Active NPI
Newera Healthcare, LLC
- Family Nurse Practitioner
- Marion, IL
National Provider Identifier
1740544436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209007626
- Legal business name
- NEWERA HEALTHCARE, LLC
- Practice address
- 2733 Kokopelli Dr
Marion, IL 62959-5213 - Phone
- (618) 751-9045
- NPI assigned
- Jun 27, 2012
- Last updated
- Jul 2, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jill Cash, APN
- Title
- Partner
- Phone
- (618) 751-9045
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036067057 | IL | |
| Family Nurse Practitioner | 363LF0000X | 209000459 | IL | |
| Family Nurse Practitioner | 363LF0000X | 209007626 | IL | Primary |
Addresses
Primary practice location
2733 Kokopelli Dr
Marion, IL 62959-5213
Mailing address
2733 Kokopelli Dr
Marion, IL 62959-5213
Phone (618) 751-9045
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- West Frankfort, IL
- NPI 1760610729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1341187200000",
"number": "1740544436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2733 KOKOPELLI DR",
"city": "MARION",
"state": "IL",
"postal_code": "629595213",
"telephone_number": "618-751-9045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2733 KOKOPELLI DR",
"city": "MARION",
"state": "IL",
"postal_code": "629595213",
"telephone_number": "618-751-9045"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEWERA HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-27",
"last_updated": "2012-07-02",
"status": "A",
"authorized_official_last_name": "CASH",
"authorized_official_first_name": "JILL",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "618-751-9045",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "APN"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036067057",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209000459",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209007626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marion, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.