Jolly Michele Dallmier, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209-000147 Issued in IL

Practice address

900 W Temple Ave
Suite 208
Effingham, IL 62401-2121

Phone

(217) 342-0211

Fax

(217) 342-0232

NPI assigned

Dec 6, 2007

Last updated

Oct 11, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Marshall Clinic Effingham, S.C.

  • Family Medicine Physician
  • Effingham, IL
  • NPI 1952304412
  NPD
• Prairie Cardiovascular Consultants LTD

  • Multi-Specialty Clinic/Center
  • Springfield, IL
  • NPI 1982714218
  NPD (past)
• Springfield Clinic LLP

  dba Springfield Clinic Rural Health Altamont

  • Rural Health Clinic/Center
  • Altamont, IL
  • NPI 1972823631
  NPD (past)

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1629251145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W TEMPLE AVE",
            "address_2": "SUITE 208",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012121",
            "telephone_number": "217-342-0211",
            "fax_number": "217-342-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W TEMPLE AVE",
            "address_2": "SUITE 208",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012121",
            "telephone_number": "217-342-0211",
            "fax_number": "217-342-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLMIER",
        "first_name": "JOLLY",
        "middle_name": "MICHELE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-06",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209-000147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "209-000147",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE/PALMETTO GBA",
            "identifier": "P00465586",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Crowell, M.D.
• CSC Companies Inc (Catching Glimpses)
• Cesar Vladimir Cuellar
• Linda Sue Cummins, LCPC
• Kelly Curl, MS
• Danica Dalmacion, PT, DPT
• Thomas M Dalpozzo, DC
• Erin Dasenbrock
• DB Kids Therapy Services, Inc
• Frances C. Deadmond, PA-C

• Family Nurse Practitioner in Effingham, IL
• Providers in Effingham, 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 Oct 11, 2012; 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.