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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209012122 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
303 NW 11TH ST |
City | FAIRFIELD |
State | IL |
Zip Code | 62837-1203 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 62837 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
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1932724168 | Baljit Dhillon | Nurse Practitioner | 5140 Duren Cir, Fairfield, CA 94533-8978 | 2020-06-12 |
1164083168 | Michelle Setliff | Nurse Practitioner | 1261 Travis Blvd Ste 170, Fairfield, CA 94533-4825 | 2019-06-21 |
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 |
1831518398 | Prompt Care Healthcare Solutions On The Go, Plc | Nurse Practitioner | 2709 W Briggs Ave Apt 1, Fairfield, IA 52556-2649 | 2014-04-14 |
Find all providers in FAIRFIELD |
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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.