DESIRAE RENEE WELBY (NPI# 1851728216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851728216 |
| Entity Type | Individual |
| Full Name | DESIRAE RENEE WELBY |
| Credential | APN |
| Practice Address |
301 W Lincoln St Ste 101 Belleville IL 62220-1901 |
| Practice Telephone | 6186415803 |
| Practice Fax Number | 6186415813 |
| Mailing Telephone | 6186415803 |
| Mailing Fax Number | 6186415813 |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2015-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209012412 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
2013036176 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
301 W LINCOLN ST STE 101 |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62220-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427024926 | Geofry D. Manzo | Specialist/Technologist | 301 W Lincoln St, Suite 210, Belleville, IL 62220-1901 | 2006-02-24 |
| 1053858589 | Krystal Gilb | Nurse Practitioner | 301 W Lincoln St, Suite 201, Belleville, IL 62220-1901 | 2017-01-23 |
| 1942492475 | Charles Smittkamp | Radiology | 301 W Lincoln St, Belleville, IL 62220-1901 | 2007-08-17 |
| 1679789481 | St. Elizabeth's Hospital | Preventive Medicine | 301 W Lincoln St, Suite 100, Belleville, IL 62220-1901 | 2007-05-16 |
| 1760563688 | Prairie Psychiatry, Sc | Psychiatry & Neurology | 301 W Lincoln St, Suite 106, Belleville, IL 62220-1901 | 2006-10-18 |
| 1205917176 | Randy John Jung | Psychiatry & Neurology | 301 W Lincoln St, Suite 106, Belleville, IL 62220-1901 | 2006-10-18 |
| 1194739136 | Paul Martin Biegler | Dentist | 301 W Lincoln St, Suite 54, Belleville, IL 62220-1901 | 2006-07-27 |
| 1033132030 | St. Elizabeth Hospital | Physical Medicine & Rehabilitation | 301 W Lincoln St, Suite 210, Belleville, IL 62220-1901 | 2006-07-25 |
| 1962470989 | Elizabeth J Caschetta | Specialist/Technologist | 301 W Lincoln St, Suite 210, Belleville, IL 62220-1901 | 2006-03-08 |
| 1700885944 | Dennis J Stanczyk | Urology | 301 W Lincoln St, #57, Belleville, IL 62220-1901 | 2005-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144729716 | St. Elizabeth's Hospital of The Hospital Sisters of The Third Order Of | Clinic/Center | 180 South Third Street Suite 101, Belleville, IL 62220 | 2018-02-08 |
| 1437675535 | Prorehab PC | Occupational Therapist | 1915 Carlyle Ave, Ste D, Belleville, IL 62220 | 2017-08-21 |
| 1629527650 | Arika Forrest | Nurse Practitioner | 140 Iowa Ave, Belleville, IL 62220 | 2016-10-03 |
| 1861861403 | Belleville Endoscopy LLC | Internal Medicine | 311 West Lincoln St, Suite 101, Belleville, IL 62220 | 2015-09-24 |
| 1962871558 | Antony Frierdich | Specialist/Technologist | 22 South 13th Street, Belleville, IL 62220 | 2015-09-24 |
| 1588032858 | Dana Wright | Pharmacist | 211 South Thrid Street, Belleville, IL 62220 | 2015-09-03 |
| 1629208731 | Lisa Marlow Johnson | Developmental Therapist | 34 Fenwood Dr, Belleville, IL 62220 | 2009-07-23 |
| 1841361623 | Neurological Surgery of Belleville | Neurological Surgery | 340 West Lincoln Street, Suite 540, Belleville, IL 62220 | 2006-11-13 |
| 1689769119 | Kathy Jo Corn | Counselor | 521 W. Main, Suite 201 B, Belleville, IL 62220 | 2006-10-03 |
| 1780609578 | Southern Illinois Health Care Foundation, Inc. | Counselor | 180 S 3rd St Ste 103&104, Belleville, IL 62220 | 2006-07-13 |
| Find all providers in zip 62220 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942812094 | Meagan James | Nurse Practitioner | 407 E Huron River Dr, Belleville, MI 48111-2763 | 2020-08-20 |
| 1982075255 | Jaclyn Valdes | Nurse Practitioner | 40 Essex St, Belleville, NJ 07109-2604 | 2015-10-13 |
| 1326441478 | Anne Leslie Kramer | Nurse Practitioner | 4120 Lebanon Ave, Belleville, IL 62221-0430 | 2014-10-03 |
| 1255779955 | Mary C. Littlejohn | Nurse Practitioner | 130 Lincoln Court Place, Belleville, IL 62221-5372 | 2013-06-05 |
| 1306487640 | Karina Agajanov | Nurse Practitioner | 140 Belmont Ave, Belleville, NJ 07109-1018 | 2019-10-07 |
| 1174024806 | Emergency Services Midwest Sc | Nurse Practitioner | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2018-02-27 |
| 1922515220 | Katie Krueger | Nurse Practitioner | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2018-01-08 |
| 1548775257 | Peter Bivans | Nurse Practitioner | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2017-12-05 |
| 1609313758 | Marianne Guthrie | Nurse Practitioner | 340 W Lincoln St, 200, Belleville, IL 62220-1900 | 2017-01-27 |
| 1053858589 | Krystal Gilb | Nurse Practitioner | 301 W Lincoln St, Suite 201, Belleville, IL 62220-1901 | 2017-01-23 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 62220 |
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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.