WHOLE HEALTH FAMILY PRACTICE, PC (NPI# 1922476241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922476241 |
| Entity Type | Organization |
| Organization Name | WHOLE HEALTH FAMILY PRACTICE, PC |
| Practice Address |
922 Talon Dr Suite B O Fallon IL 62269-1848 |
| Mailing Address |
825 Saybrook Falls Dr Fairview Heights IL 62208-2168 |
| Practice Telephone | 6186221200 |
| Practice Fax Number | 3142705283 |
| Mailing Telephone | 6186221200 |
| Mailing Fax Number | 3142705283 |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2016-05-03 |
| Authorized Official Name | MS. CRYSTAL S JESENICK (FAMILY NURSE PRACTITIONER) |
| Authorized Official Telephone | 6186221200 |
| Authorized Official Credential | APN, FNP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209006003 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
922 TALON DR SUITE B |
| City | O FALLON |
| State | IL |
| Zip Code | 62269-1848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306889266 | Amanda Joy Buffington | Chiropractor | 922 Talon Dr, Suite B, O Fallon, IL 62269-1848 | 2006-06-14 |
| 1003361783 | Weston Allen Holzinger | Chiropractor | 922 Talon Dr, Suite B, O Fallon, IL 62269-1848 | 2016-08-23 |
| 1457534927 | Whole Health Chiropractic Sc | Chiropractor | 922 Talon Dr, Suite B, O Fallon, IL 62269-1848 | 2007-12-07 |
| 1396831616 | Crystal S Jesenick | Nurse Practitioner | 922 Talon Dr, Suite B, O Fallon, IL 62269-1848 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648155 | Kayla Revermann | Pharmacist | 1350 W Us Highway 50, Pharmacy, O Fallon, IL 62269 | 2020-10-30 |
| 1942814272 | Ashley Monique Gibson | Behavior Technician | Eagle Center, Ste 10, Ofallon, IL 62269 | 2020-09-03 |
| 1013533819 | Michelle Denise Voudrie | Registered Nurse | 321 Regency Park, O'fallon, IL 62269 | 2020-06-18 |
| 1598398455 | Washington University Physicians In Illinois - Cancer Center Pharmacy | Pharmacy | 1418 Cross Street, Suite 180, Shiloh, IL 62269 | 2020-02-19 |
| 1962063800 | Gerald Paskert | Pharmacist | 122 W. State St., O'fallon, IL 62269 | 2019-06-21 |
| 1780144808 | Bonnie Jean Lampe | Physical Therapy Assistant | 316 Donna Dr, O'fallon, IL 62269 | 2019-03-24 |
| 1134633993 | Latisha Smith | Psychologist | 600 S. Smiley St., O'fallon, IL 62269 | 2017-11-30 |
| 1619407210 | Brenna M Thomas | Registered Nurse | 1310 Engle Ct, O'fallon, IL 62269 | 2017-06-15 |
| 1881135622 | Pc Associates, LLC | Family Medicine | 800 East Highway 50, O'fallon, IL 62269 | 2017-03-13 |
| 1700230539 | Jennifer Farrell | Family Medicine | 3 St. Elizabeth's Blvd, Ste. 4000, O'fallon, IL 62269 | 2016-04-18 |
| Find all providers in zip 62269 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353308 | Danielle Renae Blake | Nurse Practitioner | 808 E 2nd St, O Fallon, IL 62269-2217 | 2020-07-07 |
| 1588293864 | Nicole Pashia | Nurse Practitioner | 983 Crestwood Ln, O Fallon, MO 63366-1676 | 2020-04-07 |
| 1104394899 | Christina Marie Ivy | Nurse Practitioner | 2765 Red Cedar Parc Dr S, O Fallon, MO 63368-6609 | 2018-11-12 |
| 1225514722 | Rachel Dulaney | Nurse Practitioner | 1405 N Green Mount Rd Ste 240, O Fallon, IL 62269-3494 | 2018-07-17 |
| 1053822551 | Leah W Wangui | Nurse Practitioner | 225 Mystic Cv, O Fallon, MO 63368-9654 | 2017-10-24 |
| 1932655479 | Danielle Besand | Nurse Practitioner | 18 S Boxwood Ln, O Fallon, MO 63366-1626 | 2016-08-25 |
| 1649626144 | Donna Jewell | Nurse Practitioner | 331 Logan Dr, O Fallon, IL 62269-7146 | 2016-05-13 |
| 1679939516 | Gladys Schmees | Nurse Practitioner | 408 Wolfpass Dr, O Fallon, IL 62269-6972 | 2016-01-07 |
| 1275916934 | Blue Valley Surgical Associates, LLC | Nurse Practitioner | 2341 Highway K, Suite 214, O Fallon, MO 63368-8604 | 2015-06-30 |
| 1861894925 | Elizabeth Morton | Nurse Practitioner | 223 Shady Rock Ln, O Fallon, MO 63368-7471 | 2014-09-20 |
| Find all providers in O FALLON | ||||
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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.