ASHLEY BLOUGH (NPI# 1770011397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770011397 |
Entity Type | Individual |
Full Name | ASHLEY BLOUGH |
Other Name | ASHLEY SCHULTZ |
Practice Address |
150 W High St Morris IL 60450 |
Mailing Address |
725 School St Ste A Morris IL 60450-1207 |
Practice Telephone | 8159422932 |
Practice Fax Number | 8154166097 |
Mailing Telephone | 8159419124 |
Mailing Fax Number | 8159414363 |
Enumeration Date | 2017-05-25 |
Last Update Date | 2020-04-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209015876 | IL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | IL LICENSE | 209015876 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
21354 Willow Pass, Shorewood, IL 604048237 | 8155925431 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366097479 | Ashley Blough | Occupational Therapist | 297 Bryson Cir, Hampton, VA 23666-4398 | 2019-08-06 |
Street Address |
150 W HIGH ST |
City | MORRIS |
State | IL |
Zip Code | 60450 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962407197 | David D Vanderkin | Radiology | 150 W High St, Morris, IL 60450-1463 | 2005-06-15 |
1043856867 | Taelor Anne Stuedemann | Registered Nurse | 150 W High St, Morris, IL 60450-1463 | 2019-11-27 |
1548717333 | Elizabeth Behning | Dietitian, Registered | 150 W High St, Morris, IL 60450-1463 | 2016-09-08 |
1265988505 | Stacy Rivara | Nurse Practitioner | 150 W High St, Morris, IL 60450-1463 | 2016-08-28 |
1295197481 | Kanchan Tiwari | Internal Medicine | 150 W High St, Morris, IL 60450-1497 | 2016-03-25 |
1982061669 | Elizabeth Ann Cacello | Nurse Practitioner | 150 W High St, Morris, IL 60450-1463 | 2016-01-26 |
1851761886 | Cheryl Cullison | Dietitian, Registered | 150 W High St, Morris, IL 60450-1463 | 2015-10-02 |
1881073708 | Anurag Satsangi | Internal Medicine | 150 W High St, Morris, IL 60450-1497 | 2015-05-26 |
1821493768 | Noreen B Reaney | Nurse Practitioner | 150 W High St, Morris, IL 60450-1463 | 2014-11-04 |
1578965489 | Morris Hospital | Pharmacy | 150 W High St, Morris, IL 60450 | 2014-09-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376144691 | Jessica Kubinski | Occupational Therapist | 1051 W, Us-6, Morris, IL 60450 | 2020-11-03 |
1922646652 | Anna Doherty | Counselor | Crossroads Counseling Services, 1802 N Division St Suite 509, Morris, IL 60450 | 2019-12-12 |
1003353764 | Crossroads Counseling Services, LLC | Community/Behavioral Health | 1802 N Division Street, Suite 509, Morris, IL 60450 | 2017-01-19 |
1780128249 | Lori Lynn Peterson | Nurse Practitioner | 8805 N Tabler Road, Health & Wellness Clinic, Morris, IL 60450 | 2016-12-18 |
1639613532 | Jodi Lynn Valencia | Licensed Practical Nurse | 114 E. Benton St., Morris, IL 60450 | 2016-12-12 |
1184001844 | Ashish G. Suthar | Pharmacist | 1600 West Route 6, Morris, IL 60450 | 2015-05-01 |
1255690574 | Tammy S. Zweeres | Nurse Practitioner | 936 W. U.S. Route 6, Morris, IL 60450 | 2012-05-07 |
1952682742 | Marie E Monhardt | Nurse Practitioner | 801 So Washington Str, Naperville, IL 60450 | 2011-09-07 |
1093024200 | Diane Marie Zuelke | Nurse Practitioner | 1802 N Division St Ste 703, Morris, IL 60450 | 2010-10-05 |
1063669182 | Athletic & Therapeutic Institute of Naperville, LLC | Physical Therapist | 201 East U.S. Route 6, Morris, IL 60450 | 2008-08-20 |
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Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831665231 | Katrina K Berres | Nurse Practitioner | 1722 Carol Anne Dr, Morris, IL 60450-9033 | 2018-10-23 |
1093024200 | Diane Marie Zuelke | Nurse Practitioner | 1802 N Division St Ste 703, Morris, IL 60450 | 2010-10-05 |
1558989830 | Rachel Irene Kloehn | Nurse Practitioner | 400 E 1st St, Morris, MN 56267-1408 | 2020-07-13 |
1518590827 | Aimee Howe | Nurse Practitioner | 1715 N Division St Ste A, Morris, IL 60450-3122 | 2020-02-14 |
1437798436 | Suling Li | Nurse Practitioner | 219 Bedford Rd, Morris, IL 60450-1442 | 2019-12-23 |
1144867318 | Rachel Lee Pappenfus | Nurse Practitioner | 400 E 1st St, Morris, MN 56267-1408 | 2019-12-05 |
1609437714 | Kelley Mikkelson | Nurse Practitioner | 24 E 7th St, Morris, MN 56267-1312 | 2019-06-28 |
1962062489 | Nicole Renee Raths | Nurse Practitioner | 400 E 1st St, Morris, MN 56267-1408 | 2019-06-17 |
1871057646 | Kellianne Kim | Nurse Practitioner | 400 E 1st St, Morris, MN 56267-1408 | 2019-01-25 |
1164913430 | Stefanie Henline | Nurse Practitioner | 1499 Lakewood Dr Ste H, Morris, IL 60450-1711 | 2018-05-22 |
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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.