MELISSA J JOOS (NPI# 1821234238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821234238 |
| Entity Type | Individual |
| Full Name | MELISSA J JOOS |
| Credential | RN |
| Practice Address |
530 Ne Glen Oak Ave Peoria IL 61637-0001 |
| Practice Telephone | 3096243717 |
| Practice Fax Number | 3096553398 |
| Mailing Telephone | 3096243717 |
| Mailing Fax Number | 3096553398 |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2009-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
041-332090 | IL | Nursing Service Providers |
| Street Address |
530 NE GLEN OAK AVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61637-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346235777 | Jack Michael Gibson | Obstetrics & Gynecology | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2005-09-12 |
| 1053912188 | Janie Clary | Nurse Practitioner | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2020-11-04 |
| 1265030548 | Christina David | Nurse Practitioner | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2020-10-09 |
| 1033726831 | Corry Lynn Rediger | Occupational Therapist | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2020-09-25 |
| 1720694094 | Katelynn M Madden | Clinical Nurse Specialist | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2020-09-21 |
| 1568074474 | Amanda Diane Beoletto | Pharmacist | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2020-08-21 |
| 1881212892 | Mohammad Mousbah Al-tabbaa | Student in an Organized Health Care Education/Training Program | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2020-07-07 |
| 1750909693 | Mohammad Gareeb | Student in an Organized Health Care Education/Training Program | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2020-07-07 |
| 1376160846 | Bassel Elia Abouzeid | Student in an Organized Health Care Education/Training Program | 530 Ne Glen Oak Ave, Peoria, IL 61637 | 2020-07-01 |
| 1700403516 | Christina Marie Spurgeon | Nurse Practitioner | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2020-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780200865 | Kuang Chuen Liu | Pediatrics | 530 Ne Glen Oak Ave, Peoria, Peoria, IL 61637 | 2020-06-24 |
| 1174184527 | Manisha Tharoor | Student in an Organized Health Care Education/Training Program | 530 N.e Glen Oak Ave, Peoria, IL 61637 | 2019-06-26 |
| 1609436724 | Sriviji Senthil Kumaran | Student in an Organized Health Care Education/Training Program | 530. N.e Glen Oak Ave., Peoria, IL 61637 | 2019-06-20 |
| 1780240929 | Abuzar Ali Asif | Student in an Organized Health Care Education/Training Program | 530 N. E. Glen Oak Ave., Peoria, IL 61637 | 2019-05-14 |
| 1518328665 | Jenna Bishop | Dietitian, Registered | 600 Ne Water Street, Peoria, IL 61637 | 2016-03-17 |
| 1194133850 | Ashish Kumar Roy | Internal Medicine | 530 N.e. Glen Oak Ave, Peoria, IL 61637 | 2014-07-25 |
| 1265720510 | Reuben Antony | Pediatrics | 530 Ne Glen Oak Ave., C/o Ms Suzy Lewellen, Peoria, IL 61637 | 2011-07-20 |
| 1366673436 | Joseph William Hauter | Emergency Medicine | 830 Ne Glen Oak Ave, Peoria, IL 61637 | 2009-08-06 |
| 1437380748 | Jeremy R Monroe | Emergency Medicine | 530 Glen Oak, Osf St Francis Medical Center, Peoria, IL 61637 | 2009-08-04 |
| 1326244682 | Maria S. Parr | Psychiatry & Neurology | Osf Saint Francis Medical Center, 530 N.e.glen Oak Ave., Peoria, FL 61637 | 2007-06-25 |
| Find all providers in zip 61637 | ||||
| Taxonomy Code | 163WC0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013529353 | Carolyn Ames | Registered Nurse | 13310 N Plaza Del Rio Blvd Unit 3152, Peoria, AZ 85381-0022 | 2020-08-18 |
| 1336630920 | Walter James Cole | Registered Nurse | 10847 W Olive Ave Apt 2034, Peoria, AZ 85345-9215 | 2018-05-20 |
| 1841527736 | Laura Lynne Anderson | Registered Nurse | 8626 W Echo Ln, Peoria, AZ 85345-2542 | 2009-11-12 |
| 1023282712 | Yvonne Lee Adams | Registered Nurse | 7677 W. Paradise Lane, #1020, Peoria, AZ 85381 | 2008-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891308748 | Robert Wilkins | Registered Nurse | 481 Pleasant Hill Rd, Frankfort, IL 60423-1265 | 2020-08-28 |
| 1649894791 | Jamie Yvonne Welty | Registered Nurse | 12198 Route 108, Carlinville, IL 62626-2272 | 2020-06-04 |
| 1912526278 | Shari Lynn Cardwell | Registered Nurse | 1125 Dovercliff Way, Crystal Lake, IL 60014-1803 | 2020-04-15 |
| 1962030635 | Morgan Lynn Schaefer | Registered Nurse | 2100 Rohlwing Rd, Rolling Meadows, IL 60008-1342 | 2020-03-30 |
| 1750919403 | Luiza Rikhman | Registered Nurse | 3704 Provenance Way, Northbrook, IL 60062-5062 | 2020-03-30 |
| 1356973440 | Deborah Jean Shearer | Registered Nurse | 281 Maple Ave, Galesburg, IL 61401-3556 | 2020-02-07 |
| 1023657491 | Katrina Turman | Registered Nurse | 3 Lakewood Ct, Bolingbrook, IL 60440-4500 | 2020-01-02 |
| 1386293678 | Erica Grant | Registered Nurse | 10633 S Oakley Ave, Chicago, IL 60643-3131 | 2019-09-09 |
| 1134773955 | Dallas Mcintyre | Registered Nurse | 631 5th Avenue Pl, Andalusia, IL 61232-9407 | 2019-07-30 |
| 1124672274 | Lanita Handy | Registered Nurse | 17123 Central Park Ave, Hazel Crest, IL 60429-1005 | 2019-07-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MELISSA J JOOS.
| 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.