BERNADINE BRATTAIN (NPI# 1902078355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902078355 |
| Entity Type | Individual |
| Full Name | BERNADINE BRATTAIN |
| Practice Address |
5401 N Knoxville Ave Suite 400 Peoria IL 61614-5098 |
| Mailing Address |
5401 N Knoxville Ave Suite 400 Peoria IL 61614 |
| Practice Telephone | 3096926644 |
| Mailing Telephone | 3096926644 |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2008-03-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 7230175 | 01 |
| Street Address |
5401 N KNOXVILLE AVE SUITE 400 |
| City | PEORIA |
| State | IL |
| Zip Code | 61614-5098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871597450 | Edward A Rufus Jr | Internal Medicine | 5401 N Knoxville Ave, Suite 306, Peoria, IL 61614-5098 | 2005-06-10 |
| 1366984015 | Taylor Jeanette Simmons | Specialist/Technologist | 5401 N Knoxville Ave, Suite 103, Peoria, IL 61614-5098 | 2016-11-11 |
| 1518416254 | Illinois Regional Pain Institute | Nurse Practitioner | 5401 N Knoxville Ave, Suite 416, Peoria, IL 61614-5098 | 2016-09-22 |
| 1700331030 | Deb M Schleich | Nurse Practitioner | 5401 N Knoxville Ave, Suite 416, Peoria, IL 61614-5098 | 2016-08-16 |
| 1154876498 | Kimberly K Lopez | Nurse Practitioner | 5401 N Knoxville Ave, Suite 416, Peoria, IL 61614-5098 | 2016-08-16 |
| 1417320854 | Amy B Pheiffer | Clinical Nurse Specialist | 5401 N Knoxville Ave, Suite 109, Peoria, IL 61614-5098 | 2015-11-06 |
| 1558732370 | Leah Tabor | Specialist/Technologist, Other | 5401 N Knoxville Ave, Suite 117, Peoria, IL 61614 | 2015-10-20 |
| 1679944334 | Midwest Pain & Spine Center, LLC | Specialist | 5401 N Knoxville Ave, Suite 416, Peoria, IL 61614-5098 | 2015-10-07 |
| 1124495379 | Anne Webster | Nurse Practitioner | 5401 N Knoxville Ave, Suite 416, Peoria, IL 61614-5098 | 2015-08-24 |
| 1720461353 | Hometown Hearing & Audiology, Inc. | Audiologist | 5401 N Knoxville Ave, 116, Peoria, IL 61614-5011 | 2015-07-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548818511 | Christine Svoboda | Social Worker | 6919 N Knoxville Ave Ste 100 and 202, Peoria, IL 61614 | 2019-09-03 |
| 1639649007 | Kathy Karouzos Counseling, LLC | Clinic/Center | 330 W. Ivy Ln., Peoria, IL 61614 | 2018-11-28 |
| 1205312790 | Kathleen Marie Hendricks | Nurse Practitioner | 2809 W Willow Knolls Dr, Peoria, IL 61614 | 2018-07-17 |
| 1629563937 | Mary Elizabeth Cunningham | Counselor | 6219 N. Eldorado Dr., Peoria, IL 61614 | 2018-06-28 |
| 1861937955 | Angela Gilles | Social Worker | 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 | 2016-12-27 |
| 1467994897 | Melissa Saxsma | Specialist | 5009 N Executive Dr, Peoria, IL 61614 | 2016-11-16 |
| 1902258874 | Rashid Plastic Surgery, LLC | Plastic Surgery | 804 W Trailcreek Drive, Peoria, IL 61614 | 2016-07-05 |
| 1215313143 | Melissa Lynn Phelan | Nurse Practitioner | 122 E Morningside Dr, Peoria, IL 61614 | 2015-08-03 |
| 1811380165 | All Ways Caring Services, Inc. | In Home Supportive Care | 6919 N Knoxville Ave, Suite 102, Peoria, IL 61614 | 2015-03-11 |
| 1568875920 | Schuler & Arkwell Orthodontic Partnership | Dentist | 2425 Cornerstone Ct. Ste. A, Peoria, IL 61614 | 2014-06-03 |
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| Taxonomy Code | 246ZS0410X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Technologist |
| Surgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the safe and effective conduct of invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. Surgical technologists possess expertise in the theory and application of sterile and aseptic technique and combine the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a physician's performance of invasive therapeutic and diagnostic procedures. |
| Notes: Source: Association of Surgical Technologists, "Job Description: Surgical Technologist," 2014. [7/1/2014: code modified, title modified, definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598993362 | Elizabeth Ann Kajencki | Specialist/Technologist, Other | 10326 N Juliet Ct, Peoria, IL 61615-1199 | 2009-06-30 |
| 1922285717 | Michele M Klein | Specialist/Technologist, Other | 7303 N Knoxville Ave, Peoria, IL 61614-2017 | 2008-01-24 |
| 1831376631 | Beth A Myers | Specialist/Technologist, Other | 7303 N Knoxville Ave, Peoria, IL 61614-2017 | 2008-01-24 |
| 1063538940 | Joan K Selburg | Specialist/Technologist, Other | 120 Ne Glen Oak Ave, Suite 407, Peoria, IL 61603-4301 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073075420 | Deborah Kay Schroh | Specialist/Technologist, Other | 2350 Ravine Way Ste 400, Glenview, IL 60025-7621 | 2019-04-04 |
| 1447750708 | Shelley R. Ruch | Specialist/Technologist, Other | 1604 Visa Drive, Ste 1, Normal, IL 61761 | 2018-02-13 |
| 1427508076 | Mitchell Bogda | Specialist/Technologist, Other | 132 Bertram Dr Unit K, Yorkville, IL 60560-3212 | 2016-10-06 |
| 1972960193 | Kayla Rushing | Specialist/Technologist, Other | 101 S Birkey St, Goodfield, IL 61742-9631 | 2016-01-19 |
| 1174953186 | Christine Smith | Specialist/Technologist, Other | 12701 W 143rd St Ste 200, Homer Glen, IL 60491-7723 | 2013-11-13 |
| 1114356557 | Vladimir Stalev | Specialist/Technologist, Other | 5978 N Lincoln Ave Apt 2c, Chicago, IL 60659-3747 | 2013-11-06 |
| 1760811665 | Allan Cortes | Specialist/Technologist, Other | 807 Ann St, Joliet, IL 60435-0400 | 2013-11-01 |
| 1972942258 | Viktor Tabatchyk | Specialist/Technologist, Other | 109 Frank Lloyd Wright Ln, Oak Park, IL 60302-2644 | 2013-06-19 |
| 1316280514 | Lyubov Andrushkiv | Specialist/Technologist, Other | 840 N Oakley Blvd Apt 2, Chicago, IL 60622-4735 | 2013-04-05 |
| 1104166875 | Amit Riman | Specialist/Technologist, Other | 1851 President St, Glendale Heights, IL 60139-1978 | 2013-02-18 |
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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.