STACY LYNNAE CRILL (NPI# 1023597812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023597812 |
Entity Type | Individual |
Full Name | STACY LYNNAE CRILL |
Credential | DNP, CPNP-PC |
Practice Address |
123 E 3rd St Ottumwa IA 52501-2937 |
Mailing Address |
123 E 3rd St Ste 2 Ottumwa IA 52501-2937 |
Practice Telephone | 6416828145 |
Practice Fax Number | 6416828857 |
Mailing Telephone | 6416828145 |
Mailing Fax Number | 6416828857 |
Enumeration Date | 2018-08-13 |
Last Update Date | 2019-03-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
C109265 | IA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
123 E 3RD ST |
City | OTTUMWA |
State | IA |
Zip Code | 52501-2937 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295732949 | Steven Sword | Audiologist-Hearing Aid Fitter | 123 E 3rd St, Suite 201, Ottumwa, IA 52501-2937 | 2005-07-07 |
1568460244 | Kurt M Anderson | Specialist | 123 E 3rd St, Suite 201, Ottumwa, IA 52501-2937 | 2005-07-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205327210 | Speer Family Chiropractic, LLC | Chiropractor | 635 Pennsylvania Ave, Ottumwa, IA 52501 | 2018-05-24 |
1982194874 | Jasmine Benson | Nurse Practitioner | 1013 Pennsylvania Avenue, Suite A/b, Ottumwa, IA 52501 | 2018-05-16 |
1265957567 | Katie Marie Walz | Registered Nurse | 725 W. Second St., Ottumwa, IA 52501 | 2017-08-08 |
1033648431 | Cassadie Roberts | Occupational Therapy Assistant | 3 Pennsylvania Place, Ottumwa, IA 52501 | 2017-06-08 |
1588900880 | Ottumwa Er LLC | Emergency Medicine | 1001 Pennsylvania Avenue, Ottumwa, IA 52501 | 2012-12-14 |
1710258009 | Alcohol & Drug Dependency Services | Clinic/Center | 226 West Main St., Ottumwa, IA 52501 | 2012-01-19 |
1477832921 | Melissa Rohrssen | Physical Therapy Assistant | 13 Bear Creek Estates Drive, Ottumwa, IA 52501 | 2011-08-15 |
1578855201 | Brandy S.n. Jeansimon | Obstetrics & Gynecology | 1001 E. Pennsylvania Avenue, Ottumwa, IA 52501 | 2011-05-13 |
1801120399 | Frank Sam Harper | Counselor | 310 W. Main St., Ottumwa, IA 52501 | 2009-09-30 |
1902078439 | Sandro Younadam | Internal Medicine | 1013 Pennsylvania Avenue Suite A, Ottumwa Regional Health Center, Ottumwa, IA 52501 | 2008-03-25 |
Find all providers in zip 52501 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295017184 | Laurie L Glover | Nurse Practitioner | 931 Pennsylvania Ave, Ottumwa, IA 52501-2138 | 2011-09-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407455017 | Amy Danielle Dobberfuhl | Nurse Practitioner | 6833 Coburn Ln, Johnston, IA 50131-1243 | 2020-10-23 |
1326586249 | Abby Blacker | Nurse Practitioner | 10633 Nw 106th Ave, Granger, IA 50109-9775 | 2017-02-11 |
1457745986 | Amanda Larson | Nurse Practitioner | 420 12th St Se, Apt 16, Le Mars, IA 51031-2800 | 2015-03-23 |
1376951715 | Leslie Arends | Nurse Practitioner | 101 College of Nursing Building, 50 Newton Rd, Iowa City, IA 52242-1121 | 2014-07-29 |
1871928093 | Catherine Ann Roche | Nurse Practitioner | 5510 Utica Ridge Rd, Suite 100, Davenport, IA 52807-2946 | 2013-09-06 |
1063758605 | Blank Childrens Hospital | Nurse Practitioner | 6540 Ne 12th Ave, Pleasant Hill, IA 50327-8828 | 2013-01-01 |
1982984183 | Amanda Marie Ostergaard | Nurse Practitioner | 974 73rd Street, Suite 33, Windsor Heights, IA 50324-1026 | 2011-08-19 |
1831498146 | Julie Louise Ritland | Nurse Practitioner | 424 Kingbard Blvd, Waterloo, IA 50701-3056 | 2011-03-25 |
1033437140 | Teresa Dale Schenck | Nurse Practitioner | 400 N. 17th St, Teresa Schenck Dnp, Keokuk, IA 52632 | 2010-05-13 |
1538313614 | Susan E Rumelhart | Nurse Practitioner | 1243 20th St Sw, Cedar Rapids, IA 52404-1635 | 2008-11-16 |
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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.