MRS. DEBORAH L COLLINS (NPI# 1821000217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821000217 |
Entity Type | Individual |
Full Name | MRS. DEBORAH L COLLINS |
Other Name | MRS. DEBORAH LYNN MORRISON |
Credential | PA-C |
Practice Address |
435 Maxine Dr Morton IL 61550-2498 |
Practice Telephone | 3092632424 |
Mailing Telephone | 3092632424 |
Enumeration Date | 2006-08-13 |
Last Update Date | 2012-05-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
085-003903 | IL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 085-003903 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376100149 | Deborah W Collins | Licensed Practical Nurse | 542 S Decatur Blvd, Las Vegas, NV 89107-3911 | 2019-05-28 |
1619277266 | Deborah W Collins | Pharmacist | 3737 North Roxboro St., Durham, NC 27704 | 2010-10-29 |
1801083654 | Deborah A Collins | Social Worker | 38 N 2nd St, Newport, PA 17074-1501 | 2007-09-26 |
1740282458 | Deborah Ann Collins | Nurse Practitioner | 12300 Highway A1a Alt, Suite 112, Palm Beach Gardens, FL 33410-2205 | 2005-08-12 |
1225545544 | Deborah Shenika Collins | Massage Therapist | 16100 Ne 16th Ave Ste B, North Miami Beach, FL 33162-4708 | 2018-01-08 |
1538569579 | Deborah Collins | Registered Nurse | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2014-08-27 |
1770905978 | Deborah Ann Collins | Dietitian, Registered | 201 14th St, Wheatland, WY 82201-3201 | 2014-01-08 |
1750627378 | Deborah Collins | Psychologist | 740 N Plankinton Ave, Suite 334, Milwaukee, WI 53203-2403 | 2012-12-31 |
1013253442 | Deborah Anne Collins | Speech-Language Pathologist | 17 West St, Freeport, ME 04032-1121 | 2012-12-12 |
1487919387 | Deborah Mueffelmann Collins | Speech-Language Pathologist | 901 Wallace Blvd, Amarillo, TX 79106-1705 | 2012-07-08 |
Street Address |
435 MAXINE DR |
City | MORTON |
State | IL |
Zip Code | 61550-2498 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710346309 | Darlene G Esken | Nurse Practitioner | 435 Maxine Dr, Morton, IL 61550-2498 | 2016-02-11 |
1346616372 | Jamie L Muller | Nurse Practitioner | 435 Maxine Dr, Morton, IL 61550-2498 | 2015-08-13 |
1124349089 | Molly Lundy | Pediatrics | 435 Maxine Dr, Morton, IL 61550-2498 | 2010-06-15 |
1447589650 | Tiffani L Williams | Physician Assistant | 435 Maxine Dr, Morton, IL 61550-2498 | 2009-12-17 |
1629200753 | Catherine Beratio | Family Medicine | 435 Maxine Dr, Morton, IL 61550-2498 | 2009-08-24 |
1417186420 | Rebecca Anne Sierra | Pediatrics | 435 Maxine Dr, Suites 3 and 4, Morton, IL 61550-2498 | 2009-07-11 |
1043445869 | Christopher Reavis Johnson | Family Medicine | 435 Maxine Dr, Morton, IL 61550-2498 | 2009-05-22 |
1447424791 | Jessica A. Tonozzi-kinzinger | Family Medicine | 435 Maxine Dr, Morton, IL 61550-2498 | 2008-04-17 |
1336347830 | Osf Saint Francis, Inc | Durable Medical Equipment & Medical Supplies | 435 Maxine Dr, Morton, IL 61550-2498 | 2007-07-05 |
1831301282 | David T. Cross | Pediatrics | 435 Maxine Dr, Morton, IL 61550-2498 | 2007-05-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497398648 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 853 W Jackson Plaza, Morton, IL 61550 | 2019-10-21 |
1760924732 | The Center for Youth and Family Solutions | Residential Treatment Facility, Emotionally Disturbed Children | 260 E. Queenwood Rd., Cyfs Educational Building, Morton, IL 61550 | 2016-11-08 |
1770983181 | Jennifer Vissering | Nurse Practitioner | 435 Maxine Drive Suite #4, Morton, IL 61550 | 2014-09-04 |
1316387236 | Saint Johns Hospital | Rehabilitation Hospital | 141 E Maywood Street, Morton, IL 61550 | 2013-06-25 |
1801145610 | Nancy J. Anderson | Counselor | 42 Jasper Drive, Morton, IL 61550 | 2012-09-07 |
1689894834 | Kevin Littlefield | Dentist | 320 E Jackson, Morton, IL 61550 | 2007-04-30 |
1215081765 | Krueger & Associates LLC | Dentist | 213 S Clifton Street, Morton, IL 61550 | 2007-01-22 |
1073686218 | Darin Scott Hoffmire | Social Worker | 2401 South Fourth Street, Morton, IL 61550 | 2006-11-16 |
1629161856 | William Edwards | Pediatrics | 435 Maxine Drive, Suites 3 & 4, Morton, IL 61550 | 2006-10-02 |
1396844932 | G Gene Sidler | Internal Medicine | 619 Jackson St, Morton, IL 61550 | 2006-09-21 |
Find all providers in zip 61550 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831707298 | Eliza Ballen | Physician Assistant | 335 Sylvan Rd, Lake Bluff, IL 60044-2562 | 2020-07-21 |
1477177947 | Rybecca Janovyak | Physician Assistant | 14432 High Rd, Lockport, IL 60441-9402 | 2020-06-01 |
1518591759 | Julie Jenkot | Physician Assistant | 333 N Michigan Ave Fl 14, Chicago, IL 60601-3901 | 2020-02-26 |
1801429873 | Hinjal D Jha | Physician Assistant | 22285 N Pepper Rd Ste 409, Lake Barrington, IL 60010-2542 | 2020-02-19 |
1770120222 | Alvina Shaikh | Physician Assistant | 4009 Warren Ave, Bellwood, IL 60104-2066 | 2019-12-03 |
1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
1538705272 | Bethany Mae Frisby | Physician Assistant | 8630 W Golf Rd, Niles, IL 60714-5600 | 2019-11-18 |
1134761984 | Ella-marie Rakowski | Physician Assistant | 25 Acorn Dr, Hawthorn Woods, IL 60047-7407 | 2019-10-14 |
1467001859 | Timothy Omotayo Adesanya | Physician Assistant | Graham Correctional Center, 12078 Illinois Rte 185, Hilliboro, IL 62049 | 2019-09-09 |
1518514066 | Victoria Moore | Physician Assistant | 979 W Main St, West Dundee, IL 60118-2088 | 2019-08-20 |
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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.