Central Illinois Family Health Center

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

CENTRAL ILLINOIS FAMILY HEALTH CENTER

Practice address

10555 East County Rd 800 North
Mattoon, IL 61938

Phone

(217) 235-4227

Fax

(217) 235-4274

NPI assigned

Nov 14, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Kelli Lynn Blagg, APN

Title

Apn Owner

Phone

(217) 235-4227

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1326229774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10555 EAST COUNTY RD 800 NORTH",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "61938",
            "telephone_number": "217-235-4227",
            "fax_number": "217-235-4274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10555 EAST COUNTY RD 800 NORTH",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "61938",
            "telephone_number": "217-235-4227",
            "fax_number": "217-235-4274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ILLINOIS FAMILY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "BLAGG",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "APN OWNER",
        "authorized_official_telephone_number": "217-235-4227",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Carter, MHP
• Angela Catalano, M.S.
• Lucas L Catt, MD
• Central East Alcoholism and Drug Council
• Central East Alcoholism and Drug Council
• Toni C Chambers, M.S., CCC SLP
• Chandra Kanth Chaturvedula
• Katherine A Chesnut, AUD
• Lyndsay Chevalier, APN
• Kelly M. Childress, B.A.

• Family Nurse Practitioner in Mattoon, IL
• Providers in Mattoon, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.