SHANA CLARKSON (NPI# 1053952515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053952515 |
| Entity Type | Individual |
| Full Name | SHANA CLARKSON |
| Credential | NP |
| Practice Address |
2500 Route 99 S Mt Sterling IL 62353-1462 |
| Mailing Address |
2500 Route 99 Mt. Sterling IL 62353-3552 |
| Practice Telephone | 2177734441 |
| Mailing Telephone | 2177734441 |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2019-11-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209020182 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2500 ROUTE 99 S |
| City | MT STERLING |
| State | IL |
| Zip Code | 62353-1462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740827856 | Madeline Nichole Weber | Technician | 319 Fairground, Apartment 12, Mount Sterling, IL 62353 | 2019-12-09 |
| 1871851816 | Tamar Montoya-albrecht | Occupational Therapist | 215 W. Pennsylvannia Ave, Staunton, IL 62353 | 2012-04-27 |
| 1871885541 | Mental Health Centers of Western Illinois | Community/Behavioral Health | 510 Curry Lane, Mount Sterling, IL 62353 | 2011-05-12 |
| 1508068453 | Apex Physical Therapy, LLC | Clinic/Center | Route 99 South, Mt Sterling, IL 62353 | 2007-06-04 |
| 1164642062 | Beth Stephens | Counselor | 700 Se Cross, Mental Health Centers of Western Illinois, Mt Sterling, IL 62353 | 2007-04-26 |
| 1205056090 | Jeri Howell | Counselor | 210 Country Lane, Mental Health Centers of Western Illinois, Mt Sterling, IL 62353 | 2007-04-26 |
| 1558451716 | Mental Health Centers of Western Illinois | Clinic/Center | 700 Se Cross Street, Mt Sterling, IL 62353 | 2006-10-16 |
| 1588771786 | Mount Sterling Dental Center, P.C. | Dentist | 839 Route 24, West, Mount Sterling, IL 62353 | 2006-08-24 |
| 1346452489 | Sean Eifert | Counselor | 700 Se Cross, Mental Health Centers of Western Illinois, Mt Sterling, IL 62353 | 2007-05-03 |
| 1063632859 | Michael L Jersey | Counselor | 700 Se Cross, Mental Health Centers of Western Illinois, Mt Sterling, IL 62353 | 2007-04-26 |
| Find all providers in zip 62353 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205935814 | Means Adult Primary Care Clinic of Kentucky Pllc | Nurse Practitioner | 148 Skyview Dr., Mt Sterling, KY 40353-1300 | 2006-09-21 |
| 1780199638 | Alyssa Fleming | Nurse Practitioner | 225 Falcon Dr, Mt Sterling, KY 40353-9792 | 2017-12-13 |
| 1417499716 | Michelle Dawn Stone | Nurse Practitioner | 148 Skyview Dr, Mt Sterling, KY 40353-1496 | 2016-11-17 |
| 1891991048 | Ginger Bond Mcdaniel | Nurse Practitioner | 209 N Maysville St Ste 200, Mt Sterling, KY 40353-1179 | 2007-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578523 | Kaitlin Lawson Kalnitz | Nurse Practitioner | 745 Mcclintock Dr Ste 360, Burr Ridge, IL 60527-0875 | 2020-11-06 |
| 1841890290 | Maria Malanych | Nurse Practitioner | 5731 Rosinweed Ln, Naperville, IL 60564-1635 | 2020-10-27 |
| 1639778160 | Roxanna Lee Gunnels | Nurse Practitioner | 1 Bronze Pointe Plaza Suite 1a, Swansea, IL 62226 | 2020-10-26 |
| 1295334811 | Mary Farley | Nurse Practitioner | 7308 Northwood Dr, Wonder Lake, IL 60097-8606 | 2020-10-24 |
| 1164021168 | Stephanie Schuster | Nurse Practitioner | 2665 Prairieview Ln N, Aurora, IL 60502-6343 | 2020-10-21 |
| 1316546641 | Vanessa K Bajaj | Nurse Practitioner | 1123 N Claremont Dr, Palatine, IL 60074-4002 | 2020-10-19 |
| 1003414442 | Gachugu Medical Clinic | Nurse Practitioner | 1 E Ferguson Ave, Wood River, IL 62095-1903 | 2020-10-16 |
| 1477151272 | Yolanda K Bradford | Nurse Practitioner | 2700 S California Ave, Chicago, IL 60608-5108 | 2020-10-14 |
| 1265030019 | Andrea Mclean | Nurse Practitioner | 2500 W Reynolds St # 205, Pontiac, IL 61764-9774 | 2020-10-14 |
| 1558968628 | Timothy Nenoff | Nurse Practitioner | 24722 Lincolnway St, Plainfield, IL 60544-2412 | 2020-10-02 |
| Find all providers with the same taxonomy | ||||
| City | MT STERLING |
| Zip Code | 62353 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.