DR. JENNIFER FARRELL (NPI# 1700230539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700230539 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER FARRELL |
| Other Name | DR. JENNIFER LOOMIS |
| Credential | D.O. |
| Practice Address |
3 St. Elizabeth's Blvd, Ste. 4000 O'fallon IL 62269 |
| Practice Telephone | 6182567311 |
| Mailing Telephone | 6182567311 |
| Mailing Fax Number | 6182224790 |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2019-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036149493 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881714152 | Jennifer Lynn Farrell | Speech-Language Pathologist | 5312 Bolsa Ave Ste 105, Huntington Beach, CA 92649-1060 | 2007-03-30 |
| 1235788464 | Jennifer Farrell | Counselor | 444 Center St, Manchester, CT 06040-3926 | 2019-09-10 |
| 1912406380 | Jennifer Farrell | Social Worker | 209 S Kingshighway St, Saint Charles, MO 63301-1693 | 2018-02-12 |
| 1467968883 | Jennifer Farrell | Behavior Technician | 80 Washington St Ste P55, Norwell, MA 02061-1742 | 2017-12-21 |
| 1407380389 | Jennifer Farrell | Student in an Organized Health Care Education/Training Program | 464 Congress Ave, Suite #260, New Haven, CT 06519-1361 | 2017-04-17 |
| 1538524517 | Jennifer Ellen Farrell | Community Health Worker | 275 Prospect St, Norwood, MA 02062-1467 | 2015-12-17 |
| 1578951133 | Jennifer Farrell | Occupational Therapist | 1700 Pamalee Dr, Fayetteville, NC 28301-2824 | 2015-01-06 |
| 1255617064 | Jennifer Farrell | Counselor | 15850 W Bluemound Rd, Brookfield, WI 53005-6022 | 2011-10-25 |
| 1497082689 | Jennifer Ann Farrell | Physical Therapist | 1597 Lehigh St, Allentown, PA 18103-3813 | 2009-11-09 |
| 1558577403 | Jennifer Love Farrell | Psychiatry & Neurology | 3150 Bristol St Ste 400, Costa Mesa, CA 92626-3054 | 2007-05-15 |
| Street Address |
3 ST. ELIZABETH'S BLVD, STE. 4000 |
| City | O'FALLON |
| State | IL |
| Zip Code | 62269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648155 | Kayla Revermann | Pharmacist | 1350 W Us Highway 50, Pharmacy, O Fallon, IL 62269 | 2020-10-30 |
| 1942814272 | Ashley Monique Gibson | Behavior Technician | Eagle Center, Ste 10, Ofallon, IL 62269 | 2020-09-03 |
| 1013533819 | Michelle Denise Voudrie | Registered Nurse | 321 Regency Park, O'fallon, IL 62269 | 2020-06-18 |
| 1598398455 | Washington University Physicians In Illinois - Cancer Center Pharmacy | Pharmacy | 1418 Cross Street, Suite 180, Shiloh, IL 62269 | 2020-02-19 |
| 1962063800 | Gerald Paskert | Pharmacist | 122 W. State St., O'fallon, IL 62269 | 2019-06-21 |
| 1780144808 | Bonnie Jean Lampe | Physical Therapy Assistant | 316 Donna Dr, O'fallon, IL 62269 | 2019-03-24 |
| 1134633993 | Latisha Smith | Psychologist | 600 S. Smiley St., O'fallon, IL 62269 | 2017-11-30 |
| 1619407210 | Brenna M Thomas | Registered Nurse | 1310 Engle Ct, O'fallon, IL 62269 | 2017-06-15 |
| 1881135622 | Pc Associates, LLC | Family Medicine | 800 East Highway 50, O'fallon, IL 62269 | 2017-03-13 |
| 1700270816 | Kristen Kapalka Griffin | Obstetrics & Gynecology | 1170 Fortune Blvd, Shiloh, IL 62269 | 2015-03-26 |
| Find all providers in zip 62269 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881135622 | Pc Associates, LLC | Family Medicine | 800 East Highway 50, O'fallon, IL 62269 | 2017-03-13 |
| 1235452855 | Pc Associates LLC | Family Medicine | 310 North Seven Hills Road, O'fallon, IL 62269 | 2010-03-10 |
| 1184717019 | Pc Associates, LLC | Family Medicine | 310 N. Seven Hills Road, O'fallon, IL 62269 | 2006-10-02 |
| 1851957120 | Danyelle Nicole Beltz | Family Medicine | 3 St. Elizabeth's Blvd., Suite 4000, O'fallon, IL 62269-1284 | 2019-05-13 |
| 1073177051 | Mehwish Siddiqui | Family Medicine | 3 St. Elizabeth's Blvd., Suite 4000, O'fallon, IL 62269 | 2019-04-25 |
| 1720575053 | Hina Usman | Family Medicine | 3 St. Elizabeth's Blvd, Ste 4000, O'fallon, IL 62269 | 2018-04-23 |
| 1316034143 | Gregory Cesar Climaco | Family Medicine | 1512 N Green Mount Rd, Suite 108, O'fallon, IL 62269-1953 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911495 | Moataz Barkat | Family Medicine | 3315 W 66th Pl, Chicago, IL 60629-3427 | 2020-10-26 |
| 1558969964 | Nicole Kerner | Family Medicine | 310 Brandy Dr, Mackinaw, IL 61755-9707 | 2020-10-16 |
| 1285232991 | Healthy Medical Inc | Family Medicine | 535 N. East St., Suite A, Bradley, IL 60915 | 2020-10-14 |
| 1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
| 1790390805 | Kimberly Hannah Kupferberg | Family Medicine | 1103 Schaeffer Rd, Long Grove, IL 60047-5153 | 2020-09-15 |
| 1194330977 | Home Doctors for You | Family Medicine | 670 Illinois Blvd, Hoffman Est, IL 60169-3363 | 2020-09-09 |
| 1245844489 | Jovita Zalwango Nassolo | Family Medicine | 116 1/2 N Benton St Apt 2d, Woodstock, IL 60098-3272 | 2020-09-04 |
| 1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
| 1417565755 | Ghr Total Health and Consulting | Family Medicine | 11336 Mckenna Dr, Frankfort, IL 60423-8096 | 2020-07-22 |
| 1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
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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.