MS. NICOLE S. NETTGEN (NPI# 1730212309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730212309 |
| Entity Type | Individual |
| Full Name | MS. NICOLE S. NETTGEN |
| Credential | CNM |
| Practice Address |
375 N Wall St Suite P630 Kankakee IL 60901-3483 |
| Mailing Address |
1007 Lark Ln Shorewood IL 60404-9649 |
| Practice Telephone | 8159334510 |
| Practice Fax Number | 8159334259 |
| Mailing Telephone | 8159334510 |
| Mailing Fax Number | 8159334259 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2017-02-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367A00000X | Advanced Practice Midwife | 209-003302 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
375 N WALL ST SUITE P630 |
| City | KANKAKEE |
| State | IL |
| Zip Code | 60901-3483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841285301 | Roger Leon Taylor | Obstetrics & Gynecology | 375 N Wall St, Suite P410, Kankakee, IL 60901-3483 | 2005-09-12 |
| 1497112684 | Julie Richardson | Nurse Practitioner | 375 N Wall St, Kankakee, IL 60901-3483 | 2016-01-20 |
| 1871824987 | Emily C Rodriguez | Physician Assistant | 375 N Wall St, Suite P530, Kankakee, IL 60901-3483 | 2010-01-29 |
| 1740434760 | Hearing Things, Inc. | Hearing Aid Equipment | 375 N Wall St, Suite P620, Kankakee, IL 60901-3483 | 2008-11-05 |
| 1649422619 | Kristin Marie Balthazor | Physician Assistant | 375 N Wall St, Ste P530, Kankakee, IL 60901 | 2008-10-21 |
| 1891964649 | Patricia Joan Croix | Audiologist-Hearing Aid Fitter | 375 N Wall St, Suite P620, Kankakee, IL 60901-3483 | 2008-02-26 |
| 1235349598 | Vikas K. Patel | Internal Medicine | 375 N Wall St, Ste 310, Kankakee, IL 60901-3483 | 2007-05-23 |
| 1063538312 | Med-peds Associates,p.c. | Internal Medicine | 375 N Wall St, Ste P520, Kankakee, IL 60901-3483 | 2007-03-21 |
| 1669556593 | John V Jurica | Family Medicine | 375 N Wall St, Suite P510, Kankakee, IL 60901-3483 | 2006-10-25 |
| 1588748420 | Ruth Leshen | Nurse Practitioner | 375 N Wall St, Suite P510, Kankakee, IL 60901-3483 | 2006-10-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978841 | William Mitsos Dds | Dentist | 1291 S. 7th Ave, Kankakee, IL 60901 | 2020-09-30 |
| 1922653682 | Jody Mcguyer, Lcpc, Cadc Counseling Services, LLC | Counselor | 315 W. Court St., Kankakee, IL 60901 | 2019-08-08 |
| 1700346327 | Sarah Elizabeth Toma | Speech-Language Pathologist | 200 E Court St #708, Kankakee, IL 60901 | 2019-03-20 |
| 1710473160 | Small Talk Speech Services, LLC | Clinic/Center | 1439 W Vanmeter St, Kankakee, IL 60901 | 2018-07-09 |
| 1124538004 | Amy J Green | Physical Therapist | 350 N. Wall Street, Kankakee, IL 60901 | 2017-10-05 |
| 1013457514 | Elizabeth Ann Smith | Registered Nurse | 292 Charlton Lane, Kankakee, IL 60901 | 2017-03-02 |
| 1861931461 | Stacey E. Brown | Nurse Practitioner | 207 N. Schuyler Ave., Kankakee, IL 60901 | 2017-02-15 |
| 1417352105 | Provider Healthcare Services, Inc | Home Health | 555 South Schuyler, Suite 275, Kankakee, IL 60901 | 2014-10-24 |
| 1265850655 | Ronald George Testa | Dentist | 202 N. Schuyler Ave, Kankakee, IL 60901 | 2014-04-02 |
| 1245587898 | Mary Beth Wertz | Registered Nurse | 100 N Jeffery Street, Kankakee, IL 60901 | 2012-08-13 |
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| Taxonomy Code | 367A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Advanced Practice Midwife |
| Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM). |
| Notes: Source: American College of Nurse-Midwives, 2008 [7/1/2008: title changed, defintion changed, source changed] Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649810987 | Alisha M Wesley | Advanced Practice Midwife | 375 N Wall St Ste P410, Kankakee, IL 60901-3491 | 2020-01-15 |
| 1003199951 | Jennifer S Klump | Advanced Practice Midwife | 500 W Court St, Kankakee, IL 60901-3661 | 2011-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487260428 | Sherri Lea Lynn | Advanced Practice Midwife | 2855 State Route 147, Vienna, IL 62995-3804 | 2020-09-16 |
| 1386255974 | Dr. Jacynia Women's Care Consulting, LLC | Advanced Practice Midwife | 6609 S University Ave, Chicago, IL 60637-4319 | 2020-08-16 |
| 1578197851 | Heather Breneisen Mena | Advanced Practice Midwife | 569 Shorely Dr, Barrington, IL 60010-3340 | 2020-02-26 |
| 1679116404 | Gentle Birth Care, Inc. | Advanced Practice Midwife | 130 W Willow Ave, Wheaton, IL 60187-5237 | 2019-10-24 |
| 1689238057 | Sarah Lynn Wayne | Advanced Practice Midwife | 250 E Superior St Fl 8, Chicago, IL 60611-2914 | 2019-04-30 |
| 1912476813 | Stephanie Gentry Martinez | Advanced Practice Midwife | 1024 North Blvd Ste 208, Oak Park, IL 60301-1149 | 2018-11-20 |
| 1518435130 | Amanda Bakken | Advanced Practice Midwife | 250 Center Dr Ste 101, Vernon Hills, IL 60061-1582 | 2018-11-13 |
| 1043792641 | Mallory Marie Klocke | Advanced Practice Midwife | 1117 W Lunt Ave Apt 2a, Chicago, IL 60626-3537 | 2018-08-30 |
| 1912423856 | My Mindful Birth, Inc. | Advanced Practice Midwife | 225 W Jefferson Ave Ste 104, Naperville, IL 60540-5312 | 2017-08-22 |
| 1871028746 | Margaret Ladner | Advanced Practice Midwife | 2043 W Thomas St, Chicago, IL 60622-3627 | 2017-04-27 |
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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.