MS. STACY L HYDRICK (NPI# 1619314549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619314549 |
| Entity Type | Individual |
| Full Name | MS. STACY L HYDRICK |
| Credential | LPN |
| Practice Address |
310 N Benton St Winnebago IL 61088-8354 |
| Practice Telephone | 8153914684 |
| Mailing Telephone | 8153914684 |
| Enumeration Date | 2013-06-01 |
| Last Update Date | 2013-06-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 043.106224 | IL | Nursing Service Providers |
| Street Address |
310 N BENTON ST |
| City | WINNEBAGO |
| State | IL |
| Zip Code | 61088-8354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871065250 | Jennifer Sue Beck | Lactation Consultant, Non-RN | 506 N Elida, Winnebago, IL 61088 | 2018-12-22 |
| 1821569120 | Paula R Hart | Registered Nurse | 503 N. Elida St., Winnebago, IL 61088 | 2018-12-12 |
| 1598192817 | Robert Allan Behmer | General Practice | 9426 Montaque Road, Winnebago, IL 61088 | 2013-10-01 |
| 1174633366 | Jon S. Strutzenberg | Family Medicine | 102 Landmark Dr, Winnebago, IL 61088 | 2006-08-30 |
| 1255803466 | Moms Lactation Resource Center | Clinic/Center | 506 N Elida, Winnebago, IL 61088 | 2018-12-28 |
| 1720148281 | Jennifer L. Dinges | Nurse Practitioner | 102 Landmark Dr, Winnebago, IL 61088 | 2006-12-12 |
| 1144395161 | James P Heynen | Dentist | 502 N Elida St, Winnebago, IL 61088 | 2006-11-22 |
| 1275643462 | Hahn Tu Rudolph | Family Medicine | 102 Landmark Dr, Winnebago, IL 61088 | 2006-08-30 |
| 1548426158 | Brian Thomas Michalsen | Family Medicine | 102 Landmark Dr, Winnegago, IL 61088-3619 | 2008-08-03 |
| 1730246158 | Felker Pharmacy Inc | Pharmacy | 101 Landmark Dr, Winnebago, IL 61088-7702 | 2007-01-03 |
| Find all providers in zip 61088 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330233 | Candace D Younger | Licensed Practical Nurse | 507 Lickliter St, Benton, IL 62812-2219 | 2020-09-15 |
| 1063025781 | Austin Grant | Licensed Practical Nurse | 205 Joplin St, Benton, IL 62812-2023 | 2020-08-24 |
| 1518570233 | Titilayo Ayeni-sode | Licensed Practical Nurse | 23025 Amber Ln, Richton Park, IL 60471-1281 | 2020-08-24 |
| 1477164929 | Monique L Lee | Licensed Practical Nurse | 8528 S Exchange Ave # 2, Chicago, IL 60617-2541 | 2020-08-10 |
| 1619597291 | Robin Wilson | Licensed Practical Nurse | 842 S 18th Ave, Maywood, IL 60153-1706 | 2020-04-23 |
| 1790319630 | Krystle Ekhoff | Licensed Practical Nurse | 9108 S Troy Ave, Evergreen Park, IL 60805-1628 | 2020-03-01 |
| 1932732237 | Robina Renee Williams | Licensed Practical Nurse | 16313 Turner Ave, Markham, IL 60428-5446 | 2020-02-15 |
| 1417589649 | Lataunja Parese Weaver | Licensed Practical Nurse | 7436 S Ellis Ave, Chicago, IL 60619-2032 | 2020-02-05 |
| 1124667621 | Jacquelyn Cooper | Licensed Practical Nurse | 230 N Lind Ave, Hillside, IL 60162-1538 | 2019-12-31 |
| 1699312587 | Kristi Ann Pittman-spero | Licensed Practical Nurse | 101 N Jefferson Ave, Bradley, IL 60915-1829 | 2019-12-10 |
| 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.