STEPHANIE D BRANCH (NPI# 1508134396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508134396 |
| Entity Type | Individual |
| Full Name | STEPHANIE D BRANCH |
| Credential | APN |
| Practice Address |
1201 Ricker Rd Salem IL 62881-4263 |
| Mailing Address |
2976 Cotton Ln Centralia IL 62801-9569 |
| Practice Telephone | 6185483194 |
| Mailing Telephone | 6183225120 |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2013-05-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.009208 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225536980 | Stephanie Branch | Specialist/Technologist | 108 Crescent Bay Dr., League City, TX 77573-7757 | 2018-01-29 |
| 1174984538 | Stephanie Branch | Occupational Therapy Assistant | 17200 Tx Hwy 249, Suite 150, Houston, TX 77064 | 2016-03-14 |
| 1265529051 | Stephanie Branch | Optometrist | 11110 Mall Circle, Suite 2001, Waldorf, MD 20603 | 2006-10-05 |
| Street Address |
1201 RICKER RD |
| City | SALEM |
| State | IL |
| Zip Code | 62881-4263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184686115 | Michael J Hourigan | Registered Nurse | 1201 Ricker Rd, Salem, IL 62881-4263 | 2006-04-05 |
| 1174136626 | Christopher Evan Meier | Physical Therapist | 1201 Ricker Rd, Salem, IL 62881-4263 | 2020-08-25 |
| 1407407885 | Tracy Adele Caswell | Nurse Practitioner | 1201 Ricker Rd, Salem, IL 62881-4263 | 2019-09-26 |
| 1215455621 | Emily Harrell | Physical Therapist | 1201 Ricker Rd, Salem, IL 62881-4263 | 2017-09-06 |
| 1770998049 | Total Renal Care Inc | Clinic/Center | 1201 Ricker Rd, Salem, IL 62881-4263 | 2014-06-25 |
| 1710307681 | Deidre Langston | Nurse Practitioner | 1201 Ricker Rd, Salem, IL 62881-4263 | 2014-04-18 |
| 1881958981 | Southern Obstetric & Gyneco Associates | Obstetrics & Gynecology | 1201 Ricker Rd, Salem, IL 62881-4263 | 2012-07-03 |
| 1881964948 | Keri A Paulson | Occupational Therapist | 1201 Ricker Rd, Salem, IL 62881-4263 | 2012-01-06 |
| 1356578819 | Jan Michael Pastrana Aguiling | Physical Therapist | 1201 Ricker Rd, Salem, IL 62881-4263 | 2009-06-11 |
| 1457599847 | Sherry L Lynch | Nurse Practitioner | 1201 Ricker Rd, Salem, IL 62881-4263 | 2009-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447776026 | Heather Krajefska | Speech-Language Pathologist | Franklin Park School, 1325 N Franklin, Salem, IL 62881 | 2017-08-16 |
| 1629510581 | Heidi V. Thompson | Nurse Practitioner | 1250 W. Whittaker, Salem, IL 62881 | 2016-11-09 |
| 1548664170 | Catherine Durbin | Nurse Practitioner | 518 South Broadway, Salem, IL 62881 | 2014-10-10 |
| 1770718439 | Community Resource Center, Inc | Community/Behavioral Health | 315 Westgate, Salem, IL 62881 | 2009-05-26 |
| 1932377652 | Community Resource Center Inc | Clinic/Center | 315 Westgate Ave, Salem, IL 62881 | 2008-02-15 |
| 1245408053 | The Manor At Salem Woods, L.p. | Assisted Living Facility | 441 S. Hotze Rd., Salem, IL 62881 | 2008-02-14 |
| 1366610321 | Penta Group Inc. | Non-emergency Medical Transport (VAN) | 300 Schoonover Drive, Salem, IL 62881 | 2008-02-13 |
| 1326192808 | Alan D Montgomery | Optometrist | 400 North Broadway, Salem, IL 62881 | 2007-01-22 |
| 1669539979 | Knevitt Inc | Ambulance | 3340 Selmaville Rd, Salem, IL 62881 | 2007-01-03 |
| 1447314737 | Gautam Jha | Internal Medicine | 1325 W. Whittaker, Suite D, Salem, IL 62881 | 2006-12-20 |
| Find all providers in zip 62881 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285247908 | Tracy Jean Payton | Nurse Practitioner | 3898 Lee Road 250, Salem, AL 36874-1450 | 2020-08-24 |
| 1437775137 | Krista Michelle Brinkerhoff | Nurse Practitioner | 636 N 220 E, Salem, UT 84653-5553 | 2020-06-18 |
| 1851913271 | Rossiel Pita-roman | Nurse Practitioner | 25 Oak Ridge Ave Apt 10, Salem, NH 03079-4480 | 2020-05-07 |
| 1487292157 | Kelly Daily Morris | Nurse Practitioner | 5915 Port Stewart Ct Se, Salem, OR 97306-9034 | 2019-12-12 |
| 1174087985 | Brenda Gott | Nurse Practitioner | 3103 Hh Highway, Salem, MO 65560 | 2019-01-25 |
| 1992277594 | Shelisa Rena Taylor | Nurse Practitioner | 1126 Lee Road 250, Salem, AL 36874-1373 | 2018-12-19 |
| 1811472426 | Kathryn B Powell | Nurse Practitioner | 400 Highland Ave Ste 1, Salem, MA 01970-1783 | 2018-09-28 |
| 1609367077 | Jennifer Turner | Nurse Practitioner | 225 Sunbridge Drive, Salem, WV 26426 | 2018-05-22 |
| 1174042535 | Elizabeth Keane | Nurse Practitioner | 9 Riverbank Rd, Salem, MA 01970-5311 | 2017-09-15 |
| 1346766292 | Scott Adam Pasquale | Nurse Practitioner | 331r Highland Ave, Salem, MA 01970-1738 | 2017-08-22 |
| Find all providers in SALEM | ||||
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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.