STACY LYNNAE CRILL


Address: 123 E 3rd St, Ottumwa, IA 52501-2937
Phone: 6416828145

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
C109265 IA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 123 E 3RD ST
City OTTUMWA
State IA
Zip Code 52501-2937

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295017184 Laurie L Glover Nurse Practitioner 931 Pennsylvania Ave, Ottumwa, IA 52501-2138 2011-09-15

Providers in the same taxonomy and state

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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Competitor

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City OTTUMWA
Zip Code 52501

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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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