STACY A. VANVLEET


Address: 2400 N Rockton Ave, Rockford, IL 61103-3655
Phone: 8159715000

STACY A. VANVLEET (NPI# 1689734204) 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) 1689734204
Entity Type Individual
Full Name STACY A. VANVLEET
Credential NP
Practice Address 2400 N Rockton Ave
Rockford
IL 61103-3655
Practice Telephone 8159715000
Mailing Telephone 8159715000
Enumeration Date 2006-12-12
Last Update Date 2016-04-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 209-002958 IL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL NON PAR 05

Office Location

Street Address 2400 N ROCKTON AVE
City ROCKFORD
State IL
Zip Code 61103-3655

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457357592 Michael J Kikta Surgery 2400 N Rockton Ave, Rockford, IL 61103-3655 2005-06-23
1053950055 Tina Longphee Registered Nurse 2400 N Rockton Ave, Rockford, IL 61103-3655 2019-12-23
1598227407 Shahid Mohammad Student in an Organized Health Care Education/Training Program 2400 N Rockton Ave, Rockford, IL 61103-3655 2019-04-01
1265993109 Sarah Elaine Robertson Student in an Organized Health Care Education/Training Program 2400 N Rockton Ave, Rockford, IL 61103-3655 2019-03-25
1770042525 Vinita Patel Student in an Organized Health Care Education/Training Program 2400 N Rockton Ave, Rockford, IL 61103-3655 2019-03-19
1255890646 Gilda Djabarzade Student in an Organized Health Care Education/Training Program 2400 N Rockton Ave, Rockford, IL 61103-3655 2019-03-15
1285103002 Amy Lask Nurse Practitioner 2400 N Rockton Ave, Rockford, IL 61103-3655 2018-11-21
1477038743 Michelle Harris Advanced Practice Midwife 2400 N Rockton Ave, Rockford, IL 61103-3655 2018-10-02
1134603095 Sarah R Linder Nurse Practitioner 2400 N Rockton Ave, Rockford, IL 61103-3655 2018-09-17
1376022350 Atiq Urrehman Khan Psychiatry & Neurology 2400 N Rockton Ave, Rockford, IL 61103-3655 2018-08-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598398497 The Elitist Group Home Health Aide 2929 N Main Street, Rockford, IL 61103 2020-02-19
1972064194 Mahita Bellamkonda Student in an Organized Health Care Education/Training Program 2400 North Rockton Avenue, Rockford, IL 61103 2019-03-29
1558538967 Willows Health Center Clinic/Center 4143 Albright Lane, Rockford, IL 61103 2008-05-14
1497845135 Humaira Bari Internal Medicine 2400 N. Rockton Avenue, Rockford, IL 61103 2006-10-13
1841385242 Rachel Pawlowski Occupational Therapist 3616 N. Main Street, Rockford, IL 61103 2006-10-03
1417068438 Alicia Anne Huntley Midwife 2400 Rockton Ave, Rockford, IL 61103 2006-08-31
1639190200 Glendon Burress Pediatrics 2300 N. Rockton Ave., Rockford Health Physicians, Rockford, IL 61103 2006-07-21
1225065204 Daniel William Johnson Dentist 519 Toner Av, Rockford, IL 61103 2006-06-27
1760472898 Ronald Peter Oberfoell Anesthesiology 2400 North Rockton Ave, Rockford Health Physicians, Rockford, IL 61103 2005-10-28
1841752532 Dipti Sabharwal Student in an Organized Health Care Education/Training Program 2400 N Rockton Avenue, Rockford, IL 61103 2019-04-02
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265052401 Jet Healthcare LLC Nurse Practitioner 5979 Nebeshone Ln, Rockford, IL 61103-8926 2020-04-17
1760023162 Mh Health Care Services, PC Nurse Practitioner 5943 E Riverside Blvd, Rockford, IL 61114-4935 2019-10-07
1235792045 Michelle Anna Barrett Nurse Practitioner 6000 E State St Ste 1, Rockford, IL 61108-2521 2019-04-17
1780177030 Emily Glass Mims Nurse Practitioner 9518 Us Highway 231, Rockford, AL 35132-5551 2018-06-12
1003269895 Jason Roberts Nurse Practitioner 199 Longview Dr, Rockford, MI 49341-1130 2016-07-18
1376950485 Swedishamerican Hospital Nurse Practitioner 1340 Charles St Ste 200, Rockford, IL 61104 2014-07-21
1588800700 Sylvia Ann Garza Nurse Practitioner 3401 N. Perryville Rd, Rockford Health Physicians, Rockford, IL 61114 2008-12-17
1295955284 Jennifer Lee Binder Nurse Practitioner 2327 Nebraska Rd, Rockford, IL 61108-7510 2007-05-01
1689729535 Swedishamerican Hospital Nurse Practitioner 1340 Charles St Ste 100, Rockford, IL 61104 2007-01-23
1902995087 Lori Ann Schultz Nurse Practitioner 1235 N Mulford Rd Ste 205, Rockford, IL 61107-3879 2006-10-12
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Competitor

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City ROCKFORD
Zip Code 61103

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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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