LYNDA A BORSDORF (NPI# 1952534380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952534380 |
Entity Type | Individual |
Full Name | LYNDA A BORSDORF |
Credential | CNP |
Practice Address |
160 W Main St Lena IL 61048-9247 |
Mailing Address |
421 W Stephenson St Po Box 268 Freeport IL 61032 |
Practice Telephone | 8153693300 |
Practice Fax Number | 8153694262 |
Mailing Telephone | 8155997958 |
Enumeration Date | 2009-09-02 |
Last Update Date | 2017-10-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209007741 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
160 W MAIN ST |
City | LENA |
State | IL |
Zip Code | 61048-9247 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013983436 | Shokry Tawfik | Family Medicine | 160 W Main St, Lena, IL 61048-9247 | 2006-02-25 |
1265060925 | Amanda J Veeder | Nurse Practitioner | 160 W Main St, Lena, IL 61048-9247 | 2020-03-30 |
1114211257 | Michelle A Dunker | Physical Medicine & Rehabilitation | 160 W Main St, Lena, IL 61048-9247 | 2011-06-07 |
1174667430 | Freeport Regional Health Care Foundation | Durable Medical Equipment & Medical Supplies | 160 W Main St, Lena, IL 61048-9247 | 2007-02-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780295253 | Midwest Modern Health Pllc | Chiropractor | 306 East Main Street, Lena, IL 61048 | 2020-08-10 |
1972574689 | James T Liles | Chiropractor | 238 W Main St, Lena, IL 61048-0424 | 2006-01-30 |
1578677167 | Patrick George Schleich | Pharmacist | 154 W. Main St., Lena, IL 61048-0666 | 2006-08-19 |
1609027713 | Lena Winslow 202 | Local Education Agency (LEA) | 401 Fremont St, Lena, IL 61048-8610 | 2008-10-07 |
1114446978 | Kimberly Milder | Speech-Language Pathologist | 401 Fremont St, Lena, IL 61048-8610 | 2017-09-13 |
1336689322 | St. John's Lutheran Church, Inc. | Clinic/Center | 311 N. Lake Rd., Lena, IL 61048-8712 | 2017-02-24 |
1134523657 | Julio Delgadillo | Registered Nurse | 214 North Schuyler Street, Lena, IL 61048-8712 | 2014-10-13 |
1144684564 | Bradley Brunner | Chiropractor | 214 Rousch St, Lena, IL 61048-8822 | 2016-04-12 |
1205132172 | Tanya Marie Knoup | Community Health Worker | 8475 W Mound Rd, Lena, IL 61048-9016 | 2011-02-09 |
1891957874 | Gordon Edward Dammann | Dentist | 123 W Railroad St, Lena, IL 61048-9038 | 2008-06-30 |
Find all providers in zip 61048 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265060925 | Amanda J Veeder | Nurse Practitioner | 160 W Main St, Lena, IL 61048-9247 | 2020-03-30 |
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 |
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.