Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Nicole Lynn Duvall , LMT, NCBTMB

Homeopath β€’ Freeport, IL

Active NPI 1679952956 Individual Practitioner Female Practitioner
Practice location in NPPES

640 W South St
Freeport, IL 610326838

Call 8152352301 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

640 W South St

Freeport, IL 610326838

Telephone 8152352301
Organization at the Same NPPES Address or Phone
Robert S Kenneke Dc Pc Facility NPI 1710182738

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Freeport and Illinois

1 active clinicians are listed under Homeopath with a practice address in Freeport, IL (8 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-05-07
Homeopath Primary Specialty

NUCC Taxonomy Code: 175L00000X

License # reported to NPPES IL 227.011956

A provider who is educated and trained in a system of therapeutics in which diseases are treated by drugs which are capable of producing in healthy persons symptoms like those of the disease to be treated. Treatment requires administering a drug in minute doses.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
NPI 1386788545

Doctor of Chiropractic

NPI 1063865483

Doctor of Chiropractic

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ‘€
Provider Name / Credentials Updated May 07, 2020

Recorded as NICOLE DUVALL, LMT, NCBTMB

βœ…
NPI Profile Active May 20, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 20, 2015

Registered at 640 W SOUTH ST, FREEPORT, IL 610326838 (Tel: 8152352301)

πŸ“
Business Mailing Address (Initial Record) May 20, 2015

Registered at 640 W SOUTH ST, FREEPORT, IL 610326838 (Tel: 8152352301)

πŸ‘€
Provider Name / Credentials (Initial Record) May 20, 2015

Recorded as NICOLE HENZE, LMT, NCBTMB

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2015

Homeopath (license number reported to NPPES: IL 227.011956)

🟒
Initial NPI Registration & Enumeration May 20, 2015

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1679952956
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 20, 2015
Last Update: May 07, 2020
Sole Proprietor: Yes

Mailing Address

640 W South St

Freeport, IL 610326838

Phone: 8152352301

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.