MRS. LAURA E HERTZ (NPI# 1699082115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699082115 |
Entity Type | Individual |
Full Name | MRS. LAURA E HERTZ |
Credential | NP |
Practice Address |
8940 N Wood Sage Rd Peoria IL 61615-7822 |
Practice Telephone | 3092433000 |
Practice Fax Number | 3092433215 |
Mailing Telephone | 3092433000 |
Mailing Fax Number | 3092433215 |
Enumeration Date | 2010-09-03 |
Last Update Date | 2019-04-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
209.008331 | IL | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194939207 | Laura Susan Hertz | Psychologist | 312 Lincoln Woods, Lafayette Hill, PA 19444-1129 | 2007-05-09 |
Street Address |
8940 N WOOD SAGE RD |
City | PEORIA |
State | IL |
Zip Code | 61615-7822 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174522486 | Nguyet A Le-lindqwister | Internal Medicine | 8940 N Wood Sage Rd, Peoria, IL 61615-7822 | 2005-07-19 |
1548899834 | Kari A Breckenridge | Nurse Practitioner | 8940 N Wood Sage Rd, Peoria, IL 61615-7822 | 2020-04-07 |
1295364826 | Jessica Lemmerman | Nurse Practitioner | 8940 N Wood Sage Rd, Peoria, IL 61615-7822 | 2020-04-06 |
1992330583 | Heather R Pierce | Nurse Practitioner | 8940 N Wood Sage Rd, Peoria, IL 61615-7822 | 2020-03-04 |
1730713546 | Kim M Scott | Clinical Nurse Specialist | 8940 N Wood Sage Rd, Peoria, IL 61615-7822 | 2020-03-02 |
1609411743 | Holly Jo Delinski | Nurse Practitioner | 8940 N Wood Sage Rd, Peoria, IL 61615-7822 | 2019-11-13 |
1649825514 | Lindsey Lorraine Grys | Nurse Practitioner | 8940 N Wood Sage Rd, Peoria, IL 61615-7822 | 2019-08-07 |
1336706845 | Jennifer Mendaluk | Nurse Practitioner | 8940 N Wood Sage Rd, Peoria, IL 61615-7822 | 2019-05-21 |
1750843199 | Elizabeth M Berryman | Nurse Practitioner | 8940 N Wood Sage Rd, Peoria, IL 61615-7822 | 2019-04-04 |
1477010031 | Cynthia Salazar | Nurse Practitioner | 8940 N Wood Sage Rd, Peoria, IL 61615-7822 | 2019-03-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124627906 | Lance Jay Bucher | Occupational Therapist | 8600 Il-91, Peoria, IL 61615 | 2020-10-22 |
1093327496 | Angela Mitchell | Speech-Language Pathologist | 3903 W Ridgeview Dr, Peoria, IL 61615 | 2020-08-18 |
1578110680 | Emily E Buenting | Audiologist | 8600 Il Route 91, Suite 300, Peoria, IL 61615 | 2019-08-22 |
1730655572 | Sylwia M. Budzik | Physician Assistant | 8600 Illinois Rt. 91, Suite 300, Peoria, IL 61615 | 2018-10-19 |
1487169207 | Heather Hart | Registered Nurse | 9016 N. Scrimshaw Dr. Apt 104, Peoria, IL 61615 | 2017-12-04 |
1528586849 | Leanne Runyon | Speech-Language Pathologist | 10723 Collett Dr., Peoria, IL 61615 | 2017-09-07 |
1467974196 | Elizabeth A Mcleod | Nurse Practitioner | 8600 Illinois Route 91, Suite 130, Peoria, IL 61615 | 2017-07-14 |
1790223022 | Janet Warner | Counselor | 8914 North Prarie Court, Peoria, IL 61615 | 2017-02-07 |
1437524022 | Brooke Bisping | Dietitian, Registered | 7610 North Orange Prairie Road, Peoria, IL 61615 | 2015-12-08 |
1003292111 | Crystal Ann Casper | Dietitian, Registered | 7610 N Orange Prarie Road, Peoria, IL 61615 | 2015-07-31 |
Find all providers in zip 61615 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073141529 | Shannalee Senior | Nurse Practitioner | 12574 W Mazatzal Dr, Peoria, AZ 85383-0379 | 2020-03-31 |
1225501406 | Renae Springer | Nurse Practitioner | 736 Sw Washington St, Peoria, IL 61602-1665 | 2019-01-09 |
1962959346 | Paulina Simon | Nurse Practitioner | 14074 N 90th Dr, Peoria, AZ 85381-3678 | 2016-09-02 |
1952630311 | Laura Lynn Lefever | Nurse Practitioner | Honorhealth Medical Group West Thunderbird Road, 9191 W. Thunderbird Road Suite D-105, Peoria, AZ 85381 | 2009-12-15 |
1356404016 | Miao-ling Manns | Nurse Practitioner | 10315 W Robin Ln, Peoria, AZ 85383-2119 | 2006-12-17 |
1174508162 | Wayne A Weissinger | Nurse Practitioner | 13943 N 91st Ave, #h-101, Peoria, AZ 85381-3629 | 2005-12-13 |
1366444580 | Teresa L King | Nurse Practitioner | 9240 W Union Hills Dr Ste 100, Peoria, AZ 85382-8213 | 2005-06-01 |
1821444894 | Chp Care, PC | Nurse Practitioner | 25812 N 67th Dr, Peoria, AZ 85383-7135 | 2016-05-10 |
1053725879 | Jennifer Louise Simpson | Nurse Practitioner | 6818 W Thunderbird Rd, Peoria, AZ 85381-5025 | 2014-06-19 |
1609289743 | Jennifer Lynn Jacobs | Nurse Practitioner | 13128 N 94th Dr Ste 100, Peoria, AZ 85381-4252 | 2014-06-06 |
Find all providers in PEORIA |
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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.