Provider Type Icon

MS. BARBARA J NALL APN NPI 1053383471


NPI Information

NPI: 1053383471
Provider Name: MS. BARBARA J NALL, APN
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

PECOS Registration: Yes

Address:
5401 N KNOXVILLE AVE
SUITE 308
PEORIA, IL
ZIP 61614
Phone: (309) 692-5100
Get Directions

MS. Barbara J Nall, APN is a women's health nurse practitioner in Peoria, IL. MS. Barbara J Nall, APN NPI is 1053383471. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5401 N KNOXVILLE AVE
SUITE 308
PEORIA, IL
ZIP 61614-098
Phone: (309) 692-5100
Fax: (309) 692-1400

The NPI 1053383471 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/2/2006 and was last updated on 8/3/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LW0102XNurse PractitionerWomen's Health209-002307ILLINOISNo
2363LW0102XNurse PractitionerWomen's Health209002307ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1041-180296OTHERILLINOISRN LICENSE
2209-002307OTHERILLINOISAPN LICENSE
3L78030MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEMBER #
4NAL1-0428-3835OTHERILLINOISCERT OF WHC NP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.