DYLAN WAYNE STENNETT


Address: 303 Nw 11th St, Fairfield, IL 62837-1203
Phone: 6188424617

DYLAN WAYNE STENNETT (NPI# 1548657158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548657158
Entity Type Individual
Full Name DYLAN WAYNE STENNETT
Credential NP
Practice Address 303 Nw 11th St
Fairfield
IL 62837-1203
Practice Telephone 6188424617
Mailing Telephone 6188424617
Enumeration Date 2015-04-21
Last Update Date 2015-04-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
209012122 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 303 NW 11TH ST
City FAIRFIELD
State IL
Zip Code 62837-1203

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518910330 Christopher D Beehn Physical Therapist 303 Nw 11th St, Fairfield, IL 62837-1203 2006-05-19
1093345167 Dana Shantel Taylor Social Worker 303 Nw 11th St, Fairfield, IL 62837-1206 2020-01-17
1962983338 Sherrill Kay Funkhouser Physician Assistant 303 Nw 11th St, Fairfield, IL 62837-1203 2018-08-23
1124494174 Mary Lou Mcculley Health Educator 303 Nw 11th St, Fairfield, IL 62837-1203 2015-08-13
1063802916 Whitney Elaine Buckles Dietitian, Registered 303 Nw 11th St, Fairfield, IL 62837-1203 2015-01-30
1649442419 Fairfield Memorial Hospital Association Family Medicine 303 Nw 11th St, Fairfield, IL 62837-1203 2008-04-01
1295920387 Total Renal Care Inc Clinic/Center 303 Nw 11th St, Ste 1, Fairfield, IL 62837-1203 2007-09-11
1790982650 April Joy Best Speech-Language Pathologist 303 Nw 11th St, Fairfield, IL 62837-1203 2007-07-02
1558418111 Fairfield Memorial Hospital Pharmacy 303 Nw 11th St, Fairfield, IL 62837-1203 2007-01-05
1750438362 Fairfield Memorial Hospital Pharmacy 303 Nw 11th St, Fairfield, IL 62837-1203 2007-01-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881294619 Katelyn Atteberry Pharmacist 150 Commerce Drive, Fairfield, IL 62837 2020-10-30
1265894521 Rebecca August Social Worker 506 Nw 9th St, Fairfield, IL 62837 2016-03-25
1063814259 Kathie L Hill Social Worker 303 Nw 11th St., Fairfield Memorial Hospital, Fairfield, IL 62837 2014-09-19
1912206731 Way-fair Nursing and Rehabilitation Center, LLC Skilled Nursing Facility 305 Northwest 11th Street, Fairfield, IL 62837 2011-03-18
1063600773 Alvin Ewing Counselor 407 N. Basin Road, Fairfield, IL 62837 2007-10-09
1417145129 Gilbert Tennyson Counselor 407 North Basin Rd, Fairfield, IL 62837 2007-10-09
1972791689 Clint Harvey Counselor 407 North Basin Road, Fairfield, IL 62837 2007-10-09
1770789778 Fairfield Estates, LLC Point of Service 315 North Market Street, Fairfield, IL 62837 2007-06-26
1346382207 Robert E Lowry Counselor 407 N Basin Rd., Fairfield, IL 62837 2007-02-13
1790840825 Bradley D Kramer Dentist 301 Nw 11th Street, Suite 212, Fairfield, IL 62837 2006-12-27
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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1528545845 Gerarda Pires Nurse Practitioner 1305 Post Rd Ste 310, Fairfield, CT 06824-6016 2018-07-20
1063904407 Peter Nicholas Brehmer Nurse Practitioner 239 Greenfield St, Fairfield, CT 06825-4401 2018-06-01
1447765698 Mae Jennifer Le Nurse Practitioner 1261 Travis Blvd Ste 150, Fairfield, CA 94533-4800 2017-12-11
1093168825 Elizabeth Sarah Carson Nurse Practitioner 4910 Fairfield Rd, Fairfield, PA 17320-9510 2016-07-17
1083061550 Tammera Phipps Nurse Practitioner 1168 N Frieda Dr, Fairfield, OH 45014-3316 2016-05-15
1700250883 Aneet K Grewal Nurse Practitioner 4422 Meadow Valley Cir, Fairfield, CA 94534-6671 2015-11-30
1104200716 Latonia Yvette Cushingberry Nurse Practitioner 154 Twin Lakes Dr, Fairfield, OH 45014-5257 2015-07-13
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Competitor

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City FAIRFIELD
Zip Code 62837

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Dataset Information

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.

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