MRS. KATELYN MARIE HAZELETT (NPI# 1700393139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700393139 |
| Entity Type | Individual |
| Full Name | MRS. KATELYN MARIE HAZELETT |
| Credential | NP |
| Practice Address |
3249 Oak Park Ave Berwyn IL 60402-3429 |
| Mailing Address |
635 Sedge Meadow Ave Romeoville IL 60446-3975 |
| Practice Telephone | 8152124079 |
| Mailing Telephone | 8152124079 |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2018-01-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209016822 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3249 OAK PARK AVE |
| City | BERWYN |
| State | IL |
| Zip Code | 60402-3429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982690830 | Mark Choi | Radiology | 3249 Oak Park Ave, Metropolitan Advanced Radiological Services, Ltd, Berwyn, IL 60402-3429 | 2005-09-26 |
| 1316553969 | Bridget Prendergast | Nurse Anesthetist, Certified Registered | 3249 Oak Park Ave, Berwyn, IL 60402-3429 | 2020-09-18 |
| 1033731914 | Nicolas Zuniga Penaranda | Student in an Organized Health Care Education/Training Program | 3249 Oak Park Ave, Berwyn, IL 60402-3429 | 2020-05-13 |
| 1508487786 | Jack Steven Schirmer | Family Medicine | 3249 Oak Park Ave, Berwyn, IL 60402-3429 | 2020-04-29 |
| 1750902003 | Peter Kim | Family Medicine | 3249 Oak Park Ave, Berwyn, IL 60402-0715 | 2020-04-28 |
| 1851911762 | Tucker Brush | Internal Medicine | 3249 Oak Park Ave, Berwyn, IL 60402-0715 | 2020-04-21 |
| 1225657497 | Yesenia Valdivia | Student in an Organized Health Care Education/Training Program | 3249 Oak Park Ave, Berwyn, IL 60402-3429 | 2020-04-08 |
| 1386273621 | Darryl Jon Giambalvo | Student in an Organized Health Care Education/Training Program | 3249 Oak Park Ave, Berwyn, IL 60402-0715 | 2020-04-08 |
| 1700415049 | Brett Patrick Nelson | Family Medicine | 3249 Oak Park Ave, Berwyn, IL 60402-0715 | 2020-04-08 |
| 1013546753 | Maria Ramirez | Family Medicine | 3249 Oak Park Ave, Berwyn, IL 60402-3429 | 2020-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619586518 | Lisa K Anderson-shaw | Clinical Ethicist | Macneal Trinity Medical Cetner, 3249 Oak Park Avenue, Berwyn, IL 60402 | 2020-07-27 |
| 1922622380 | Ayesha Ikram | Internal Medicine | Macneal Hospital 3249 S. Oak Park Ave, Brewyn, IL 60402 | 2020-06-02 |
| 1598329146 | Eleanor Teoh | Student in an Organized Health Care Education/Training Program | Family Medicine, Macneal Family Medicine Center, 3231 Eucild Ave, 5th Floor, Berwyn, IL 60402 | 2019-04-30 |
| 1376013920 | Virginia Mireles | Behavior Technician | 2317 S. Home, Berwyn, IL 60402 | 2018-11-27 |
| 1245709047 | Saraswati Koirala | Dentist | 1227 S Harlem Ave Apt414, Berwyn, IL 60402 | 2018-11-21 |
| 1295204220 | Dental Town Ltd | Dentist | 7106 W Cermak Rd, Berwyn, IL 60402 | 2018-11-20 |
| 1396231684 | Toya M Gildart | Counselor | Pillars, 6415 Stanley Avenue, Berwyn, IL 60402 | 2018-07-10 |
| 1437655685 | Ana Luisa Desantiago | Social Worker | 3245 Grove Ave Ste 201, Berwyn, IL 60402 | 2018-04-04 |
| 1821520198 | Chetan Velagapudi | Student in an Organized Health Care Education/Training Program | 3231 S Euclid Avenue, Suite 203, Berwyn, IL 60402 | 2017-03-28 |
| 1174976567 | Sydney Talavera | Counselor | 6415 Stanley Ave., Berwyn, IL 60402 | 2016-07-20 |
| Find all providers in zip 60402 | ||||
| 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 |
|---|---|---|---|---|
| 1366097826 | Claire Cunningham | Nurse Practitioner | 3249 Oak Park Ave, Berwyn, IL 60402-3429 | 2019-08-01 |
| 1104258276 | Mary Evans Greene | Nurse Practitioner | 685 Kromer Ave, Berwyn, PA 19312-1392 | 2013-07-31 |
| 1073803300 | Tatiana Saverino | Nurse Practitioner | 1001 Chesterbrook Blvd, Berwyn, PA 19312-3805 | 2011-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578523 | Kaitlin Lawson Kalnitz | Nurse Practitioner | 745 Mcclintock Dr Ste 360, Burr Ridge, IL 60527-0875 | 2020-11-06 |
| 1841890290 | Maria Malanych | Nurse Practitioner | 5731 Rosinweed Ln, Naperville, IL 60564-1635 | 2020-10-27 |
| 1639778160 | Roxanna Lee Gunnels | Nurse Practitioner | 1 Bronze Pointe Plaza Suite 1a, Swansea, IL 62226 | 2020-10-26 |
| 1295334811 | Mary Farley | Nurse Practitioner | 7308 Northwood Dr, Wonder Lake, IL 60097-8606 | 2020-10-24 |
| 1164021168 | Stephanie Schuster | Nurse Practitioner | 2665 Prairieview Ln N, Aurora, IL 60502-6343 | 2020-10-21 |
| 1316546641 | Vanessa K Bajaj | Nurse Practitioner | 1123 N Claremont Dr, Palatine, IL 60074-4002 | 2020-10-19 |
| 1003414442 | Gachugu Medical Clinic | Nurse Practitioner | 1 E Ferguson Ave, Wood River, IL 62095-1903 | 2020-10-16 |
| 1477151272 | Yolanda K Bradford | Nurse Practitioner | 2700 S California Ave, Chicago, IL 60608-5108 | 2020-10-14 |
| 1265030019 | Andrea Mclean | Nurse Practitioner | 2500 W Reynolds St # 205, Pontiac, IL 61764-9774 | 2020-10-14 |
| 1558968628 | Timothy Nenoff | Nurse Practitioner | 24722 Lincolnway St, Plainfield, IL 60544-2412 | 2020-10-02 |
| 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.