JENNIE R HACKMAN (NPI# 1740816065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740816065 |
| Entity Type | Individual |
| Full Name | JENNIE R HACKMAN |
| Credential | APN |
| Practice Address |
24600 W. 127th St, Bldg B, Ste # 340 Plainfield IL 60585-9507 |
| Practice Telephone | 8157319100 |
| Practice Fax Number | 8157319110 |
| Mailing Telephone | 8157319100 |
| Mailing Fax Number | 8157319110 |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2020-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
209.021030 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 24600 W 127th St Ste 325, Plainfield, IL 605859507 | 8157313000 |
| Street Address |
24600 W. 127TH ST, BLDG B, STE # 340 |
| City | PLAINFIELD |
| State | IL |
| Zip Code | 60585-9507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851918650 | Kaytlin Cearnal | Behavior Technician | 11914 Illinois Rte 59, Suite 124, Plainfield, IL 60585 | 2020-06-29 |
| 1891315503 | Erin Leigh Lehman | Social Worker | 11914 Illinois Rte 59 Suite 124, Plainfield, IL 60585 | 2020-04-22 |
| 1770112856 | Neuro Communication & Swallowing Therapy LLC | Speech-Language Pathologist | 13400 S. Route 59, Ste 116, Plainfield, IL 60585 | 2020-04-02 |
| 1407494891 | Samantha Lisa Delaney | Behavior Technician | 11914 Il-59, Plainfield, IL 60585 | 2019-12-16 |
| 1134767510 | Alexandra Marie Vosburgh | Behavior Technician | 11914 Il-59 S Unit 124, Plainfield, IL 60585 | 2019-12-16 |
| 1609419498 | Kristen Gomez | Occupational Therapist | 11914 Il Route 59, Suite 124, Plainfield, Il, IL 60585 | 2019-10-24 |
| 1073165411 | Kari Mild | Speech-Language Pathologist | 1183 Ford Court, Plainfield, IL 60585 | 2019-07-16 |
| 1700367810 | Monica Isabel Avelar | Behavior Technician | 11914 Illinois Route 59, Plainfield, IL 60585 | 2018-08-27 |
| 1427599901 | Harrinder Panglia | Occupational Therapist | 12800 Barrow Lane, Plainfield, IL 60585 | 2017-03-16 |
| 1942678990 | Jessica Akins | Speech-Language Pathologist | 12838 Blue Spruce Dr, Plainfield, IL 60585 | 2015-09-08 |
| Find all providers in zip 60585 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767587 | Ruth Yamoah-cofie | Nurse Practitioner | 1160 E 7th St, Plainfield, NJ 07062-1906 | 2020-10-13 |
| 1841804960 | Claudette L Blake | Nurse Practitioner | 890 Terrill Rd, Plainfield, NJ 07062-2250 | 2020-09-04 |
| 1518585942 | Tabs Behavioral Health Inc | Nurse Practitioner | 13316 Vicarage Dr, Plainfield, IL 60585-5050 | 2020-07-13 |
| 1902351711 | Johnson Babayemi | Nurse Practitioner | 33 Andover Ave, Plainfield, NJ 07062-1305 | 2016-08-22 |
| 1912466756 | Cecilia Anne Quigley | Nurse Practitioner | 24600 W 127th St Ste B325, Plainfield, IL 60585-9527 | 2019-03-19 |
| 1164721544 | Pathway To Wellness | Nurse Practitioner | 1010 Park Avenue, Suite 2c 2nd Floor, Plainfield, NJ 07060 | 2011-03-24 |
| 1548565880 | Christine Marie Dahl | Nurse Practitioner | 24600 W 127th St, Ste B325, Plainfield, IL 60585-9502 | 2011-01-18 |
| 1801109905 | Jadira Amill | Nurse Practitioner | 1010 Park Ave, Plainfield, NJ 07060-3024 | 2010-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790384451 | Ghea Tiping Degillo | Nurse Practitioner | 4711 Golf Rd Ste 500, Skokie, IL 60076-1208 | 2020-10-22 |
| 1750989620 | Rodney J Pena Jr. | Nurse Practitioner | 1362 Trotters Ln, Bourbonnais, IL 60914-4519 | 2020-10-13 |
| 1609482231 | Crystal Lynn Jordan | Nurse Practitioner | 638 Oakbrook Ave, Chatham, IL 62629 | 2020-09-18 |
| 1497369672 | Mojisola Abayemi Akinfe | Nurse Practitioner | 8572 Stone Creek Blvd, Frankfort, IL 60423-9338 | 2020-09-03 |
| 1508475039 | Hilary Eichie | Nurse Practitioner | 20025 Division St., Crest Hill, IL 60403 | 2020-07-30 |
| 1154946788 | Latisha Trenice Stennis | Nurse Practitioner | 8106 Carol Dr, East Saint Louis, IL 62203-1838 | 2020-06-09 |
| 1114549755 | Maria Andreea Bordeianu | Nurse Practitioner | 6050 N California Ave, Chicago, IL 60659-3916 | 2020-05-16 |
| 1104448968 | Abosede Rachel Babalola | Nurse Practitioner | 2214 Monarch St, Bourbonnais, IL 60914-2780 | 2020-05-14 |
| 1659909406 | Mudira Temilola Oyewole | Nurse Practitioner | 493 Leslie Ct, Des Plaines, IL 60016-8818 | 2020-03-28 |
| 1578190500 | Cari Ann Betts | Nurse Practitioner | 201 E Ogden Ave Ste 118, Hinsdale, IL 60521-3776 | 2020-03-27 |
| Find all providers with the same taxonomy | ||||
| City | PLAINFIELD |
| Zip Code | 60585 |
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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.