ADVANTAGE HEALTH PROVIDERS, INC (NPI# 1730433384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730433384 |
| Entity Type | Organization |
| Organization Name | ADVANTAGE HEALTH PROVIDERS, INC |
| Practice Address |
2460 Hanbury Ln Montgomery IL 60538-5049 |
| Practice Telephone | 6302672627 |
| Practice Fax Number | 6305036600 |
| Mailing Telephone | 6302672627 |
| Mailing Fax Number | 6305036600 |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2012-11-05 |
| Authorized Official Name | VICTORIA D FAUSTINO (PRESIDENT) |
| Authorized Official Telephone | 6302672627 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209.006796 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2460 HANBURY LN |
| City | MONTGOMERY |
| State | IL |
| Zip Code | 60538-5049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063735413 | Advance Health Providers LLC | Nurse Practitioner | 2460 Hanbury Ln, Montgomery, IL 60538-5049 | 2010-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447594296 | Kristina Nancy Hajek | Physician Assistant | 1851 Douglas Road, Montgomery, IL 60538 | 2012-11-17 |
| 1003025248 | Matthew Thomas Neu | Preventive Medicine | 325 Route 31, Caterpillar Inc, Medical Division, Montgomery, IL 60538 | 2007-05-22 |
| 1477761567 | West Suburban Dental Care, Ltd. | Dentist | 1901 Douglas Rd, Montgomery, IL 60538 | 2007-05-20 |
| 1093834079 | David D Leger | Chiropractor | 2100 Baseline Rd, Montgomery, IL 60538 | 2007-03-28 |
| 1790816650 | Tina Elizabeth Sunderland | Specialist/Technologist | 22 Ashlawn Ave, Montgomery, IL 60538 | 2007-03-09 |
| 1720126535 | Nicholas George Tzanetakos | Family Medicine | 99 Boulder Hill Pass, Montgomery, IL 60538 | 2007-02-02 |
| 1184638603 | Neil Stewart Schlupp | Chiropractor | 212 Webster Street, Montgomery, IL 60538 | 2006-07-28 |
| 1275570061 | Ridge Ambulance Service Inc | Ambulance | 1851 Aucutt Rd, Montgomery, IL 60538 | 2006-06-01 |
| 1487855839 | Linda Gioia Arrich | Dentist | 1901 Douglas Rd, Montgomery, IL 60538 | 2007-05-31 |
| 1750508339 | Michael Harry Kontos | Dentist | 20 Boulder Hill Pass, Montgomery, IL 60538 | 2007-04-18 |
| Find all providers in zip 60538 | ||||
| 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 |
|---|---|---|---|---|
| 1326528696 | Agnes Oberkor | Nurse Practitioner | 201 Monroe St Ste 1440, Montgomery, AL 36104-3704 | 2018-08-16 |
| 1720503287 | Kimberly Ann Corona | Nurse Practitioner | 488 St. Lukes Dr., Montgomery, AL 36117 | 2017-08-07 |
| 1720537335 | Cynthia Renne' Barrett | Nurse Practitioner | 1231 Perry Hill Road, Suite C, Montgomery, AL 36109 | 2016-09-23 |
| 1568895589 | Amanda Dease Hargrove | Nurse Practitioner | 2065 E South Blvd Ste 401, Montgomery, AL 36116-2462 | 2013-08-13 |
| 1053750315 | Janet Marie Reed | Nurse Practitioner | 1758 Park Pl Ste 100, Montgomery, AL 36106-1133 | 2013-06-20 |
| 1215285879 | Lindsey T Barton | Nurse Practitioner | 7461 East Drive, Ste 102, Montgomery, AL 36117-2714 | 2012-08-29 |
| 1194043141 | Julie Pavach | Nurse Practitioner | 10506a Montgomery Rd, Montgomery, OH 45242-4402 | 2010-05-13 |
| 1740467745 | Megan Leigh Strickland | Nurse Practitioner | 114 Mitylene Park Ln, Montgomery, AL 36117-3758 | 2008-01-22 |
| 1427065630 | Dianne Kay Wills | Nurse Practitioner | 2105 East South Boulevard, Attn; Palliative Care, Montgomery, AL 36116-2509 | 2006-08-01 |
| 1962434027 | Steven E Cox | Nurse Practitioner | 700 Hyundai Blvd, Montgomery, AL 36105-9622 | 2006-07-07 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 60538 |
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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.