STACEY E. BROWN (NPI# 1861931461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861931461 |
| Entity Type | Individual |
| Full Name | STACEY E. BROWN |
| Credential | ADVANCED PRACTICE NU |
| Practice Address |
207 N. Schuyler Ave. Kankakee IL 60901 |
| Practice Telephone | 8154015150 |
| Practice Fax Number | 8154015151 |
| Mailing Telephone | (815) 401-5150 |
| Mailing Fax Number | 8154015151 |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209014076 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1120 N Melvin St, Gibson City, IL 609361477 | 2177842240 | 2177842334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225448301 | Stacey L. Brown | Social Worker | 2152 W Farragut Ave, Chicago, IL 60625-1204 | 2014-04-29 |
| 1164766408 | Stacey Brown | Social Worker | 2108 N Charles St, Baltimore, MD 21218-5709 | 2012-11-26 |
| 1508117623 | Stacey Brown | Home Health Aide | 6722 Hampton Dr, Cincinnati, OH 45236-3935 | 2012-09-28 |
| 1427314509 | Stacey D Brown | Counselor | 901 N Leatherleaf Loop Ste 103, Wasilla, AK 99654-6576 | 2012-04-03 |
| 1548401912 | Stacey Harris Brown | Occupational Therapist | 414 Benjamin Reid Ct, Duncan, SC 29334-9156 | 2009-03-16 |
| 1972643468 | Stacey Elizabeth Brown | Physical Therapist | 355th Medical Operations Squadron, Davis - Monthan Afb, Tucson, AZ 85707 | 2007-02-07 |
| 1912087214 | Stacey Marie Brown | Physician Assistant | 73888 Tallassee Hwy, Wetumpka, AL 36092-7308 | 2006-10-17 |
| 1982235123 | Stacey Brown | Behavior Technician | 8001 Sw 36th St Ste 9, Davie, FL 33328-1915 | 2020-01-27 |
| 1952958720 | Stacey Lynn Brown | Nurse Practitioner | 9201 E Mountain View Rd Ste 220, Scottsdale, AZ 85258-5172 | 2019-08-26 |
| 1245714682 | Stacey Brown | Registered Nurse | 5605 Corby St, Omaha, NE 68104-4127 | 2018-09-21 |
| Street Address |
207 N. SCHUYLER AVE. |
| City | KANKAKEE |
| State | IL |
| Zip Code | 60901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978841 | William Mitsos Dds | Dentist | 1291 S. 7th Ave, Kankakee, IL 60901 | 2020-09-30 |
| 1922653682 | Jody Mcguyer, Lcpc, Cadc Counseling Services, LLC | Counselor | 315 W. Court St., Kankakee, IL 60901 | 2019-08-08 |
| 1700346327 | Sarah Elizabeth Toma | Speech-Language Pathologist | 200 E Court St #708, Kankakee, IL 60901 | 2019-03-20 |
| 1710473160 | Small Talk Speech Services, LLC | Clinic/Center | 1439 W Vanmeter St, Kankakee, IL 60901 | 2018-07-09 |
| 1124538004 | Amy J Green | Physical Therapist | 350 N. Wall Street, Kankakee, IL 60901 | 2017-10-05 |
| 1013457514 | Elizabeth Ann Smith | Registered Nurse | 292 Charlton Lane, Kankakee, IL 60901 | 2017-03-02 |
| 1417352105 | Provider Healthcare Services, Inc | Home Health | 555 South Schuyler, Suite 275, Kankakee, IL 60901 | 2014-10-24 |
| 1265850655 | Ronald George Testa | Dentist | 202 N. Schuyler Ave, Kankakee, IL 60901 | 2014-04-02 |
| 1245587898 | Mary Beth Wertz | Registered Nurse | 100 N Jeffery Street, Kankakee, IL 60901 | 2012-08-13 |
| 1124314349 | Gaurang Gujarathi | Internal Medicine | 1710 W Court St, Kankakee, IL 60901 | 2011-06-27 |
| Find all providers in zip 60901 | ||||
| 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 |
|---|---|---|---|---|
| 1164833737 | Rebecca Leonhardt | Nurse Practitioner | 550 W. Court Street, Kankakee, IL 60468 | 2014-05-16 |
| 1861965543 | Angela D Beal | Nurse Practitioner | 1777 E Court St, Kankakee, IL 60901-2670 | 2019-01-06 |
| 1932675006 | Glory Obianuju Ikerodah | Nurse Practitioner | 1777 E Court St, Kankakee, IL 60901-2670 | 2018-10-16 |
| 1497252175 | Matthew David Moyes | Nurse Practitioner | 350 N Wall St, Kankakee, IL 60901-2901 | 2018-04-10 |
| 1497264865 | Joseph Patrick Carney | Nurse Practitioner | 350 N Wall St, Kankakee, IL 60901-2901 | 2017-09-28 |
| 1780048561 | Colleen Costello | Nurse Practitioner | 350 N Wall St, Kankakee, IL 60901-2901 | 2016-04-07 |
| 1497112684 | Julie Richardson | Nurse Practitioner | 375 N Wall St, Kankakee, IL 60901-3483 | 2016-01-20 |
| 1255424792 | Sherese A Pruss | Nurse Practitioner | 375 N Wall St, Suite 310, Kankakee, IL 60901 | 2006-10-02 |
| 1134230766 | Kendra G Hansen | Nurse Practitioner | 500 N Wall St, Kankakee, IL 60901 | 2006-08-31 |
| 1457465783 | Susan M Bell | Nurse Practitioner | 375 N Wall St, Suite 310, Kankakee, IL 60901-3483 | 2006-08-17 |
| Find all providers in KANKAKEE | ||||
Please comment or provide details below to improve the information on STACEY E. BROWN.
| 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.