SHALISA HENSON (NPI# 1598914905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598914905 |
| Entity Type | Individual |
| Full Name | SHALISA HENSON |
| Credential | CNM |
| Practice Address |
430 N Pleasant Ave Centralia IL 62801-3006 |
| Practice Telephone | 6184368350 |
| Mailing Telephone | 6184368350 |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2018-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 209007259 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 367A00000X | Advanced Practice Midwife | 209017353 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE PTAN NUMBER | 207988001 | 01 |
| IL | RR GROUP ID | CG2264 | 01 |
| IL | RAILROAD MEDICARE | P00651305 | 01 |
| IL | MEDICARE GROUP NUMBER | 207988 | 01 |
| Street Address |
430 N PLEASANT AVE |
| City | CENTRALIA |
| State | IL |
| Zip Code | 62801-3006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053350173 | George Sun | Obstetrics & Gynecology | 430 N Pleasant Ave, Centralia, IL 62801-3006 | 2006-06-05 |
| 1154897254 | Heartland Women's Healthcare Ltd | Clinic/Center | 430 N Pleasant Ave, Centralia, IL 62801-3006 | 2018-10-17 |
| 1740421536 | Physician Services Corp of Southern Illinois | Clinic/Center | 430 N Pleasant Ave, Centralia, IL 62801-3006 | 2009-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996151 | Matthew Crawford | Counselor | 904 E Martin Luther King Dr, Centralia, IL 62801 | 2019-08-08 |
| 1588130314 | Kennah White | Counselor | 904 E. Mlk Drive, Centralia, IL 62801 | 2018-10-19 |
| 1245721588 | Lindsey Nicole Fogliasso | Counselor | 904 East Mlk Dr., Centralia, IL 62801 | 2018-05-22 |
| 1629573365 | Prabhat Shrestha | Student in an Organized Health Care Education/Training Program | 605 Sable Drive, Centralia, IL 62801 | 2018-03-26 |
| 1619496098 | Whitney Rathmann | Speech-Language Pathologist | 224 South Locust, Centralia, IL 62801 | 2017-09-17 |
| 1376082685 | Athena A Smith | Counselor | 904 E. Martin Luther King Dr, Centralia, IL 62801 | 2017-02-20 |
| 1447704069 | Meghan Branch | Counselor | 904 Martin Luther King Dr, Centralia, IL 62801 | 2016-08-11 |
| 1568820637 | Midland Area Agency On Aging | Case Management | 434 S Poplar Street, Centralia, IL 62801 | 2016-02-04 |
| 1104201714 | Keri Douglas | Nurse Practitioner | 1054 M. L. King Drive #125, Centrailia, IL 62801 | 2015-07-24 |
| 1215331509 | Melissa Dane | Counselor | 904 E Martin Luther King Dr., Centralia, IL 62801 | 2014-10-15 |
| Find all providers in zip 62801 | ||||
| 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 |
|---|---|---|---|---|
| 1851849673 | Tasha Meyer | Advanced Practice Midwife | 732 Walnut Hill Rd, Centralia, IL 62801-4980 | 2016-09-21 |
| 1598883910 | Beverly Locke Wright | Advanced Practice Midwife | 1020 W Main St, Centralia, WA 98531-2853 | 2007-03-26 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.