CHRISTA DAWN JENNETTE (NPI# 1942476908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942476908 |
| Entity Type | Individual |
| Full Name | CHRISTA DAWN JENNETTE |
| Practice Address |
1113 Keiffer Dr Olney IL 62450 |
| Practice Telephone | 6183924106 |
| Mailing Telephone | 6183924106 |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2008-04-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 347C00000X | Private Vehicle | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 189837230 | 05 |
| Street Address |
1113 KEIFFER DR |
| City | OLNEY |
| State | IL |
| Zip Code | 62450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851530091 | Donna Harris | Counselor | 515 West St. John Street, Olney, IL 62450 | 2009-02-11 |
| 1942491162 | Marion County Horizon Center D/b/a Richland Manor | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1066 West Main St, Olney, IL 62450 | 2007-08-05 |
| 1811100407 | Advanced Open Mri, Inc. | Clinic/Center | 605 East Main Street, Olney, IL 62450 | 2007-05-08 |
| 1548489958 | Frank Edward Gruber | Dentist | 1108 N East St, Olney, IL 62450 | 2007-04-24 |
| 1508084591 | Melvin Borja Escalona | Physical Therapist | 800 East Locust St., Olney, IL 62450 | 2007-04-23 |
| 1881769826 | Jeffrey Alan Kocher | Chiropractor | 731 S West St, Olney, IL 62450 | 2006-11-22 |
| 1336211523 | Patricia Lynn Kessler Bookhout | Dentist | 1104 North East, Olney, IL 62450 | 2006-11-14 |
| 1639159015 | Bowers Drug Store Inc | Pharmacy | 205 E Main, Olney, IL 62450 | 2006-01-20 |
| 1336137199 | South Eastern Illinois Counseling Center Inc | Counselor | 504 Micah Drive, Drawer M, Olney, IL 62450 | 2005-10-06 |
| 1932684313 | Kylie L Garbe | Nurse Practitioner | 1200 N East St, Olney, IL 62450 | 2018-10-01 |
| Find all providers in zip 62450 | ||||
| Taxonomy Code | 347C00000X |
| Grouping | Transportation Services |
| Classification | Private Vehicle |
| An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223703 | Jimmy D Hill | Private Vehicle | 300 W Bond Ave Apt 11, Patoka, IL 62875-1044 | 2020-10-23 |
| 1033716675 | Tuwana Hunter | Private Vehicle | 512 N Jackson St, Waukegan, IL 60085-3848 | 2020-10-07 |
| 1407462336 | Connect Care Trans LLC | Private Vehicle | 2454 W Peterson Ave, Chicago, IL 60659-4113 | 2020-09-16 |
| 1437769577 | Steven Walls | Private Vehicle | 12 Chatham Cir, Kankakee, IL 60901-5802 | 2020-08-04 |
| 1275166514 | Ira Lee Williams | Private Vehicle | 9801 S Karlov Ave Apt 203, Oak Lawn, IL 60453-3443 | 2020-02-14 |
| 1033740477 | Karriage Incorporated | Private Vehicle | 8314 W 95th St, Hickory Hills, IL 60457-1951 | 2020-02-03 |
| 1275179178 | William Smith Iv | Private Vehicle | 2535 S Twin Bridge Rd, Decatur, IL 62521-9604 | 2019-11-26 |
| 1972147627 | Td Reliable Transport LLC | Private Vehicle | 1462 Legacy Dr Unit 4, Dekalb, IL 60115-2078 | 2019-11-05 |
| 1225670151 | Margaret Sharice Ward | Private Vehicle | 1995 W Meadowview Dr, Round Lake, IL 60073-9793 | 2019-10-11 |
| 1427699081 | Tb Transportation Enterprise Inc | Private Vehicle | 4114 W Gladys Ave, Chicago, IL 60624-3284 | 2019-10-04 |
| 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.