MOLLY SHAWNAKAYE DURBIN (NPI# 1831621945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831621945 |
| Entity Type | Individual |
| Full Name | MOLLY SHAWNAKAYE DURBIN |
| Practice Address |
510 Leaverton St Apt. #6 Pocahontas IL 62275-3010 |
| Practice Telephone | 6185701102 |
| Mailing Telephone | 6185701102 |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | IL | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 113860332 | 05 |
| Street Address |
510 LEAVERTON ST APT. #6 |
| City | POCAHONTAS |
| State | IL |
| Zip Code | 62275-3010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528135787 | P.o. Fire District | Ambulance | #4 State St., Pocahontas, IL 62275-0217 | 2006-11-30 |
| 1528561057 | Adam Beck | Student in an Organized Health Care Education/Training Program | 14111 Niggli Rd, Pocahontas, IL 62275-2015 | 2018-03-12 |
| 1912171653 | Hshs Holy Family Hospital Inc. | Clinic/Center | 507 W State St, Pocahontas, IL 62275-3017 | 2008-04-14 |
| 1255601431 | Erica Knebel | Specialist/Technologist | 601a Stallard St, Pocahontas, IL 62275-3034 | 2012-01-05 |
| 1750800819 | Elizabeth Ann Mascote | Speech-Language Pathologist | 4 E State St, Pocahontas, IL 62275-3038 | 2017-09-10 |
| 1790200442 | Jamie Nicole Hults | Counselor | 304 State Ave, Pocahontas, IL 62275-3516 | 2017-08-03 |
| 1396189171 | James Wassel Tarasuik Jr. | Nurse Practitioner | 379 Hug Cemetery Rd, Pocahontas, IL 62275-3532 | 2013-04-23 |
| 1114220167 | Bria Michelle Veitel | Case Manager/Care Coordinator | 311 Baden Ave, Pocahontas, IL 62275-3635 | 2010-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656099 | Life Strategies Counseling, Inc. | Clinic/Center | 112 N Bettis St, Pocahontas, AR 72455-3301 | 2020-10-15 |
| 1467077057 | Jennifer Marie Gray | Nurse Practitioner | 1102 Billy Cv, Pocahontas, AR 72455-1442 | 2020-06-10 |
| 1134742133 | William Todd Institute for Family Wellness | Counselor | 1374 Highway 62 W, Pocahontas, AR 72455-3790 | 2020-05-26 |
| 1497300958 | Emily Christine Weisenbach | Occupational Therapy Assistant | 2004 Highland Blvd, Pocahontas, AR 72455-1713 | 2019-08-01 |
| 1508420662 | Premier Home Care, LLC. | In Home Supportive Care | 807 Mill Rd, Pocahontas, AR 72455-4959 | 2019-04-24 |
| 1992265722 | Melody Dawn Luttrell IIi | Occupational Therapist | 385 Harmony Rd, Pocahontas, AR 72455-7102 | 2019-03-19 |
| 1821571670 | Deni Smith | Speech-Language Pathologist | 1707 Highland Blvd, Pocahontas, AR 72455-2142 | 2018-09-07 |
| 1528561057 | Adam Beck | Student in an Organized Health Care Education/Training Program | 14111 Niggli Rd, Pocahontas, IL 62275-2015 | 2018-03-12 |
| 1891293908 | Nanci Cheryll Young | Speech-Language Pathologist | 2301 N Park St, Pocahontas, AR 72455-1307 | 2018-01-24 |
| 1750800819 | Elizabeth Ann Mascote | Speech-Language Pathologist | 4 E State St, Pocahontas, IL 62275-3038 | 2017-09-10 |
| Find all providers in POCAHONTAS | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528561057 | Adam Beck | Student in an Organized Health Care Education/Training Program | 14111 Niggli Rd, Pocahontas, IL 62275-2015 | 2018-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720436 | April Renee Gallik | Student in an Organized Health Care Education/Training Program | 8807 S 79th Ave Apt 18, Hickory Hills, IL 60457-1597 | 2020-11-03 |
| 1932709706 | Samantha Klosak | Student in an Organized Health Care Education/Training Program | 8144 Old Mill Rd, Frankfort, IL 60423-8675 | 2020-10-29 |
| 1508466624 | Carly Belle Mitchell | Student in an Organized Health Care Education/Training Program | 870 Appletree Ct, Northbrook, IL 60062-3402 | 2020-10-28 |
| 1144829813 | Payton Collins | Student in an Organized Health Care Education/Training Program | 5103 S Brookstone Dr, Rochelle, IL 61068-9131 | 2020-10-22 |
| 1821697830 | Mayuri Prashant Shende | Student in an Organized Health Care Education/Training Program | 2160 S. First Ave., Bldg. 105, Suite 2840a, Marywood, IL 60135 | 2020-10-21 |
| 1922607001 | Katherine Chen | Student in an Organized Health Care Education/Training Program | 2305 Mohawk Ln, Glenview, IL 60026-1035 | 2020-10-20 |
| 1922606995 | Cassia Yuechun Weigel | Student in an Organized Health Care Education/Training Program | 601 N Main St Apt 5s, Normal, IL 61761-1576 | 2020-10-13 |
| 1679171888 | Manuel J Ramirez | Student in an Organized Health Care Education/Training Program | 714 W Woodland Rd, Lake Bluff, IL 60044-1652 | 2020-10-12 |
| 1205443975 | Nickolas Armstrong | Student in an Organized Health Care Education/Training Program | 2828 N Pine Grove Ave Apt 618, Chicago, IL 60657-6137 | 2020-09-28 |
| 1871109496 | Morgan Elizabeth Westjohn | Student in an Organized Health Care Education/Training Program | 111 Mound St, Sainte Marie, IL 62459 | 2020-09-18 |
| Find all providers with the same taxonomy | ||||
| City | POCAHONTAS |
| Zip Code | 62275 |
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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.