ELIZABETH LAUREN STUART


Address: 751 N Rutledge St Ste 1100, Springfield, IL 62702-4968
Phone: 2175458000

ELIZABETH LAUREN STUART (NPI# 1669983789) 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) 1669983789
Entity Type Individual
Full Name ELIZABETH LAUREN STUART
Other Name ELIZABETH L WALL
Credential NP-C
Practice Address 751 N Rutledge St Ste 1100
Springfield
IL 62702-4968
Mailing Address Po Box 19636
Springfield
IL 62794-9636
Practice Telephone 2175458000
Practice Fax Number 2177885504
Mailing Telephone 2175458000
Mailing Fax Number 2177885504
Enumeration Date 2017-10-16
Last Update Date 2018-11-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 041.402814 IL Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
209.016146 IL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL STATE LICENSE 209-016146 01

Other Providers ELIZABETH STUART

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1003467168 Elizabeth Vivian Stuart Homemaker 4968 Shigley Lane, Conner, MT 59827 2019-09-20
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1396385118 Elizabeth Stuart Behavioral Analyst 2700 E Foothill Blvd Ste 100, Pasadena, CA 91107-3443 2020-01-09
1275777831 Elizabeth Stuart Social Worker 333 Irving Ave, Bridgeton, NJ 08302-2123 2009-04-27
1225283583 Elizabeth Anne Stuart Nurse Practitioner 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 2008-11-29
1235281908 Elizabeth J. Stuart Psychiatry & Neurology 870 Market St, Suite 646, San Francisco, CA 94102-3099 2007-01-16

Office Location

Street Address 751 N RUTLEDGE ST STE 1100
City SPRINGFIELD
State IL
Zip Code 62702-4968

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124013636 Zafar Quader Internal Medicine 751 N Rutledge St Ste 1100, Springfield, IL 62702-4968 2005-09-12
1679188437 Board of Trustees of Southern Illinois University Clinic/Center 751 N Rutledge St Ste 1100, Springfield, IL 62702-4968 2020-09-09
1285110213 Nevin I Corcoran Nurse Practitioner 751 N Rutledge St Ste 1100, Springfield, IL 62702-4968 2018-07-12
1922596568 Hannah J. Bettis Nurse Practitioner 751 N Rutledge St Ste 1100, Springfield, IL 62702-4968 2018-04-30
1831619022 Cameron Koester Internal Medicine 751 N Rutledge St Ste 1100, Springfield, IL 62702-4968 2017-06-20
1346777026 Nitin Tandan Internal Medicine 751 N Rutledge St Ste 1100, Springfield, IL 62702-4968 2017-05-12
1033642509 Abdul Monem Swied Internal Medicine 751 N Rutledge St Ste 1100, Springfield, IL 62702-4968 2017-04-11
1902288988 Anshul Pandey Internal Medicine 751 N Rutledge St Ste 1100, Springfield, IL 62702-4968 2015-06-25
1730561903 Mohammad Al-akchar Internal Medicine 751 N Rutledge St Ste 1100, Springfield, IL 62702 2015-06-24
1932581022 Paolo Marco Kwan Soriano Internal Medicine 751 N Rutledge St Ste 1100, Springfield, IL 62702-4968 2015-06-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457866519 Mohammad Jamal Uddin Ansari Internal Medicine 751 N Rutledge St Ste 400, Springfield, IL 62702 2017-12-11
1588105811 Mickey Graphia Surgery 701 N 1st St # D346, Springfield, IL 62702 2017-03-20
1376908913 Abdul Hannan Internal Medicine 315 W Carpenter St # B, Springfield, IL 62702 2015-12-28
1871986414 Rachel Hoselton Nurse Practitioner 400 N 9th St Fl 4, Springfield, IL 62702 2015-03-06
1548697774 Alyssa Wilson Behavioral Analyst 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 2013-10-02
1174965446 Amy Wilson Speech-Language Pathologist 2120 West Washington Street, Springfield, IL 62702 2013-07-26
1275898116 Pele Boutrous Dina Pediatrics 415 N 9th St # 4w16, Springfield, IL 62702 2012-07-06
1427327733 Brook D Croke Genetic Counselor, MS 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 2011-12-16
1629352604 Renae M Sanchez Pharmacist 3216 East Clearlake Ave, Springfield, IL 62702 2011-10-07
1982915302 William Leland Zelkovich Radiology 701 N 1st, Springfield, IL 62702 2010-06-30
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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...

Providers in the same taxonomy and city

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1275146268 Courtney Wilbern Nurse Practitioner 1200 W Centre St, Springfield, IL 62704-5812 2020-08-28
1588276240 Andrew Ronald Mouser Nurse Practitioner 607 Prospect Rd, Springfield, PA 19064-2819 2020-08-23
1821609082 William Coleman Bryant Nurse Practitioner 5552 W Longleaf Dr, Springfield, MO 65802-7834 2020-08-12
1386254399 Ashley Lynn Murray Nurse Practitioner 2443 E Greenwood St, Springfield, MO 65804-3907 2020-08-04
1679182281 Erica Gail Hunt Nurse Practitioner 2813 Haverford Rd, Springfield, IL 62704-4267 2020-07-29
1063020063 Gage Azeez Nurse Practitioner 46 Timber Ln, Springfield, MA 01119-2828 2020-07-16
1033737440 Janne L Nicholson Nurse Practitioner 8360 Dunham Ct Apt G, Springfield, VA 22152-1122 2020-07-13
1922623156 Amanda E Hildebrand Nurse Practitioner 3370 Carman Ave, Springfield, IL 62703-4642 2020-06-12
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Competitor

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City SPRINGFIELD
Zip Code 62702

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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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