STEPHANIE GORDON (NPI# 1174992127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174992127 |
| Entity Type | Individual |
| Full Name | STEPHANIE GORDON |
| Other Name | STEPHANIE D MOLLER |
| Credential | CNM |
| Practice Address |
611 W Park St Urbana IL 61801-2529 |
| Mailing Address |
611 W. Park St Fapc Urbana IL 61801 |
| Practice Telephone | 2173833311 |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2020-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367A00000X | Advanced Practice Midwife | 209.013249 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3408 Office Park Dr, Marion, IL 629596477 | 6189975266 | 6189975285 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578970968 | Stephanie Gordon | Specialist/Technologist | 198 Heather Dr, Central, SC 29630-9308 | 2014-07-17 |
| 1619309945 | Stephanie Jean Gordon | Acupuncturist | 410 Wabash St, Michigan City, IN 46360-3334 | 2013-08-09 |
| 1629376835 | Stephanie Vicky Gordon | Massage Therapist | 2874 Shelby St, Suite 108, Bartlett, TN 38134-4579 | 2011-03-11 |
| 1750516159 | Stephanie Spurlock Gordon | Dental Hygienist | 1245 Nw 119th St, Miami, FL 33167-3231 | 2009-05-29 |
| 1366564288 | Stephanie Ward Gordon | Pharmacist | 7880 Winn Rd, Spring Grove, IL 60081-9687 | 2007-04-03 |
| 1407849722 | Stephanie H Gordon | Obstetrics & Gynecology | 2750 Owens Rd Sw, Suite A, Conyers, GA 30094-3991 | 2005-08-23 |
| 1386121366 | Stephanie Gordon | Dentist | 736 E Oak St, Oakland, MD 21550-1615 | 2018-07-23 |
| 1356864110 | Stephanie Christine Gordon | Licensed Practical Nurse | 2216 20th St, Zion, IL 60099-1648 | 2017-07-24 |
| 1003234840 | Stephanie Gordon | Social Worker | 1900 S Acadian Thruway, Baton Rouge, LA 70808-1665 | 2014-03-30 |
| 1841500840 | Stephanie Marie Gordon | Behavioral Analyst | 4343 Williamsbourgh Dr, Sacramento, CA 95823-2006 | 2010-10-12 |
| Street Address |
611 W PARK ST |
| City | URBANA |
| State | IL |
| Zip Code | 61801-2529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831193416 | Mark L Saxton | Surgery | 611 W Park St, Urbana, IL 61801-2529 | 2005-06-10 |
| 1083214514 | Karissa Nelson | Physical Therapist | 611 W Park St, Urbana, IL 61801-2529 | 2020-10-26 |
| 1720698756 | Justin Matthew Felix | Surgery | 611 W Park St, Urbana, IL 61801-2529 | 2020-08-04 |
| 1033729306 | Patricia Fairchild | Occupational Therapist | 611 W Park St, Urbana, IL 61801-2529 | 2020-08-03 |
| 1851909782 | Shruti Agarwal | Internal Medicine | 611 W Park St, Urbana, IL 61801-2529 | 2020-07-16 |
| 1396363321 | Muhammad Umair Rana | Internal Medicine | 611 W Park St, Urbana, IL 61801 | 2020-07-07 |
| 1740807817 | Salma Malik | Internal Medicine | 611 W Park St, Urbana, IL 61801 | 2020-07-06 |
| 1477171536 | Audrey T Lam | Internal Medicine | 611 W Park St, Urbana, IL 61801-2529 | 2020-07-06 |
| 1255959318 | Corbin Reid Mah | Surgery | 611 W Park St, Urbana, IL 61801-2529 | 2020-07-06 |
| 1093332652 | Knika Sethi | Surgery | 611 W Park St, Urbana, IL 61801-2529 | 2020-06-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566084 | Avani Sushilkumar Mohta | Internal Medicine | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2020-07-29 |
| 1922617133 | Recovery Concepts Urbana, LLC | Clinic/Center | 710 W. Killarney St., Urbana, IL 61801 | 2020-07-24 |
| 1447877089 | Muhammad Khalid Abbas | Internal Medicine | 611 W Park St Urbana, Urbana, IL 61801 | 2020-06-30 |
| 1003430166 | Conlan Joseph Pierce | Surgery | 601 W Park St, Urbana, IL 61801 | 2020-06-04 |
| 1568090900 | Luke Andrew Fenlon | Student in an Organized Health Care Education/Training Program | Carle Forum Lower Level, Mc-474, 611 West Park Street, Urbana, IL 61801 | 2020-03-31 |
| 1912559691 | Ali Baltaji | Internal Medicine | 101 N Busey Apt 7, Urbana, IL 61801 | 2019-07-12 |
| 1821510918 | Pallavi Pradeep | Internal Medicine | Imrp, Carle Foundation Hospital, 611 W Park Street, Urbana, IL 61801 | 2017-07-11 |
| 1093236002 | Angela Lynn Devaney | Speech-Language Pathologist | 1400 W Park, Presence Covenant Medical Center, Urbana, IL 61801 | 2017-06-29 |
| 1346775236 | Jennifer Garcia | Student in an Organized Health Care Education/Training Program | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2017-04-27 |
| 1467992537 | Amber Kristine Davis | Speech-Language Pathologist | 1400 W. Park, Presence Health Medical Center, Urbana, IL 61801 | 2017-03-08 |
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| 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 |
|---|---|---|---|---|
| 1003380510 | Hannah E Smith | Advanced Practice Midwife | 611 W Park St, Urbana, IL 61801-2529 | 2019-01-17 |
| 1639653538 | Hannah Lake-rayburn | Advanced Practice Midwife | 611 W. Park St., Ob/gyn, Urbana, IL 61801 | 2018-09-18 |
| 1023489002 | Sarah Procko | Advanced Practice Midwife | 611 W Park St, Ob/gyn, Urbana, IL 61801-2529 | 2015-10-15 |
| 1144631003 | Amie Eden | Advanced Practice Midwife | 611 W Park St, Sc4, Urbana, IL 61801-2529 | 2014-05-14 |
| 1609130210 | Carissa M Swiatek | Advanced Practice Midwife | 611 W. Park St., Sc4, Urbana, IL 61801-2500 | 2012-06-28 |
| 1801127188 | Vanessa J Grafton | Advanced Practice Midwife | 602 W. University Avenue, Ob/gyn, Urbana, IL 61801 | 2010-01-26 |
| 1447454194 | Ellen Solis | Advanced Practice Midwife | 611 W. Park St., Ob/gyn, Urbana, IL 61801 | 2007-06-14 |
| 1619053188 | Mary K Higgs | Advanced Practice Midwife | 611 W. Park St., Ob/gyn, Urbana, IL 61801-2500 | 2006-10-27 |
| 1912005562 | Kathleen Easter | Advanced Practice Midwife | 602 W. University Avenue, Ob/gyn, Urbana, IL 81801 | 2006-09-20 |
| 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 |
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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.