TIBESSA LAWRENCE-ELLIS (NPI# 1679979298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679979298 |
| Entity Type | Individual |
| Full Name | TIBESSA LAWRENCE-ELLIS |
| Practice Address |
1099 W Army Trail Rd Bartlett IL 60103-3001 |
| Mailing Address |
2119 S 24th Ave Broadview IL 60155-2823 |
| Practice Telephone | 6303723120 |
| Mailing Telephone | 7082230873 |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2017-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209-012097 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1099 W ARMY TRAIL RD |
| City | BARTLETT |
| State | IL |
| Zip Code | 60103-3001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275637126 | Highland Park Cvs LLC | Pharmacy | 1099 W Army Trail Rd, Bartlett, IL 60103-3001 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467916593 | Nicole Taylor Gerdevich | Specialist/Technologist | 1302 Branden Lane, Bartlett, IL 60103 | 2019-01-23 |
| 1154817823 | Ada Oguejiofor | Registered Nurse | 269 Norway Drive, Bartlett, IL 60103 | 2018-07-06 |
| 1295153765 | Paul Alegro | Physical Therapy Assistant | 810 Seacrest Lane, Bartlett, IL 60103 | 2014-04-02 |
| 1184051211 | John Katsis | Dentist | 110 S. Oak Avenue, Bartlett, IL 60103 | 2013-10-03 |
| 1356786743 | Rajiv Puri PC | Dentist | 849 S Route 59, Bartlett, IL 60103 | 2013-04-30 |
| 1356786784 | Gilbert Noble Bael | Physical Therapist | 829 Carillon Drive, Bartlett, IL 60103 | 2013-04-29 |
| 1912282641 | Elaine S Tate | Pharmacist | 891 S. Route 59, Bartlett, IL 60103 | 2011-10-13 |
| 1104108968 | Sonal Vyas | Pharmacist | 891 S. Route 59, Bartlett, IL 60103 | 2011-09-16 |
| 1144502261 | Les Edward Wingert | Pharmacist | 891 South Route 59, Bartlett, IL 60103 | 2011-09-14 |
| 1629389564 | Hope Hebert | Counselor | 364 Sundance Drive, Bartlett, IL 60103 | 2010-06-25 |
| Find all providers in zip 60103 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588123277 | Rima K Thakkar | Nurse Practitioner | 768 Lambert Ln, Bartlett, IL 60103-2327 | 2019-03-13 |
| 1699257105 | Pooja Patel | Nurse Practitioner | 331 Veronica Cir, Bartlett, IL 60103-2304 | 2018-08-30 |
| 1730607672 | Holli Kervin Johnson | Nurse Practitioner | 6490 Memphis Arlington Rd Ste 106, Bartlett, TN 38135-7439 | 2017-08-30 |
| 1649688987 | Jennifer Potts | Nurse Practitioner | 2996 Kate Bond Rd Ste 305, Bartlett, TN 38133-4063 | 2014-07-30 |
| 1538454046 | Dawn M Barrom | Nurse Practitioner | 7424 Hwy 64, Suite 118, Bartlett, TN 38133 | 2011-06-13 |
| 1770749202 | Sandra Walker Nichols | Nurse Practitioner | 8488 Wolf Valley Ln, Bartlett, TN 38133-2883 | 2008-08-04 |
| 1164412193 | Rick J Lloyd | Nurse Practitioner | 2743 Summer Oaks Dr, Bartlett, TN 38134-2858 | 2005-10-21 |
| 1356971931 | Candice Scurlock | Nurse Practitioner | 2986 Kate Bond Rd, Bartlett, TN 38133-4003 | 2020-01-22 |
| 1881255610 | Ng Holdings | Nurse Practitioner | 7424 Hwy 64, Suite 118, Bartlett, TN 38133 | 2019-06-24 |
| 1366740375 | Linda Fay Lemon | Nurse Practitioner | 7865 Educators Lane, Suite 300 Lunceford Family Health Center, Bartlett, TN 38133 | 2011-03-01 |
| Find all providers in BARTLETT | ||||
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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.