Individual provider Active NPI

Donna Mae Howerton, CRNFA

  • Registered Nurse First Assistant
  • Galesburg, IL
National Provider Identifier
1376631317
Registry record updated Oct 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
041-224208 Issued in IL
Practice address
979 Sweetbriar PL
Galesburg, IL 61401-2327
Phone
(309) 342-7800
Fax
(309) 342-3246
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 041-224208 IL Primary

Addresses

Primary practice location

979 Sweetbriar PL
Galesburg, IL 61401-2327

Mailing address

979 Sweetbriar PL
Galesburg, IL 61401-2327
Phone (309) 342-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
041-224208ILMDRegistered Nurse First Assistant

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254700800000",
    "number": "1376631317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "979 SWEETBRIAR PL",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012327",
            "telephone_number": "309-342-7800",
            "fax_number": "309-342-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "979 SWEETBRIAR PL",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012327",
            "telephone_number": "309-342-7800",
            "fax_number": "309-342-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWERTON",
        "first_name": "DONNA",
        "middle_name": "MAE",
        "credential": "CRNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2009-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "IL",
            "license": "041-224208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galesburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; 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.