BETH ROGERS (NPI# 1922058726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922058726 |
| Entity Type | Individual |
| Full Name | BETH ROGERS |
| Credential | CNP |
| Practice Address |
1 Veterans Dr Manteno IL 60950-9466 |
| Mailing Address |
701 S Chestnut St Wenona IL 61377 |
| Practice Telephone | 8154681027 |
| Mailing Telephone | 8158534688 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RAILROAD MEDICARE | P00067912 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104083443 | Beth Lucy Rogers | Dentist | 1003 Hawthorne Ln, Fort Washington, PA 19034-1736 | 2008-05-22 |
| 1427151539 | Beth S Rogers | Physical Medicine & Rehabilitation | 360 E Montvue Dr Ste 100, Meridian, ID 83642-6318 | 2006-09-06 |
| 1255931234 | Beth Ann Rogers | Massage Therapist | 1222 Se Division St, Portland, OR 97202-1017 | 2020-10-28 |
| 1962839928 | Beth Rogers | Counselor | 100 Caldwell Dr, Du Bois, PA 15801-1152 | 2013-10-04 |
| 1285914572 | Beth A Rogers | Speech-Language Pathologist | 333 1st St N, Suite 200, Jacksonville Beach, FL 32250-6945 | 2011-08-18 |
| 1386884393 | Beth Rogers | Nurse Practitioner | 611 S Howard Ave, Tampa, FL 33606-2412 | 2009-03-03 |
| 1033376678 | Beth Ann Rogers | Counselor | 1700 Broadway St Ste 2, Alexandria, MN 56308-2792 | 2008-05-21 |
| 1891851200 | Beth Rogers | Counselor | 1408 State Ave Ne Ste 111, Olympia, WA 98506-4481 | 2006-12-29 |
| Street Address |
1 VETERANS DR |
| City | MANTENO |
| State | IL |
| Zip Code | 60950-9466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912505033 | Margaret O'brien | Speech-Language Pathologist | 1 Veterans Dr, Manteno, IL 60950-9466 | 2020-10-12 |
| 1942865423 | Kevin Majchrzak | Occupational Therapist | 1 Veterans Dr, Manteno, IL 60950-9466 | 2019-05-09 |
| 1457915506 | Alyssa S Moravec | Occupational Therapist | 1 Veterans Dr, Manteno, IL 60950-9466 | 2019-04-24 |
| 1487951018 | Elaine Buchanan | Marriage & Family Therapist | 1 Veterans Dr, Manteno, IL 60950-9466 | 2011-02-17 |
| 1831248228 | Illinois Veterans Home At Manteno | Custodial Care Facility | 1 Veterans Dr, Manteno, IL 60950-9466 | 2007-01-09 |
| 1194814814 | Christina Deckelman | Nurse Practitioner | 1 Veterans Dr, Manteno, IL 60950-9466 | 2006-10-12 |
| 1447344205 | Madhu Malhotra | Internal Medicine | 1 Veterans Dr, Manteno, IL 60950-9466 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710344338 | Specialized Assistance Services, Nfp | Clinic/Center | 333 W Evergreen St, Manteno, IL 60950 | 2016-01-27 |
| 1588004667 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 175 Evergreen, Manteno, IL 60950 | 2013-07-03 |
| 1649610841 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 325 Hemlock, Manteno, IL 60950 | 2013-07-02 |
| 1811337280 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 215 Hemlock, Manteno, IL 60950 | 2013-07-01 |
| 1407296981 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 365 Hemlock, Manteno, IL 60950 | 2013-06-28 |
| 1760822142 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 185 Chestnut, Manteno, IL 60950 | 2013-06-28 |
| 1598105975 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 280 Ironwood, Manteno, IL 60950 | 2013-06-28 |
| 1942640339 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 360 Ironwood, Manteno, IL 60950 | 2013-06-28 |
| 1215377692 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 110 Evergreen, Manteno, IL 60950 | 2013-06-28 |
| 1972862787 | Karl A Keller | Dentist | 312 W. Division, Manteno, IL 60950 | 2012-05-14 |
| Find all providers in zip 60950 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467808089 | Ashley Beane | Nurse Practitioner | 501 S Locust St, Manteno, IL 60950-1654 | 2016-05-12 |
| 1194814814 | Christina Deckelman | Nurse Practitioner | 1 Veterans Dr, Manteno, IL 60950-9466 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760277 | Jennifer Michelle Kennedy | Nurse Practitioner | 3006 Lakeview Dr, Metropolis, IL 62960-3119 | 2020-11-07 |
| 1881295541 | Britney Julia Durst | Nurse Practitioner | 5905 N Prospect Rd, Peoria, IL 61614-4311 | 2020-11-07 |
| 1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
| 1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
| 1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
| 1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
| 1598365140 | Caitlyn Windsor | Nurse Practitioner | 24525 Grange Rd, Geneseo, IL 61254-8429 | 2020-10-31 |
| 1578163515 | Deanna Bassette | Nurse Practitioner | 243 E 31st St Apt 401, Chicago, IL 60616-5212 | 2020-10-29 |
| 1891395745 | Vrunda Shah Patel | Nurse Practitioner | 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 | 2020-10-29 |
| 1346840337 | Catherine Suh | Nurse Practitioner | 1380 Marcy Ln, Wheeling, IL 60090-4422 | 2020-10-28 |
| Find all providers with the same taxonomy | ||||
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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.