CRYSTAL D STIMPSON (NPI# 1902385222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902385222 |
| Entity Type | Individual |
| Full Name | CRYSTAL D STIMPSON |
| Credential | RN |
| Practice Address |
900 S Deer Rd Macomb IL 61455-2639 |
| Practice Telephone | 3098374876 |
| Practice Fax Number | 3098331531 |
| Mailing Telephone | 3098374876 |
| Mailing Fax Number | 3098331531 |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2018-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
041.415377 | IL | Nursing Service Providers |
| Street Address |
900 S DEER RD |
| City | MACOMB |
| State | IL |
| Zip Code | 61455-2639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396867420 | John Robert Prain | Counselor | 900 S Deer Rd, Macomb, IL 61455-2639 | 2007-04-06 |
| 1104394295 | Aimee Anderson | Counselor | 900 S Deer Rd, Macomb, IL 61455-2639 | 2018-11-06 |
| 1588032460 | Illinois Medicaid-substance Abuse Macomb | Counselor | 900 S Deer Rd, Macomb, IL 61455-2639 | 2015-09-09 |
| 1457625592 | Amanda Michele Bolte | Counselor | 900 S Deer Rd, Macomb, IL 61455-2639 | 2012-03-07 |
| 1821217084 | Kathleen E Markey | Registered Nurse | 900 S Deer Rd, Macomb, IL 61455-2639 | 2007-04-25 |
| 1518185925 | Bridgeway Inc | Psychiatry & Neurology | 900 S Deer Rd, Macomb, IL 61455-2639 | 2007-04-23 |
| 1629292156 | Rachelle D Mccoy | Registered Nurse | 900 S Deer Rd, Macomb, IL 61455-2639 | 2007-04-13 |
| 1629292123 | Dorothy J Loop | Registered Nurse | 900 S Deer Rd, Macomb, IL 61455-2639 | 2007-04-13 |
| 1982827499 | Bridgeway, Inc | Community/Behavioral Health | 900 S Deer Rd, Macomb, IL 61455-2639 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043869944 | Wesley Village, Inc | Speech-Language Pathologist | 1200 East Grant Street, Macomb, IL 61455 | 2019-09-04 |
| 1780154013 | Hannah Lauren Bengtson | Optometrist | 820 E. Jackson St., Macomb, IL 61455 | 2018-11-29 |
| 1255832564 | Lifeguard Ambulance Service of Illinois Inc. | Ambulance | 219 W Jackson St, Macomb, IL 61455 | 2018-02-22 |
| 1821516816 | Michelle Deann Sargeant | Speech-Language Pathologist | 315 N. Bonham, Macomb, IL 61455 | 2017-08-30 |
| 1972020360 | Kara Marie Wright | Speech-Language Pathologist | 315 N. Bonham St., Macomb, IL 61455 | 2017-08-25 |
| 1720356504 | Dawn M. Kedzior | Social Worker | 103 South Johnson Street, Macomb, IL 61455 | 2011-12-07 |
| 1255632642 | Michael Kurt Sharp | Audiologist | Memorial Hall, Second Floor, W Murray St, Macomb, IL 61455 | 2010-11-16 |
| 1952538704 | Mary L. Smith | Developmental Therapist | 1 University Circle, Western Il Univ, Cntr for Best Practices In Early Childhood Education, Macomb, IL 61455 | 2009-06-19 |
| 1982857827 | Macomb Oncology Institute Ltd | Radiology | 401 East Grant Street, Macomb, IL 61455 | 2008-10-23 |
| 1245488345 | Sonja E Schmidt | Social Worker | 119 Wetzel Hall, Western Illinois University, Macomb, IL 61455 | 2008-09-03 |
| Find all providers in zip 61455 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811462401 | Scott Alan Fryling | Registered Nurse | 45964 Brentwood St, Macomb, MI 48042-5410 | 2018-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770101420 | Alissa Nichole Thompson | Registered Nurse | 2541 W Belden Ave Apt 1, Chicago, IL 60647-0482 | 2020-07-09 |
| 1548892565 | Sonja K Negrean | Registered Nurse | 280 Shuman Blvd, Naperville, IL 60563-8492 | 2020-02-07 |
| 1134772353 | Theresa Jane Debord | Registered Nurse | 5835 State Route 154 # Address2, Pinckneyville, IL 62274-3418 | 2019-07-17 |
| 1740740653 | Cherise C Rosen | Registered Nurse | 110 Frank Lloyd Wright Ln, Oak Park, IL 60302-2616 | 2019-03-25 |
| 1821589706 | Virginie Nyancho | Registered Nurse | 1336 Court Leona, Hanover Park, IL 60133-5419 | 2018-05-25 |
| 1861848681 | Merry Carlson | Registered Nurse | 1120 N Farnsworth Ave Apt 1d, Aurora, IL 60505-2049 | 2016-05-11 |
| 1801210273 | Robie Victoria Hughes | Registered Nurse | 310 W Losey Street, Scott Air Force Base, IL 62225 | 2014-02-06 |
| 1215360763 | Debra A Foppe | Registered Nurse | 19125 State Route 127, Carlyle, IL 62231-5303 | 2013-08-19 |
| 1871817742 | Bente Clausen | Registered Nurse | 715 Lake St Ste 720, Oak Park, IL 60301-1416 | 2010-03-22 |
| 1477887032 | Susan Leann Lear | Registered Nurse | 1001 N Market St Ste 101, Mount Carmel, IL 62863-1945 | 2009-09-29 |
| 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.