ELSA K RAYMOND (NPI# 1972057420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972057420 |
| Entity Type | Individual |
| Full Name | ELSA K RAYMOND |
| Credential | NP |
| Practice Address |
916 Talon Dr Suite 102 O Fallon IL 62269-1848 |
| Practice Telephone | 6186288211 |
| Practice Fax Number | 6186280883 |
| Mailing Telephone | 6186288211 |
| Mailing Fax Number | 6186280883 |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2016-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209014542 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
916 TALON DR SUITE 102 |
| City | O FALLON |
| State | IL |
| Zip Code | 62269-1848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235135617 | John Steve Vick | Chiropractor | 916 Talon Dr, Ste 102, O Fallon, IL 62269-1848 | 2005-06-22 |
| 1194377325 | Collin Magilligan | Nurse Practitioner | 916 Talon Dr, O Fallon, IL 62269-1848 | 2019-07-09 |
| 1225495286 | Kristen Lyn Pitts | Physical Therapist | 916 Talon Dr, O Fallon, IL 62269-1848 | 2016-01-21 |
| 1770949125 | Patricia J Relleke | Nurse Practitioner | 916 Talon Dr, Suite 102, O Fallon, IL 62269-1848 | 2016-01-14 |
| 1376938225 | Apg Medical Laboratory | Clinical Medical Laboratory | 916 Talon Dr, Suite 102, O Fallon, IL 62269-1848 | 2015-03-30 |
| 1407279623 | Associated Physicians Group | Chiropractor | 916 Talon Dr, Suite 102, O Fallon, IL 62269-1848 | 2014-01-23 |
| 1285064329 | Dme Edge LLC | Durable Medical Equipment & Medical Supplies | 916 Talon Dr, Suite B, O Fallon, IL 62269-1848 | 2013-11-26 |
| 1881979623 | Maria Louise Cunningham | Physical Medicine & Rehabilitation | 916 Talon Dr, Suite 102, O Fallon, IL 62269-1848 | 2011-10-12 |
| 1043446008 | Ralph Douglas Spafford | Physician Assistant | 916 Talon Dr, Suite 102, O Fallon, IL 62269-1848 | 2009-06-04 |
| 1104071067 | Jessica Ann Zimmerman | Physical Therapist | 916 Talon Dr, Suite 102, O Fallon, IL 62269-1848 | 2008-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648155 | Kayla Revermann | Pharmacist | 1350 W Us Highway 50, Pharmacy, O Fallon, IL 62269 | 2020-10-30 |
| 1942814272 | Ashley Monique Gibson | Behavior Technician | Eagle Center, Ste 10, Ofallon, IL 62269 | 2020-09-03 |
| 1013533819 | Michelle Denise Voudrie | Registered Nurse | 321 Regency Park, O'fallon, IL 62269 | 2020-06-18 |
| 1598398455 | Washington University Physicians In Illinois - Cancer Center Pharmacy | Pharmacy | 1418 Cross Street, Suite 180, Shiloh, IL 62269 | 2020-02-19 |
| 1962063800 | Gerald Paskert | Pharmacist | 122 W. State St., O'fallon, IL 62269 | 2019-06-21 |
| 1780144808 | Bonnie Jean Lampe | Physical Therapy Assistant | 316 Donna Dr, O'fallon, IL 62269 | 2019-03-24 |
| 1134633993 | Latisha Smith | Psychologist | 600 S. Smiley St., O'fallon, IL 62269 | 2017-11-30 |
| 1619407210 | Brenna M Thomas | Registered Nurse | 1310 Engle Ct, O'fallon, IL 62269 | 2017-06-15 |
| 1881135622 | Pc Associates, LLC | Family Medicine | 800 East Highway 50, O'fallon, IL 62269 | 2017-03-13 |
| 1700230539 | Jennifer Farrell | Family Medicine | 3 St. Elizabeth's Blvd, Ste. 4000, O'fallon, IL 62269 | 2016-04-18 |
| Find all providers in zip 62269 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353308 | Danielle Renae Blake | Nurse Practitioner | 808 E 2nd St, O Fallon, IL 62269-2217 | 2020-07-07 |
| 1588293864 | Nicole Pashia | Nurse Practitioner | 983 Crestwood Ln, O Fallon, MO 63366-1676 | 2020-04-07 |
| 1104394899 | Christina Marie Ivy | Nurse Practitioner | 2765 Red Cedar Parc Dr S, O Fallon, MO 63368-6609 | 2018-11-12 |
| 1225514722 | Rachel Dulaney | Nurse Practitioner | 1405 N Green Mount Rd Ste 240, O Fallon, IL 62269-3494 | 2018-07-17 |
| 1053822551 | Leah W Wangui | Nurse Practitioner | 225 Mystic Cv, O Fallon, MO 63368-9654 | 2017-10-24 |
| 1932655479 | Danielle Besand | Nurse Practitioner | 18 S Boxwood Ln, O Fallon, MO 63366-1626 | 2016-08-25 |
| 1649626144 | Donna Jewell | Nurse Practitioner | 331 Logan Dr, O Fallon, IL 62269-7146 | 2016-05-13 |
| 1679939516 | Gladys Schmees | Nurse Practitioner | 408 Wolfpass Dr, O Fallon, IL 62269-6972 | 2016-01-07 |
| 1275916934 | Blue Valley Surgical Associates, LLC | Nurse Practitioner | 2341 Highway K, Suite 214, O Fallon, MO 63368-8604 | 2015-06-30 |
| 1861894925 | Elizabeth Morton | Nurse Practitioner | 223 Shady Rock Ln, O Fallon, MO 63368-7471 | 2014-09-20 |
| Find all providers in O FALLON | ||||
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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.