Angela D Beal (NPI# 1861965543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1861965543 |
| Entity Type | Individual |
| Full Name | Angela D Beal |
| Gender | Female |
| Practice Address |
1777 E Court St Kankakee IL 60901-2670 |
| Practice Telephone | 8776928686 |
| Mailing Address |
1777 E Court St Kankakee IL 60901-2670 |
| Mailing Telephone | 8776928686 |
| Sole Proprietor | Yes, this individual is a Sole Proprietor |
| Enumeration Date | 2019-01-06 |
| Last Update Date | 2020-01-22 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | 209018494 | IL |
| No | 363LF0000X | Nurse Practitioner · Family | Physician Assistants & Advanced Practice Nursing Providers | 209018494 | IL |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336536085 | Angela Beal | Registered Nurse | 34068 Crenshaw St, Beaumont, CA 92223-7444 | 2015-04-21 |
| 1316281439 | Angela Jean Beal | Optometrist | 1300 Polaris Pkwy, Columbus, OH 43240-2038 | 2012-11-15 |
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861931461 | Stacey E. Brown | Nurse Practitioner | 207 N. Schuyler Ave., Kankakee, IL 60901 | 2017-02-15 |
| 1164833737 | Rebecca Leonhardt | Nurse Practitioner | 550 W. Court Street, Kankakee, IL 60468 | 2014-05-16 |
| 1164024808 | Brianna C Knickrehm | Nurse Practitioner | 70 Meadowview Ctr Ste 300, Kankakee, IL 60901-2062 | 2020-11-09 |
| 1932675006 | Glory Obianuju Ikerodah | Nurse Practitioner | 1777 E Court St, Kankakee, IL 60901-2670 | 2018-10-16 |
| 1497252175 | Matthew David Moyes | Nurse Practitioner | 350 N Wall St, Kankakee, IL 60901-2901 | 2018-04-10 |
| 1497264865 | Joseph Patrick Carney | Nurse Practitioner | 350 N Wall St, Kankakee, IL 60901-2901 | 2017-09-28 |
| 1780048561 | Colleen Costello | Nurse Practitioner | 350 N Wall St, Kankakee, IL 60901-2901 | 2016-04-07 |
| 1497112684 | Julie Richardson | Nurse Practitioner | 375 N Wall St, Kankakee, IL 60901-3483 | 2016-01-20 |
| 1255424792 | Sherese A Pruss | Nurse Practitioner | 375 N Wall St, Suite 310, Kankakee, IL 60901 | 2006-10-02 |
| 1134230766 | Kendra G Hansen | Nurse Practitioner | 500 N Wall St, Kankakee, IL 60901 | 2006-08-31 |
| Find all providers in KANKAKEE | ||||
| Street Address |
1777 E COURT ST |
| City | KANKAKEE |
| State | IL |
| Zip Code | 60901-2670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790825347 | Aunt Marthas Youth Service Center Inc | Clinic/Center | 1777 E Court St, Kankakee, IL 60901-2670 | 2007-02-06 |
| 1932675006 | Glory Obianuju Ikerodah | Nurse Practitioner | 1777 E Court St, Kankakee, IL 60901-2670 | 2018-10-16 |
| 1467991323 | Aunt Martha's Youth Service Center, Inc | Clinic/Center | 1777 E Court St, Lower Level, Kankakee, IL 60901-2670 | 2017-02-13 |
| 1487191540 | Aunt Martha's Youth Service Center, Inc. | Clinic/Center | 1777 E Court St, Lower Level, Kankakee, IL 60901-2670 | 2017-01-27 |
| 1205235884 | Jutun R Andrews-king | Nurse Practitioner | 1777 E Court St, Kankakee, IL 60901-2670 | 2014-08-19 |
| 1396070520 | Aunt Martha's Youth Service Center Inc | Community/Behavioral Health | 1777 E Court St, Kankakee, IL 60901-2670 | 2009-10-06 |
| 1790949808 | Hemavathi Patil | Dentist | 1777 E Court St, Kankakee, IL 60901-2670 | 2008-07-17 |
| 1538339411 | Aunt Martha's Youth Service Center Inc | Community/Behavioral Health | 1777 E Court St, Kankakee, IL 60901-2670 | 2008-03-06 |
| 1972705192 | Aunt Martha's Youth Service Center | Clinic/Center | 1777 E Court St, Lower Level, Kankakee, IL 60901-2670 | 2007-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978841 | William Mitsos Dds | Dentist | 1291 S. 7th Ave, Kankakee, IL 60901 | 2020-09-30 |
| 1922653682 | Jody Mcguyer, Lcpc, Cadc Counseling Services, LLC | Counselor | 315 W. Court St., Kankakee, IL 60901 | 2019-08-08 |
| 1700346327 | Sarah Elizabeth Toma | Speech-Language Pathologist | 200 E Court St #708, Kankakee, IL 60901 | 2019-03-20 |
| 1710473160 | Small Talk Speech Services, LLC | Clinic/Center | 1439 W Vanmeter St, Kankakee, IL 60901 | 2018-07-09 |
| 1124538004 | Amy J Green | Physical Therapist | 350 N. Wall Street, Kankakee, IL 60901 | 2017-10-05 |
| 1013457514 | Elizabeth Ann Smith | Registered Nurse | 292 Charlton Lane, Kankakee, IL 60901 | 2017-03-02 |
| 1861931461 | Stacey E. Brown | Nurse Practitioner | 207 N. Schuyler Ave., Kankakee, IL 60901 | 2017-02-15 |
| 1417352105 | Provider Healthcare Services, Inc | Home Health | 555 South Schuyler, Suite 275, Kankakee, IL 60901 | 2014-10-24 |
| 1265850655 | Ronald George Testa | Dentist | 202 N. Schuyler Ave, Kankakee, IL 60901 | 2014-04-02 |
| 1245587898 | Mary Beth Wertz | Registered Nurse | 100 N Jeffery Street, Kankakee, IL 60901 | 2012-08-13 |
| Find all providers in zip 60901 | ||||
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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.