NICOLE MARIE VILLARREAL (NPI# 1922514777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922514777 |
| Entity Type | Individual |
| Full Name | NICOLE MARIE VILLARREAL |
| Credential | SSP |
| Practice Address |
420 N Raynor Ave Joliet IL 60435-6065 |
| Mailing Address |
6504 Morningstar Ln Plainfield IL 60586-7262 |
| Practice Telephone | 8157403196 |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2017-12-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366951006 | Nicole Emily Villarreal | Specialist/Technologist | 3481 Crescent Ave, Gurnee, IL 60031-3712 | 2017-09-26 |
| 1184035230 | Nicole Villarreal | Specialist/Technologist | 123 W Mile 3 Rd Ste A-103, Palmhurst, TX 78573-1633 | 2014-05-12 |
| 1568659423 | Nicole Dawn Villarreal | Pediatrics | 16856 Oak Valley Rd, Crescent, IA 51526-4226 | 2007-09-25 |
| Street Address |
420 N RAYNOR AVE |
| City | JOLIET |
| State | IL |
| Zip Code | 60435-6065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104947704 | Joliet School District 86 | Local Education Agency (LEA) | 420 N Raynor Ave, Joliet, IL 60435-6065 | 2007-04-02 |
| 1700423605 | Karen Ann Stachowicz | Audiologist | 420 N Raynor Ave, Joliet, IL 60435-6065 | 2019-12-10 |
| 1356996128 | Matthew Malone | Psychologist | 420 N Raynor Ave, Joliet, IL 60435-6065 | 2019-08-07 |
| 1619530672 | Megan Bowman | Psychologist | 420 N Raynor Ave, Joliet, IL 60435-6065 | 2019-04-16 |
| 1104389725 | Lauren Buck | Psychologist | 420 N Raynor Ave, Joliet, IL 60435-6065 | 2019-04-10 |
| 1952805996 | Lawrence Rieger | Psychologist | 420 N Raynor Ave, Joliet, IL 60435-6065 | 2018-03-23 |
| 1205343613 | Marilin Llanes | Speech-Language Pathologist | 420 N Raynor Ave, Joliet, IL 60435-6065 | 2018-01-08 |
| 1285140681 | Monica Cisneros | Psychologist | 420 N Raynor Ave, Joliet, IL 60435-6065 | 2017-12-20 |
| 1356857957 | Laura Stonitsch | Speech-Language Pathologist | 420 N Raynor Ave, Joliet, IL 60435-6065 | 2017-12-18 |
| 1184130932 | Storm Maria Kline | Psychologist | 420 N Raynor Ave, Joliet, IL 60435-6065 | 2017-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| Find all providers in zip 60435 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033724232 | Shadequia Davis | Psychologist | 402 Richards St, Joliet, IL 60433-2218 | 2020-09-14 |
| 1457967457 | Jamie Elkhoury | Psychologist | 251 N Midland Ave, Joliet, IL 60435-6837 | 2020-09-16 |
| 1356996128 | Matthew Malone | Psychologist | 420 N Raynor Ave, Joliet, IL 60435-6065 | 2019-08-07 |
| 1619530672 | Megan Bowman | Psychologist | 420 N Raynor Ave, Joliet, IL 60435-6065 | 2019-04-16 |
| 1104389725 | Lauren Buck | Psychologist | 420 N Raynor Ave, Joliet, IL 60435-6065 | 2019-04-10 |
| 1891267514 | Tracy Ward | Psychologist | 201 E Jefferson St, Joliet, IL 60432-2841 | 2018-12-19 |
| 1952805996 | Lawrence Rieger | Psychologist | 420 N Raynor Ave, Joliet, IL 60435-6065 | 2018-03-23 |
| 1285140681 | Monica Cisneros | Psychologist | 420 N Raynor Ave, Joliet, IL 60435-6065 | 2017-12-20 |
| 1184130932 | Storm Maria Kline | Psychologist | 420 N Raynor Ave, Joliet, IL 60435-6065 | 2017-12-15 |
| 1396251237 | Andrea Gandy | Psychologist | 420 N Raynor Ave, Joliet, IL 60435-6065 | 2017-12-14 |
| Find all providers in JOLIET | ||||
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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.