MRS. ELIZABETH SUE JENNINGS-PORTER (NPI# 1114929452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114929452 |
| Entity Type | Individual |
| Full Name | MRS. ELIZABETH SUE JENNINGS-PORTER |
| Credential | CNM |
| Practice Address |
2220 Marquette Rd Peru IL 61354-1538 |
| Practice Telephone | 8152200260 |
| Practice Fax Number | 8152208253 |
| Mailing Telephone | 8152200260 |
| Mailing Fax Number | 8152208253 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367A00000X | Advanced Practice Midwife | 209-000734 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 05032022 | 01 |
| Street Address |
2220 MARQUETTE RD |
| City | PERU |
| State | IL |
| Zip Code | 61354-1538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902293657 | Two Harbors Integrative Healthcare, LLC | Clinic/Center | 2220 Marquette Rd, Peru, IL 61354-1555 | 2015-04-21 |
| 1760603294 | A Woman's Connection of Lasalle-peru P.C. | Advanced Practice Midwife | 2220 Marquette Rd, Peru, IL 61354-1538 | 2007-05-01 |
| 1407936040 | Catherine A Christensen | Nurse Practitioner | 2220 Marquette Rd, Peru, IL 61354-1555 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750247 | Saida Samedova | Optometrist | 5255 Il-251, Peru, IL 61354 | 2020-11-06 |
| 1205469483 | Illinois Valley Community Hospital | Registered Nurse | 1403 Sixth Street, Peru, IL 61354 | 2020-02-17 |
| 1689228322 | Zhong Xue | Dentist | 5301 Il-251, Ste A, Peru, IL 61354 | 2019-07-31 |
| 1003281668 | Christopher Shane Smith | Physical Therapist | 1400 Midtown Road, Peru, IL 61354 | 2015-12-08 |
| 1770823197 | Muscle Pain Clinic Inc | Chiropractor | 4231 Progress Blvd Ste 4, Peru, IL 61354 | 2013-02-21 |
| 1306194451 | Vijaya Lakshmi Bathina | Dentist | 5301 Route 251, Peru, IL 61354 | 2012-08-21 |
| 1225305634 | Walgreens | Point of Service | 1033 Shooting Park Road, Peru, IL 61354 | 2011-11-30 |
| 1811293574 | Charles Riva | Physical Therapist | 4461 N. Progress Blvd., Peru, IL 61354 | 2011-01-28 |
| 1932403896 | Emerging Vision, Inc | Eyewear Supplier (Equipment, not the service) | 3940 Route 251, Peru Mall Suite F-1, Peru, IL 61354 | 2011-01-06 |
| 1457668170 | Illinois Valley Community Hospital | Nurse Practitioner | 5307 Route 251, Peru, IL 61354 | 2010-09-01 |
| Find all providers in zip 61354 | ||||
| Taxonomy Code | 367A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Advanced Practice Midwife |
| Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM). |
| Notes: Source: American College of Nurse-Midwives, 2008 [7/1/2008: title changed, defintion changed, source changed] Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306273685 | Heather Lynn Miller | Advanced Practice Midwife | 1305 6th St, Peru, IL 61354-2759 | 2013-10-02 |
| 1972793016 | Angela Reidner | Advanced Practice Midwife | 920 West St, Bldg B, Peru, IL 61354-2763 | 2007-07-25 |
| 1760603294 | A Woman's Connection of Lasalle-peru P.C. | Advanced Practice Midwife | 2220 Marquette Rd, Peru, IL 61354-1538 | 2007-05-01 |
| 1598981193 | Tracey Ann Antle | Advanced Practice Midwife | 920 West St, Bldg B, Peru, IL 61354-2763 | 2007-04-18 |
| 1699852129 | Pamela M Koehler | Advanced Practice Midwife | 920 West St, Bldg B, Peru, IL 61354-2763 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487260428 | Sherri Lea Lynn | Advanced Practice Midwife | 2855 State Route 147, Vienna, IL 62995-3804 | 2020-09-16 |
| 1386255974 | Dr. Jacynia Women's Care Consulting, LLC | Advanced Practice Midwife | 6609 S University Ave, Chicago, IL 60637-4319 | 2020-08-16 |
| 1578197851 | Heather Breneisen Mena | Advanced Practice Midwife | 569 Shorely Dr, Barrington, IL 60010-3340 | 2020-02-26 |
| 1649810987 | Alisha M Wesley | Advanced Practice Midwife | 375 N Wall St Ste P410, Kankakee, IL 60901-3491 | 2020-01-15 |
| 1679116404 | Gentle Birth Care, Inc. | Advanced Practice Midwife | 130 W Willow Ave, Wheaton, IL 60187-5237 | 2019-10-24 |
| 1689238057 | Sarah Lynn Wayne | Advanced Practice Midwife | 250 E Superior St Fl 8, Chicago, IL 60611-2914 | 2019-04-30 |
| 1912476813 | Stephanie Gentry Martinez | Advanced Practice Midwife | 1024 North Blvd Ste 208, Oak Park, IL 60301-1149 | 2018-11-20 |
| 1518435130 | Amanda Bakken | Advanced Practice Midwife | 250 Center Dr Ste 101, Vernon Hills, IL 60061-1582 | 2018-11-13 |
| 1043792641 | Mallory Marie Klocke | Advanced Practice Midwife | 1117 W Lunt Ave Apt 2a, Chicago, IL 60626-3537 | 2018-08-30 |
| 1912423856 | My Mindful Birth, Inc. | Advanced Practice Midwife | 225 W Jefferson Ave Ste 104, Naperville, IL 60540-5312 | 2017-08-22 |
| Find all providers with the same taxonomy | ||||
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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.