DAVID A FRITZ (NPI# 1932550233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932550233 |
| Entity Type | Individual |
| Full Name | DAVID A FRITZ |
| Credential | FNP-BC |
| Practice Address |
400 S Kennedy Dr Suite 100 Bradley IL 60915-2682 |
| Practice Telephone | 8159288050 |
| Practice Fax Number | 8007965064 |
| Mailing Telephone | 8159288050 |
| Mailing Fax Number | 8007965064 |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2016-06-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209014357 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154437952 | David Lee Fritz | Dentist | 614 Wooster Pike, Terrace Park, OH 45174-1010 | 2006-08-22 |
| 1902878887 | David Patrick Fritz | Neurological Surgery | 1130 W 4th St Ste 3204, Lawrence, KS 66044-1328 | 2006-02-03 |
| 1396970331 | David Edward Fritz | Pain Medicine | 5801 Crossings Blvd, Antioch, TN 37013-3130 | 2009-05-20 |
| 1902971161 | David Ralph Fritz | Dentist | 2820 Aaa Ct, #3, Bettendorf, IA 52722-6752 | 2006-11-22 |
| 1457430407 | David Brian Fritz | Optometrist | 1202 S Broad St, Brooksville, FL 34601-3132 | 2006-11-02 |
| 1669408506 | David S Fritz | Optometrist | 515 N State Route 291, Liberty, MO 64068-1045 | 2006-06-23 |
| 1609836386 | David A. Fritz | Emergency Medicine | 2401 S 31st St, Temple, TX 76508-0001 | 2006-03-25 |
| Street Address |
400 S KENNEDY DR SUITE 100 |
| City | BRADLEY |
| State | IL |
| Zip Code | 60915-2682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871530436 | Internal Medicine Associates of Kankakee, Ltd | Internal Medicine | 400 S Kennedy Dr, Suite 200, Bradley, IL 60915-2682 | 2006-06-01 |
| 1447763024 | Devon Saini | Physician Assistant | 400 S Kennedy Dr, Bradley, IL 60915-2682 | 2017-11-06 |
| 1275085888 | Kristen J Burton | Physician Assistant | 400 S Kennedy Dr, Suite 100, Bradley, IL 60915-2682 | 2016-10-30 |
| 1851777056 | Christine Cantrell | Occupational Therapist | 400 S Kennedy Dr, Ste 500, Bradley, IL 60915-2682 | 2015-08-11 |
| 1992103097 | Adriana Lingl | Physician Assistant | 400 S Kennedy Dr, Suite 100, Bradley, IL 60915-2682 | 2014-12-05 |
| 1598164303 | Tammie Henderson | Nurse Practitioner | 400 S Kennedy Dr, Suite 900, Bradley, IL 60915-2682 | 2014-08-18 |
| 1760897219 | Athletic & Therapeutic Institute of Bourbonnais, LLC | Physical Therapist | 400 S Kennedy Dr, Suite 500, Bradley, IL 60915-2682 | 2014-06-24 |
| 1467881623 | Kendra Vogel | Occupational Therapist | 400 S Kennedy Dr, Suite 500, Bradley, IL 60915-2682 | 2013-11-07 |
| 1487905352 | Mary Ann Salera Garcia | Physical Therapist | 400 S Kennedy Dr, Suite 600, Bradley, IL 60915-2682 | 2012-10-02 |
| 1023366036 | Cynthia Ann Provost | Speech-Language Pathologist | 400 S Kennedy Dr, Suite 600, Bradley, IL 60915-2682 | 2012-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285232991 | Healthy Medical Inc | Family Medicine | 535 N. East St., Suite A, Bradley, IL 60915 | 2020-10-14 |
| 1679826309 | Heather Sevier | Specialist/Technologist | 328 S Dearborn Ave, Bradley, IL 60915 | 2012-10-18 |
| 1013266584 | Arlene De Leon Delacruz | Physical Therapist | 400 South Kennedy Dr., Bradley, IL 60915 | 2012-08-30 |
| 1023370699 | Jessica Sorensen | Physician Assistant | 350 N Kinzie Ave, Bradley, IL 60915 | 2012-06-11 |
| 1184993164 | Debra Malone | Behavioral Analyst | 136-142 1/2 South Clinton, Bradley, IL 60915 | 2011-12-21 |
| 1376840421 | Joshua R Johnson | Physician Assistant | 400 S. Kennedy, Bradley, IL 60915 | 2011-02-24 |
| 1801192133 | Eloise Adams | Behavioral Analyst | 136 142 1/2 South Clinton, Bradley, IL 60915 | 2011-02-03 |
| 1386948685 | Rico J Hale | Behavioral Analyst | 136 142 South Clinton, Bradley, IL 60915 | 2010-12-29 |
| 1558665851 | Joyce A Bollhorst | Behavioral Analyst | 136-142 South Clinton, Bradley, IL 60915 | 2010-12-29 |
| 1538469655 | Kankakee Valley Chiropractic | Chiropractor | 300 North Kennedy Drive, Suite 2, Bradley, IL 60915 | 2010-10-22 |
| Find all providers in zip 60915 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750990271 | Caitlin Mccarthy | Nurse Practitioner | 990 N Kinzie Ave, Bradley, IL 60915-1233 | 2020-07-30 |
| 1356979629 | Kathryn Margaret Marie Locke | Nurse Practitioner | 990 N Kinzie Ave, Bradley, IL 60915-1233 | 2020-03-31 |
| 1548808959 | Holly Koren Dinello | Nurse Practitioner | 990 N Kinzie Ave, Bradley, IL 60915-1233 | 2019-12-16 |
| 1881154649 | Lindsey M. Dockemeyer | Nurse Practitioner | 990 N Kinzie Ave, Bradley, IL 60915-1233 | 2019-03-20 |
| 1902378334 | Amanda Jean Ragland | Nurse Practitioner | 409 Woodruff St, Bradley, AR 71826-8715 | 2018-12-25 |
| 1104393180 | Jenna Nicole Sarna | Nurse Practitioner | 400 S Kennedy Dr Ste 700, Bradley, IL 60915-2639 | 2018-10-29 |
| 1407357148 | Melissa Ewert Ortega | Nurse Practitioner | 990 N Kinzie Ave, Bradley, IL 60915-1233 | 2018-02-27 |
| 1275906828 | Lori A Cornelius | Nurse Practitioner | 990 N Kinzie Ave, Bradley, IL 60915-1233 | 2015-11-04 |
| 1790155836 | Katie Kasper | Nurse Practitioner | 990 N Kinzie Ave, Bradley, IL 60915 | 2015-10-01 |
| 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 |
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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.