ELIZABETH ANN STEPHENS (NPI# 1124135363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124135363 |
| Entity Type | Individual |
| Full Name | ELIZABETH ANN STEPHENS |
| Credential | CNS |
| Practice Address |
655 E Main St Peru IN 46970-2662 |
| Mailing Address |
1015 Michigan Ave Logansport IN 46947-1526 |
| Practice Telephone | 7654721931 |
| Practice Fax Number | 7654721945 |
| Mailing Telephone | 5747225151 |
| Mailing Fax Number | 5747320504 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2008-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
70000145A | IN | Nursing Service Providers |
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
28112839A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | CSR | 70000145B | 01 |
| IN | DEA | MS1001801 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396216883 | Elizabeth Rose Stephens | Health Educator | 97381 Newport Lane, Coos Bay, OR 97420 | 2018-12-10 |
| 1205313327 | Elizabeth Stephens | Behavior Technician | 307f Sawdust Rd, Spring, TX 77380-2240 | 2018-07-21 |
| 1952776932 | Elizabeth Stephens | Social Worker | 14006 Doty Ave Apt 6, Hawthorne, CA 90250-0500 | 2015-12-02 |
| 1164817219 | Elizabeth Theresa Stephens | Pediatrics | 214 W Bowery St, Akron, OH 44308 | 2015-04-04 |
| 1902089832 | Elizabeth Ann Stephens | Physical Therapist | 1450 S 1500 E, Clearfield, UT 84015-1633 | 2007-12-13 |
| 1760908073 | Elizabeth Joyce Moe Stephens | Speech-Language Pathologist | 200 N Fairway Dr, Vernon Hills, IL 60061-1861 | 2017-08-17 |
| 1194082123 | Elizabeth Humes Stephens | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 200 1st St Sw, Rochester, MN 55905 | 2012-04-16 |
| 1124333026 | Elizabeth Dunn Stephens | Social Worker | 117 N Poplar St, Lincolnton, NC 28092-3315 | 2010-08-16 |
| 1336380542 | Elizabeth Claire Stephens | Nutritionist | 1110 Dr. Edward Hillard Drive, Tuscaloosa, AL 35403-2817 | 2009-03-18 |
| 1245408798 | Elizabeth A Stephens | Social Worker | 3840 Hulen St, Htn, Client Accounting, Fort Worth, TX 76107-7277 | 2008-02-19 |
| Street Address |
655 E MAIN ST |
| City | PERU |
| State | IN |
| Zip Code | 46970-2662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366487621 | Kendall Toney | Psychologist | 655 E Main St, Peru, IN 46970-2662 | 2006-06-19 |
| 1639419344 | Kelley Leigh Bennett | Case Manager/Care Coordinator | 655 E Main St, Peru, IN 46970-2662 | 2013-02-18 |
| 1013252741 | Shannon Louise Lees | Case Manager/Care Coordinator | 655 E Main St, Peru, IN 46970-2662 | 2012-12-06 |
| 1720339096 | Amanda Kay Broughton | Case Manager/Care Coordinator | 655 E Main St, Peru, IN 46970-2662 | 2012-09-27 |
| 1760744171 | Verdia Melissa Middleton | Counselor | 655 E Main St, Peru, IN 46970-2662 | 2012-06-12 |
| 1568735967 | Lisa Kay Sheridan | Counselor | 655 E Main St, Peru, IN 46970-2662 | 2012-02-15 |
| 1104100155 | Anthony Robert Halterman | Case Manager/Care Coordinator | 655 E Main St, Peru, IN 46970-2662 | 2011-10-07 |
| 1982999645 | Denise Renay Walter | Case Manager/Care Coordinator | 655 E Main St, Peru, IN 46970-2662 | 2011-06-10 |
| 1164714218 | Megan Renee Bullins | Case Manager/Care Coordinator | 655 E Main St, Peru, IN 46970-2662 | 2011-05-09 |
| 1588993638 | Angela Kay Musall | Case Manager/Care Coordinator | 655 E Main St, Peru, IN 46970-2662 | 2009-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447896311 | Christina M Van Meter | Pharmacist | 930 W Main St., Peru, IN 46970 | 2019-11-26 |
| 1821554585 | Thomas Gilbert Reaves | Counselor | 5851 S. Us-31, Lot 47, Peru, IN 46970 | 2019-02-18 |
| 1104154863 | American Foot and Ankle Inc | Durable Medical Equipment & Medical Supplies | 632 West Main Street, Peru, IN 46970 | 2009-11-18 |
| 1629208251 | Rafik Farag | Family Medicine | 1694 W Logansport Rd., Community Health Center of Miami County, Peru, IN 46970 | 2009-07-16 |
| 1508076050 | Peggy L Wert | Occupational Therapy Assistant | 850 Matador Drive, Peru, IN 46970 | 2007-05-23 |
| 1972690634 | Sherif Elmasry | Pediatrics | 655 N Broadway, Peru, IN 46970 | 2006-10-06 |
| 1548357320 | Belinda Diane Stonger | Hearing Instrument Specialist | 1 S. Broadway, Peru, IN 46970 | 2006-10-05 |
| 1134214083 | American Health Network of Indiana, LLC | Durable Medical Equipment & Medical Supplies | 315 West Old Key Drive, Peru, IN 46970 | 2006-10-04 |
| 1710082409 | Thomas J Guthrie | Dentist | 5 West Logan Street, Peru, IN 46970 | 2006-09-14 |
| 1750921938 | Christina Russell | Counselor | 1000 N Broadway Ste A, Peru, IN 46970 | 2020-01-15 |
| Find all providers in zip 46970 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053650887 | Gerald Lewis Inc. | Clinical Nurse Specialist | 1150 Eastport Centre Dr, Suite D, Valparaiso, IN 46383-8427 | 2013-02-14 |
| 1437497864 | Abidemi Mary Ajuwon | Clinical Nurse Specialist | 3420 Cinnabar St, West Lafayette, IN 47906-7208 | 2013-01-18 |
| 1952603664 | Tara Elizabeth Gavardinas | Clinical Nurse Specialist | The Indiana Clinic, 340 W. 10th Street, Fs 5100, Indianapolis, IN 46202 | 2010-12-01 |
| 1407014327 | Regina Dawn Haight | Clinical Nurse Specialist | 1701 N Capitol Ave, C-3, Indianapolis, IN 46202-1203 | 2008-05-28 |
| 1073780102 | Deborah Lynn May | Clinical Nurse Specialist | 10748 Weston Dr, Carmel, IN 46032-9319 | 2008-05-08 |
| 1245403419 | Carol Agnes Essenmacher | Clinical Nurse Specialist | 8075 N Shadeland Ave Ste 350, Indianapolis, IN 46250-2693 | 2008-04-09 |
| 1508041716 | Elisabeth K Degenhardt | Clinical Nurse Specialist | 5230 E Stop 11 Rd Ste 300, Indianapolis, IN 46237-6401 | 2008-01-07 |
| 1306999131 | Kathleen R Lynch Lewis | Clinical Nurse Specialist | 281 Bielby Rd, Lawrenceburg, IN 47025-1055 | 2007-01-18 |
| 1831207000 | Frances Lucille Miller | Clinical Nurse Specialist | 145 Green Meadows Drive, Greenfield, IN 46140-4001 | 2006-08-28 |
| 1558308841 | Jennifer G Sims | Clinical Nurse Specialist | 1481 W 10th St # C-5085, Richard L Roudebush Va Medical Center, Indianapolis, IN 46202-2803 | 2006-06-02 |
| 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.