THERESA M HARRELL PA
NPI 1396042990
Physician Assistant in Urbana, IL

Q: What is Theresa Harrell's NPI number?

The NPI number for Theresa Harrell is 1396042990. It was assigned to this individual provider in the NPPES registry on February 16, 2011.

Q: What is Theresa Harrell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Theresa Harrell was last updated on September 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 16, 2011

1818 E WINDSOR RD, OB/GYN, URBANA, IL 61802(217) 255-9600(217) 255-9560 Get Directions Write a Review

NPPES record last updated: September 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Theresa M Harrell Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERESA M HARRELL PA (NPI 1396042990) is an individual physician assistant in Urbana, Illinois, licensed in Illinois (085003874) and active in the NPI registry since February 2011.

NPPES Registry Identity

NPI1396042990

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameTHERESA M HARRELLCredential: PA

Location Address1818 E WINDSOR RD, OB/GYNUrbana, IL 61802-9566

Mailing Address611 W. Park St., BwpcUrbana, IL 61801-2500 · (217) 383-6792 · Fax (217) 383-4752

Phone(217) 255-9600

Fax(217) 255-9560

Sole ProprietorNo

Enumeration DateFebruary 16, 2011

Last NPPES UpdateSeptember 17, 2014

✔ NPI 1396042990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IL · 085003874

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1818 E WINDSOR RD, Urbana, IL 61802

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Other Identifiers 2

Medicare PINIL3270543IL

Medicare NSC6447860014IL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MALCOLM C HILL MD

Pediatrics