DEANNA KANE (NPI# 1881080372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881080372 |
| Entity Type | Individual |
| Full Name | DEANNA KANE |
| Credential | NP |
| Practice Address |
1802 S Mattis Ave Champaign IL 61821-5923 |
| Mailing Address |
611 W. Park St. Bwpc Urbana IL 61801-2500 |
| Practice Telephone | 2173833260 |
| Practice Fax Number | 2173834459 |
| Mailing Telephone | 2173836792 |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2015-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209012673 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615301 | Deanna Marie Kane | Social Worker | 10570 S Federal Hwy Ste 200, Port St Lucie, FL 34952-5606 | 2020-09-29 |
| Street Address |
1802 S MATTIS AVE |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61821-5923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568459030 | Bart Wayne Gastwirth | Podiatrist | 1802 S Mattis Ave, Champaign, IL 61821-5923 | 2005-09-30 |
| 1982230124 | Bradley Thompson | Registered Nurse | 1802 S Mattis Ave, Champaign, IL 61821-5923 | 2020-03-19 |
| 1710510136 | Jeanie Mickelsen | Social Worker | 1802 S Mattis Ave, Champaign, IL 61821-5923 | 2020-02-13 |
| 1003456369 | Rachael D Rubin | Psychologist | 1802 S Mattis Ave, Champaign, IL 61821-5923 | 2020-01-14 |
| 1114563640 | Mary K Kiesewetter | Nurse Practitioner | 1802 S Mattis Ave, Champaign, IL 61821-5923 | 2019-11-19 |
| 1083255343 | Lisa A. Ellingwood | Registered Nurse | 1802 S Mattis Ave, Champaign, IL 61821-5923 | 2019-10-07 |
| 1841843539 | Rakisha Wilks | Nurse Practitioner | 1802 S Mattis Ave, Champaign, IL 61821-5923 | 2019-07-22 |
| 1558869081 | Kristin E Thies | Psychologist | 1802 S Mattis Ave, Champaign, IL 61821-5923 | 2018-01-30 |
| 1215463971 | Mercy E Eigbike | Psychiatry & Neurology | 1802 S Mattis Ave, Champaign, IL 61821-5923 | 2017-05-02 |
| 1770034878 | Tammie Roedl | Social Worker | 1802 S Mattis Ave, Champaign, IL 61821-5923 | 2016-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326532888 | Cunningham Children's Home of Urbana Il | Residential Treatment Facility, Emotionally Disturbed Children | 1303 N. Cunningham Avenue, Urbana, IL 61821 | 2018-06-19 |
| 1184008708 | Seunghyun Jae | Dentist | 1905 W Springfield Ave, Champaign, IL 61821 | 2015-07-14 |
| 1457698169 | Mohamad Ata | Registered Nurse | 1802 S. Mattis, Champaign, IL 61821 | 2013-01-15 |
| 1609124338 | Lolitia Rosanna Newman | Social Worker | 1508 Powers Ln., Champaign, IL 61821 | 2012-08-28 |
| 1679850887 | Kirk Donald Gohsman | Counselor | 106 S. Country Fair Drive, Suite C, Champaign, IL 61821 | 2011-11-16 |
| 1598054777 | Delbert William Nelson Jr. | Psychiatry & Neurology | 2115 Galen Dr, Champaign, IL 61821 | 2011-03-28 |
| 1790946929 | Rdi Vein LLC | Clinic/Center | 2502 Galen Drive, Suite 101, Champaign, IL 61821 | 2008-06-20 |
| 1366620064 | Advanced Aesthetics Surgery & Laser Center, P.C. | Clinic/Center | 2111 West Park Ct., Champaign, IL 61821 | 2008-02-05 |
| 1033398482 | Huey's Home Medical, Inc | Durable Medical Equipment & Medical Supplies | 1207 S Mattis Ave Ste 1, Champaign, IL 61821 | 2007-11-01 |
| 1265630537 | Elizabeth Catherine Tingley | Psychologist | Department of Psychiatry and Psychology-carle Physician, 1802 S. Mattis, Champaign, IL 61821 | 2007-07-06 |
| Find all providers in zip 61821 | ||||
| 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 |
|---|---|---|---|---|
| 1497312672 | Haleigh D Wadsworth | Nurse Practitioner | 2718 N Prospect Ave, Champaign, IL 61822-1298 | 2019-05-23 |
| 1528621265 | Tara Kutz | Nurse Practitioner | 2710 N Prospect Ave, Champaign, IL 61822-1298 | 2019-04-18 |
| 1457891806 | Bobby Hill Jr. | Nurse Practitioner | 606 N Country Fair Dr Ste A, Champaign, IL 61821-2485 | 2017-03-05 |
| 1982143582 | Ijeoma Anukwu | Nurse Practitioner | 5003 Chestnut Grove Dr, Champaign, IL 61822-3323 | 2017-02-15 |
| 1144237389 | Theresa E. Hardy | Nurse Practitioner | 1112 W Daniel St, Champaign, IL 61821-4516 | 2006-08-01 |
| 1508464637 | Tricia Hogg | Nurse Practitioner | 1701 Curtis Rd, Champaign, IL 61822-9678 | 2020-10-12 |
| 1114563640 | Mary K Kiesewetter | Nurse Practitioner | 1802 S Mattis Ave, Champaign, IL 61821-5923 | 2019-11-19 |
| 1023653342 | Maddison P. Draper | Nurse Practitioner | 2718 N Prospect Ave, Champaign, IL 61822-1298 | 2019-11-11 |
| 1932740305 | Janice Frerichs | Nurse Practitioner | 1701 W. Curtis, Champaign, IL 61822 | 2019-10-07 |
| 1255895108 | Brittany N Anderson | Nurse Practitioner | 2043 S Neil St, Champaign, IL 61820-7219 | 2019-01-24 |
| Find all providers in CHAMPAIGN | ||||
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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.