AMY B PHEIFFER (NPI# 1417320854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417320854 |
| Entity Type | Individual |
| Full Name | AMY B PHEIFFER |
| Credential | APN |
| Practice Address |
5401 N Knoxville Ave Suite 109 Peoria IL 61614-5098 |
| Practice Telephone | 3096922805 |
| Practice Fax Number | 3096921913 |
| Mailing Telephone | 3096922805 |
| Mailing Fax Number | 3096921913 |
| Enumeration Date | 2015-11-06 |
| Last Update Date | 2015-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SW0102X |
Clinical Nurse Specialist Specialization: Women's Health |
209013524 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5401 N KNOXVILLE AVE SUITE 109 |
| City | PEORIA |
| State | IL |
| Zip Code | 61614-5098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871597450 | Edward A Rufus Jr | Internal Medicine | 5401 N Knoxville Ave, Suite 306, Peoria, IL 61614-5098 | 2005-06-10 |
| 1366984015 | Taylor Jeanette Simmons | Specialist/Technologist | 5401 N Knoxville Ave, Suite 103, Peoria, IL 61614-5098 | 2016-11-11 |
| 1518416254 | Illinois Regional Pain Institute | Nurse Practitioner | 5401 N Knoxville Ave, Suite 416, Peoria, IL 61614-5098 | 2016-09-22 |
| 1700331030 | Deb M Schleich | Nurse Practitioner | 5401 N Knoxville Ave, Suite 416, Peoria, IL 61614-5098 | 2016-08-16 |
| 1154876498 | Kimberly K Lopez | Nurse Practitioner | 5401 N Knoxville Ave, Suite 416, Peoria, IL 61614-5098 | 2016-08-16 |
| 1558732370 | Leah Tabor | Specialist/Technologist, Other | 5401 N Knoxville Ave, Suite 117, Peoria, IL 61614 | 2015-10-20 |
| 1679944334 | Midwest Pain & Spine Center, LLC | Specialist | 5401 N Knoxville Ave, Suite 416, Peoria, IL 61614-5098 | 2015-10-07 |
| 1124495379 | Anne Webster | Nurse Practitioner | 5401 N Knoxville Ave, Suite 416, Peoria, IL 61614-5098 | 2015-08-24 |
| 1720461353 | Hometown Hearing & Audiology, Inc. | Audiologist | 5401 N Knoxville Ave, 116, Peoria, IL 61614-5011 | 2015-07-01 |
| 1255721502 | Peoria Hand Surgery, LLC | Orthopaedic Surgery | 5401 N Knoxville Ave, Suite 107, Peoria, IL 61614-5098 | 2015-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548818511 | Christine Svoboda | Social Worker | 6919 N Knoxville Ave Ste 100 and 202, Peoria, IL 61614 | 2019-09-03 |
| 1639649007 | Kathy Karouzos Counseling, LLC | Clinic/Center | 330 W. Ivy Ln., Peoria, IL 61614 | 2018-11-28 |
| 1205312790 | Kathleen Marie Hendricks | Nurse Practitioner | 2809 W Willow Knolls Dr, Peoria, IL 61614 | 2018-07-17 |
| 1629563937 | Mary Elizabeth Cunningham | Counselor | 6219 N. Eldorado Dr., Peoria, IL 61614 | 2018-06-28 |
| 1861937955 | Angela Gilles | Social Worker | 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 | 2016-12-27 |
| 1467994897 | Melissa Saxsma | Specialist | 5009 N Executive Dr, Peoria, IL 61614 | 2016-11-16 |
| 1902258874 | Rashid Plastic Surgery, LLC | Plastic Surgery | 804 W Trailcreek Drive, Peoria, IL 61614 | 2016-07-05 |
| 1215313143 | Melissa Lynn Phelan | Nurse Practitioner | 122 E Morningside Dr, Peoria, IL 61614 | 2015-08-03 |
| 1811380165 | All Ways Caring Services, Inc. | In Home Supportive Care | 6919 N Knoxville Ave, Suite 102, Peoria, IL 61614 | 2015-03-11 |
| 1568875920 | Schuler & Arkwell Orthodontic Partnership | Dentist | 2425 Cornerstone Ct. Ste. A, Peoria, IL 61614 | 2014-06-03 |
| Find all providers in zip 61614 | ||||
| Taxonomy Code | 364SW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922369958 | Jeanne Marie Chupich | Clinical Nurse Specialist | 1415 E State Steeet, Suite 800, Rockford, IL 61104-2333 | 2012-06-06 |
| 1134489479 | Jeanne Cloonan Zweig | Clinical Nurse Specialist | 8731 Orchard Dr, Hickory Hills, IL 60457-1368 | 2012-05-21 |
| 1265642466 | Karen Marie Sasso | Clinical Nurse Specialist | 4709 Golf Rd Ste 1275, Skokie, IL 60076-1252 | 2007-05-23 |
| 1194269910 | Stephanie Winn | Clinical Nurse Specialist | 831 Sandhurst Dr, Sandwich, IL 60548-1390 | 2016-12-13 |
| 1215392576 | Lisa Grossman | Clinical Nurse Specialist | 1875 Dempster St, Suite 465, Park Ridge, IL 60068-1129 | 2015-12-30 |
| 1235462805 | Melissa R Faber | Clinical Nurse Specialist | 1200 S. York Rd., Elmhurst, IL 60126-2885 | 2009-09-14 |
| 1376714600 | Laura Koch | Clinical Nurse Specialist | 1235 N Mulford Rd, Suite 200, Rockford, IL 61107-3879 | 2008-03-14 |
| 1215148770 | Virginia Harms | Clinical Nurse Specialist | 2800 N Sheridan Rd, Suite 406, Chicago, IL 60657-6156 | 2007-05-25 |
| 1598973042 | Charlotte Mary Niznik | Clinical Nurse Specialist | 645 N Michigan Ave, Chicago, IL 60611-2826 | 2007-05-18 |
Please comment or provide details below to improve the information on AMY B PHEIFFER.
| 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.