NICHOLE SUZANNE STANLEY (NPI# 1851938476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851938476 |
| Entity Type | Individual |
| Full Name | NICHOLE SUZANNE STANLEY |
| Practice Address |
1005 Broadway St Quincy IL 62301-2834 |
| Practice Telephone | 2172231200 |
| Mailing Telephone | 2172231200 |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2019-12-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209020539 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154976595 | Nichole Stanley | Nurse Practitioner | 4235 Secor Rd Bldg 3, Toledo, OH 43623-4231 | 2019-08-02 |
| 1285928168 | Nichole Stanley | Pharmacist | 3720 Soldano Blvd, T-0668, Columbus, OH 43228-1422 | 2011-06-08 |
| Street Address |
1005 BROADWAY ST |
| City | QUINCY |
| State | IL |
| Zip Code | 62301-2834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194729087 | Mary F Barthel | Internal Medicine | 1005 Broadway St, Quincy, IL 62301-2834 | 2005-06-08 |
| 1861093528 | Kayla Cathleen Fletcher | Pharmacist | 1005 Broadway St, Quincy, IL 62301-2834 | 2020-11-07 |
| 1124629035 | Carla Sue Smith | Clinical Nurse Specialist | 1005 Broadway St, Quincy, IL 62301-2834 | 2020-11-06 |
| 1164023636 | Whitney Brock | Nurse Practitioner | 1005 Broadway St, Quincy, IL 62301-2834 | 2020-11-02 |
| 1851918635 | Mitchell Andrew Coval | Nurse Anesthetist, Certified Registered | 1005 Broadway St, Quincy, IL 62301-2834 | 2020-06-29 |
| 1699392415 | Jaryn S Black | Nurse Practitioner | 1005 Broadway St, Quincy, IL 62301-2834 | 2020-06-27 |
| 1326677535 | Angie Rose | Nurse Practitioner | 1005 Broadway St, Quincy, IL 62301-2834 | 2020-04-08 |
| 1386274843 | Lisa Marie Orton | Nurse Practitioner | 1005 Broadway St, Quincy, IL 62301-2834 | 2020-01-23 |
| 1497393847 | Benjamin Nash | Nurse Anesthetist, Certified Registered | 1005 Broadway St, Quincy, IL 62301-2834 | 2019-12-17 |
| 1871143792 | Nathan Haws | Nurse Anesthetist, Certified Registered | 1005 Broadway St, Quincy, IL 62301-2834 | 2019-09-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969471 | Lutheran Child and Family Service of Illinois | Foster Care Agency | 1400 N. 30th St, Quincy, IL 62301 | 2020-07-07 |
| 1134749716 | Bethany Nicole Jumps | Pharmacist | Broadway St & N 11th St, Quincy, IL 62301 | 2020-04-23 |
| 1043844293 | S.crider Construction An Supply Corp. | Contractor | 529 Woodbridge Dr., Quincy, IL 62301 | 2020-02-26 |
| 1245862002 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 3301 Broadway St., Quincy, IL 62301 | 2020-02-10 |
| 1043851488 | West Central Illinois Nutrition | In Home Supportive Care | 639 York St. Room 333, Quincy, IL 62301 | 2019-10-07 |
| 1861986549 | Quincy Physicians & Surgeons Clinic, Sc | Internal Medicine | 3347 Broadway St, Quincy, IL 62301 | 2018-06-18 |
| 1194255083 | Michael Andrew Behrens | Nurse Practitioner | Broadway and 11th Street, Quincy, IL 62301 | 2017-06-14 |
| 1770987323 | Kirsty Yvonne Reed | Counselor | 205 S. 24th Street, Chaddock, Quincy, IL 62301 | 2014-10-10 |
| 1114234499 | Dale D. Shahan Dds Ltd | Dentist | 636 Hampshire Suite 102, Quincy, IL 62301 | 2010-09-08 |
| 1730314071 | James D Kaufmann | Pharmacist | 14th & Broadway, Quincy, IL 62301 | 2009-05-15 |
| Find all providers in zip 62301 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386122950 | Catherine Josephine Awuor | Nurse Practitioner | 105 Taylor St, Quincy, MA 02170-1519 | 2018-08-05 |
| 1326485988 | Julia Barbosa | Nurse Practitioner | 500 Congress St Ste 3c, Quincy, MA 02169-0927 | 2013-05-22 |
| 1760732127 | Nadege Momplaisir | Nurse Practitioner | 377 Willard St Ste 342, Quincy, MA 02169-6122 | 2012-09-13 |
| 1720201965 | Sharon Giordani | Nurse Practitioner | 500 Congress St Ste 1b, Quincy, MA 02169-0917 | 2007-04-10 |
| 1942314505 | Sheila Dwyer Connerney | Nurse Practitioner | 1250 Hancock St Ste 502s, Quincy, MA 02169-4339 | 2006-08-19 |
| 1760417778 | Donna M Glynn | Nurse Practitioner | 500 Congress Street, Suite 26, Quincy, MA 02169 | 2006-07-11 |
| 1942273883 | Kelly J Rife | Nurse Practitioner | 3200 Broadway St, Quincy, IL 62301-3712 | 2006-02-10 |
| 1780688341 | Elaine A Larkins | Nurse Practitioner | 1249 Strong Road, Quincy, FL 32353 | 2005-06-10 |
| 1518571546 | Amy E Durst | Nurse Practitioner | 1025 Maine St, Quincy, IL 62301-4096 | 2020-09-08 |
| 1881241925 | Laura Jarvi | Nurse Practitioner | 1250 Hancock St, Quincy, MA 02169-4339 | 2019-08-22 |
| Find all providers in QUINCY | ||||
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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.