HEATHER N. ROTHERT (NPI# 1740670736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740670736 |
Entity Type | Individual |
Full Name | HEATHER N. ROTHERT |
Other Name | HEATHER N. STEPHENS |
Credential | CPNP-PC |
Practice Address |
2200 Wabash Ave Springfield IL 62704-5352 |
Mailing Address |
1025 S 6th St Springfield IL 62703-2403 |
Practice Telephone | 2175287541 |
Mailing Telephone | 2175287541 |
Enumeration Date | 2015-01-28 |
Last Update Date | 2020-05-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
209012428 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2200 WABASH AVE |
City | SPRINGFIELD |
State | IL |
Zip Code | 62704-5352 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003867342 | Julie C Hart | Physician Assistant | 2200 Wabash Ave, Springfield, IL 62704-5352 | 2006-05-12 |
1760046288 | Clarissa A. Reed | Physician Assistant | 2200 Wabash Ave, Springfield, IL 62704-5352 | 2019-04-30 |
1386208619 | Jessica J. Sanders | Registered Nurse | 2200 Wabash Ave, Springfield, IL 62704-5352 | 2019-04-22 |
1508354622 | Jennifer Colleen Gostowski | Social Worker | 2200 Wabash Ave, Springfield, IL 62704-5352 | 2018-04-24 |
1225541188 | Springfield Clinic LLP | Non-Pharmacy Dispensing Site | 2200 Wabash Ave, Springfield, IL 62704-5352 | 2017-11-14 |
1568832137 | Taylor M. Manning | Physician Assistant | 2200 Wabash Ave, Springfield, IL 62704-5352 | 2015-09-25 |
1568877876 | Christopher Martinek | Family Medicine | 2200 Wabash Ave, Springfield, IL 62704-5352 | 2014-06-25 |
1033521323 | Jessica R. Stevens | Dietitian, Registered | 2200 Wabash Ave, Springfield, IL 62704-5352 | 2014-05-21 |
1295082261 | Melissa M. Osowski | Nurse Practitioner | 2200 Wabash Ave, Springfield, IL 62704-5352 | 2012-08-09 |
1770890162 | Bethany J. Mumbower | Physician Assistant | 2200 Wabash Ave, Springfield, IL 62704-5352 | 2010-09-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902394901 | Hillary Haaker | Occupational Therapist | 2035 W Iles, Suite C, Springfield, ID 62704 | 2018-04-25 |
1871095364 | Edward Doyle Slifer Sr. | Pathology | 2117 Greenside Drive, Spring Field, IL 62704 | 2018-03-01 |
1598263345 | Santarelli & Feller Dental Group | Dentist | 1140 Rickard Road, Suite B, Springfield, IL 62704 | 2018-01-26 |
1447774757 | Lisa Ann Rogers | Developmental Therapist | 2101 Lexington Dr, Apt 3, Springfield, IL 62704 | 2017-07-28 |
1730611286 | Mindi Rowe | Occupational Therapist | 2508 County Rd 4 1/2 E, Springfield, IL 62704 | 2017-04-03 |
1366992208 | Jayme Jordan | Contractor | 2409 Westchester Blvd, Springfield, IL 62704 | 2016-10-04 |
1154793974 | Dina Payne | Social Worker | 917 Clocktower Drive, Suite 600, Springfield, IL 62704 | 2015-10-21 |
1770959819 | James R Reynolds | Hearing Instrument Specialist | 2347 W Monroe St, Springfield, IL 62704 | 2015-08-12 |
1336576495 | Emily Jane Dungey | Counselor | 920 S Spring St Ste 1300, Springfield, IL 62704 | 2013-10-03 |
1942552161 | Jeannie Marie Hundley | Specialist/Technologist, Other | 2921 Monvale Drive, Springfield, IL 62704 | 2012-10-11 |
Find all providers in zip 62704 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568939684 | Katelyn Marie Reed | Nurse Practitioner | 415 N 9th St Ste 4w64, Springfield, IL 62702-5303 | 2018-10-26 |
1255813218 | Michelle Christine Bollinger | Nurse Practitioner | 415 N 9th St Ste 4w16, Springfield, IL 62702-5303 | 2018-09-05 |
1497205041 | Monica Hehir | Nurse Practitioner | 190 W Sproul Rd Ste 208, Springfield, PA 19064-2027 | 2016-10-06 |
1871986414 | Rachel Hoselton | Nurse Practitioner | 400 N 9th St Fl 4, Springfield, IL 62702 | 2015-03-06 |
1023369774 | Elyssa N Rapier | Nurse Practitioner | 1901 S Ventura Ave, Suite B, Springfield, MO 65804-2700 | 2012-09-20 |
1033285192 | Kay Ann Froemming | Nurse Practitioner | 225 Q St, Springfield, OR 97477 | 2006-11-28 |
1982787115 | Christine Plumb | Nurse Practitioner | 280 Tinkham Rd, Springfield, MA 01129-1935 | 2006-10-23 |
1053429761 | Kimberly Jean Andrews | Nurse Practitioner | 1965 S Fremont, Ste 260, Springfield, MO 65804-2257 | 2006-08-25 |
1649249566 | Sherry M Dailey | Nurse Practitioner | 2073 Olympic Street, Riverstone Clinic, Springfield, OR 97477-3413 | 2006-03-14 |
1518941004 | Connie J Vargas | Nurse Practitioner | 471 Northcrest Dr, Springfield, TN 37172-3973 | 2005-11-30 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 62704 |
Please comment or provide details below to improve the information on HEATHER N. ROTHERT.
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.