KEVIN ROSBOROUGH (NPI# 1942852389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942852389 |
| Entity Type | Individual |
| Full Name | KEVIN ROSBOROUGH |
| Credential | PMHNP |
| Practice Address |
1096 1350th St Lincoln IL 62656-5094 |
| Mailing Address |
420 N Belmont St Mount Pulaski IL 62548-1002 |
| Practice Telephone | 2177355581 |
| Mailing Telephone | 2178551184 |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2019-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
209.017402 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1096 1350TH ST |
| City | LINCOLN |
| State | IL |
| Zip Code | 62656-5094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689771974 | Norine Ella Ashley | Psychologist | 1096 1350th St, Lincoln, IL 62656-5094 | 2006-09-20 |
| 1760972715 | Carrie Goodrum Alexander | Nurse Practitioner | 1096 1350th St, Lincoln, IL 62656-5094 | 2018-05-15 |
| 1275038226 | Robert Andrew Allison | Physician Assistant | 1096 1350th St, Lincoln, IL 62656-5094 | 2018-03-29 |
| 1730501529 | Jo Bates | Licensed Practical Nurse | 1096 1350th St, Lincoln, IL 62526 | 2014-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437678943 | Carissa Jo O'donoghue | Speech-Language Pathologist | 1000 Railer Way, Lincoln, IL 62656 | 2017-09-15 |
| 1083972012 | Cynthia Dorchinecz | Speech-Language Pathologist | 200 Fifth Street, Lincoln, IL 62656 | 2012-04-27 |
| 1104100114 | Jan E Fehrenbacher | Pharmacist | 603 Woodlawn, Lincoln, IL 62656 | 2011-10-10 |
| 1053633263 | Tazwood Mental Health Center, Inc. | Community/Behavioral Health | 124-126 S. Chicago Street, Lincoln, IL 62656 | 2010-02-16 |
| 1649428756 | Diane E Ulrich | Dentist | 400 N. Chicago St, Lincoln, IL 62656 | 2008-09-03 |
| 1922202944 | Robert C Miller | Dentist | 217 S Kickapoo St, Lincoln, IL 62656 | 2007-06-13 |
| 1720290638 | Lifetime Dental Care of Illinois, PC | Dentist | 411 Keokuk Street, Lincoln, IL 62656 | 2007-05-04 |
| 1982734539 | Wal-mart Stores, Inc. Dba Wal-mart | Technician/Technologist | 825 Malerich Dr., Lincoln, IL 62656 | 2007-03-06 |
| 1861571663 | David R Hepler II | Chiropractor | 2000 Pulaski Street, Lincoln, IL 62656 | 2006-11-03 |
| 1477561793 | Raymond Todd Nobbe | Optometrist | 1400 Woodlawn Road, Lincoln, IL 62656 | 2006-08-03 |
| Find all providers in zip 62656 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477186757 | Huong Le Psychiatric Care LLC | Nurse Practitioner | 4444 S 86th St Ste 102, Lincoln, NE 68526-9253 | 2020-02-15 |
| 1538622394 | Partners In Psychiatry LLC | Nurse Practitioner | 1525 Old Louisquisset Pike Ste B203, Lincoln, RI 02865-4522 | 2019-04-09 |
| 1891252219 | Shayla Hinrichsen | Nurse Practitioner | 5539 S 27th St Ste 101, Lincoln, NE 68512-1600 | 2019-02-21 |
| 1205350980 | Tabitha Ann Imondi | Nurse Practitioner | 1525 Old Louisquisset Pike Ste 203, Lincoln, RI 02865-4503 | 2017-08-03 |
| 1396293502 | Meaningful Psychiatric Services LLC | Nurse Practitioner | 9338 Forest Glen Dr, Lincoln, NE 68526-9636 | 2016-09-15 |
| 1578930376 | Heather Nielsen | Nurse Practitioner | 8550 Cuthills Cir Ste 100, Lincoln, NE 68526-9523 | 2015-08-27 |
| 1639568389 | Barry S Berumen Aprn-np, Pmhnp-bc, LLC | Nurse Practitioner | 810 N 48th St, Ste 1, Lincoln, NE 68504-3367 | 2015-01-19 |
| 1174762405 | Rebecca Kay Olander | Nurse Practitioner | 5539 South 27th St, Suite 101, Lincoln, NE 68512-1648 | 2009-02-10 |
| 1609068436 | Wendy Jo Hoins | Nurse Practitioner | 1763 Surfside Dr, Lincoln, NE 68528-1747 | 2007-08-15 |
| 1659589133 | Nathan Warner | Nurse Practitioner | 2222 S 16th St Ste 410, Lincoln, NE 68502-3785 | 2007-05-18 |
| Find all providers in LINCOLN | ||||
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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.