Mailing Telephone | 8155430545 |
Enumeration Date | 2019-08-06 |
Last Update Date | 2019-08-06 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.019754 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1311 Parkview Ave, Rockford, IL 611071899 | 8153998832 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114419108 | Samantha Baney | Counselor | 404 Tatum St, Woodbury, NJ 08096-3499 | 2018-06-05 |
Street Address |
2313 N ROCKTON AVE |
City | ROCKFORD |
State | IL |
Zip Code | 61103-3618 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619983467 | Amberwood Care Centre LLC | Skilled Nursing Facility | 2313 N Rockton Ave, Rockford, IL 61103-3618 | 2006-08-01 |
1629527122 | Katherine Faye Achenbach | Speech-Language Pathologist | 2313 N Rockton Ave, Rockford, IL 61103-3618 | 2016-09-25 |
1245576735 | Ambd Property LLC | Skilled Nursing Facility | 2313 N Rockton Ave, Rockford, IL 61103-3618 | 2013-01-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598398497 | The Elitist Group | Home Health Aide | 2929 N Main Street, Rockford, IL 61103 | 2020-02-19 |
1972064194 | Mahita Bellamkonda | Student in an Organized Health Care Education/Training Program | 2400 North Rockton Avenue, Rockford, IL 61103 | 2019-03-29 |
1558538967 | Willows Health Center | Clinic/Center | 4143 Albright Lane, Rockford, IL 61103 | 2008-05-14 |
1497845135 | Humaira Bari | Internal Medicine | 2400 N. Rockton Avenue, Rockford, IL 61103 | 2006-10-13 |
1841385242 | Rachel Pawlowski | Occupational Therapist | 3616 N. Main Street, Rockford, IL 61103 | 2006-10-03 |
1417068438 | Alicia Anne Huntley | Midwife | 2400 Rockton Ave, Rockford, IL 61103 | 2006-08-31 |
1639190200 | Glendon Burress | Pediatrics | 2300 N. Rockton Ave., Rockford Health Physicians, Rockford, IL 61103 | 2006-07-21 |
1225065204 | Daniel William Johnson | Dentist | 519 Toner Av, Rockford, IL 61103 | 2006-06-27 |
1760472898 | Ronald Peter Oberfoell | Anesthesiology | 2400 North Rockton Ave, Rockford Health Physicians, Rockford, IL 61103 | 2005-10-28 |
1841752532 | Dipti Sabharwal | Student in an Organized Health Care Education/Training Program | 2400 N Rockton Avenue, Rockford, IL 61103 | 2019-04-02 |
Find all providers in zip 61103 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174138481 | Kelly Ann Twigg | Nurse Practitioner | 5669 Shelley Rd, Rockford, OH 45882-9577 | 2020-09-14 |
1699389882 | Mary Ann Shaw | Nurse Practitioner | 207 W Main Ave, Rockford, IA 50468-1213 | 2020-09-04 |
1124632922 | Catherine Nwosu | Nurse Practitioner | 3455 Holiday Dr Apt 10, Rockford, IL 61109-2489 | 2020-08-31 |
1790314631 | Toni A Hughart | Nurse Practitioner | 6000 E State St, Rockford, IL 61108-2521 | 2020-04-03 |
1578199220 | Keli S Griseta | Nurse Practitioner | 3505 N Bell School Rd, Rockford, IL 61114-6624 | 2020-03-13 |
1457986069 | Nicole P Falatic | Nurse Practitioner | 153 Glen Eagle Dr Ne, Rockford, MI 49341-1183 | 2020-03-04 |
1194367912 | Matt J Kriebs | Nurse Practitioner | 1235 N Mulford Rd Suite 103, Rockford, IL 61107 | 2019-10-14 |
1952869943 | Angela Marie Hawkins | Nurse Practitioner | 8201 E. Riverside Blvd, Pediatric Neurology, Rockford, IL 61114 | 2019-03-08 |
1487110540 | Karrie Hagger | Nurse Practitioner | 7476 Countryshire Ln, Rockford, IL 61107-2774 | 2019-02-13 |
1336652700 | Stacey Jo Caler | Nurse Practitioner | 363 Financial Ct Unit 300, Rockford, IL 61107-6671 | 2017-11-08 |
Find all providers in ROCKFORD |
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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.