STACI LYNNE CIRCELLO (NPI# 1164065801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164065801 |
| Entity Type | Individual |
| Full Name | STACI LYNNE CIRCELLO |
| Credential | APRN |
| Practice Address |
600 N College Ave Geneseo IL 61254-1099 |
| Practice Telephone | 3099449160 |
| Mailing Telephone | 3099449160 |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2019-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.020279 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
600 N COLLEGE AVE |
| City | GENESEO |
| State | IL |
| Zip Code | 61254-1099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417956319 | Quad Cities Kidney Center, Ltd. | Clinic/Center | 600 N College Ave, Suite 150, Geneseo, IL 61254-1096 | 2005-07-21 |
| 1528675733 | Marcella Alene Miner | Nurse Practitioner | 600 N College Ave, Geneseo, IL 61254-1099 | 2020-09-30 |
| 1285278093 | Kailey Nicole Limes | Dietitian, Registered | 600 N College Ave, Geneseo, IL 61254-1099 | 2019-11-05 |
| 1164926945 | Kristen K Maughan | Dietitian, Registered | 600 N College Ave, Geneseo, IL 61254-1094 | 2018-03-19 |
| 1093213308 | Hammond Henry Dist Hospital | Clinic/Center | 600 N College Ave, Geneseo, IL 61254-1091 | 2018-02-01 |
| 1497207799 | Brittany Courson | Nurse Practitioner | 600 N College Ave, Ste 102, Geneseo, IL 61254-1091 | 2016-11-03 |
| 1821440959 | Kati Grimes | Nurse Practitioner | 600 N College Ave, Ste 120, Geneseo, IL 61254-1091 | 2016-07-13 |
| 1548620909 | Fresenius Medical Care Quad Cities, LLC | Clinic/Center | 600 N College Ave, Suite 150, Geneseo, IL 61254-1091 | 2016-02-29 |
| 1285005850 | Iowa Physicians Clinic Medical Foundation | Physician Assistant | 600 N College Ave, Suite 120, Geneseo, IL 61254-1095 | 2015-10-08 |
| 1053787333 | Iowa Illinois Pain Consultants PC | Clinic/Center | 600 N College Ave, Geneseo, IL 61254-1091 | 2015-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891259362 | Allison J Blade | Nurse Practitioner | 600 N College Avenue Suite 120, Geneseo, IL 61254 | 2019-01-29 |
| 1477070258 | Aaron Thomas Wachtel, Dds | Dentist | 608 E. Ogden Avenue, Geneseo, IL 61254 | 2017-08-23 |
| 1558895722 | Triston Harry | Social Worker | 2707 17th Street, Rock Island, IL 61254 | 2017-04-14 |
| 1306392980 | Rebecca Woodard | Counselor | 2701 17 Street, Rock Island, IL 61254 | 2016-09-01 |
| 1164701082 | Kara Wiedenhoeft | Physical Therapist | 29 Meadowbrook Drive, Geneseo, IL 61254 | 2011-08-09 |
| 1982256301 | Jalyn April Salas | Occupational Therapy Assistant | 704 S Illinois St, Geneseo, IL 61254 | 2019-07-15 |
| 1306318001 | Ashley Mclaughlin | Social Worker | 2701 17th St, Rock Island, IL 61254 | 2018-12-19 |
| 1144747858 | Logan Hagerman | Counselor | 2701 17th St, Rock Island, IL 61254 | 2017-08-23 |
| 1013454677 | Amber Leanne Cozad | Counselor | 2701 17th St, Rock Island, IL 61254 | 2017-01-20 |
| 1457898173 | Paul Schmidt | Counselor | 2701 17th Street, Rock Island, IL 61254 | 2017-01-20 |
| Find all providers in zip 61254 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365140 | Caitlyn Windsor | Nurse Practitioner | 24525 Grange Rd, Geneseo, IL 61254-8429 | 2020-10-31 |
| 1295169324 | Annetta Marie Nordstrom | Nurse Practitioner | 600 N College Ave Ste 120, Geneseo, IL 61254-1092 | 2013-08-26 |
| 1639202542 | Pat A Terhaar | Nurse Practitioner | After Hours Care Center-livingston Health Services, 50 East South St., Geneseo, NY 14454 | 2007-03-13 |
| 1528675733 | Marcella Alene Miner | Nurse Practitioner | 600 N College Ave, Geneseo, IL 61254-1099 | 2020-09-30 |
| 1497207799 | Brittany Courson | Nurse Practitioner | 600 N College Ave, Ste 102, Geneseo, IL 61254-1091 | 2016-11-03 |
| 1821440959 | Kati Grimes | Nurse Practitioner | 600 N College Ave, Ste 120, Geneseo, IL 61254-1091 | 2016-07-13 |
| 1528306289 | Katie Anne Sowder | Nurse Practitioner | 600 N College Ave, Geneseo, IL 61254-1091 | 2013-01-30 |
| 1467579821 | Roxanne Marie Holthaus | Nurse Practitioner | 1 College Cir, Laderdale Center for Student Health and Counseling, Geneseo, NY 14454-1401 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760277 | Jennifer Michelle Kennedy | Nurse Practitioner | 3006 Lakeview Dr, Metropolis, IL 62960-3119 | 2020-11-07 |
| 1881295541 | Britney Julia Durst | Nurse Practitioner | 5905 N Prospect Rd, Peoria, IL 61614-4311 | 2020-11-07 |
| 1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
| 1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
| 1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
| 1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
| 1578163515 | Deanna Bassette | Nurse Practitioner | 243 E 31st St Apt 401, Chicago, IL 60616-5212 | 2020-10-29 |
| 1891395745 | Vrunda Shah Patel | Nurse Practitioner | 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 | 2020-10-29 |
| 1346840337 | Catherine Suh | Nurse Practitioner | 1380 Marcy Ln, Wheeling, IL 60090-4422 | 2020-10-28 |
| 1356941421 | Ifeoma Agatha Okeke | Nurse Practitioner | 12546 Kinzie Ln, Huntley, IL 60142-7051 | 2020-10-28 |
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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.