STACEY ROGERS (NPI# 1033621024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033621024 |
| Entity Type | Individual |
| Full Name | STACEY ROGERS |
| Practice Address |
2319 Manhattan Rd Joliet IL 60433-8605 |
| Mailing Address |
534 Plainfield Rd Willowbrook IL 60527-5342 |
| Practice Telephone | 7082232698 |
| Mailing Telephone | 7739218000 |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2018-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209016683 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1900 Silver Cross Blvd, New Lenox, IL 604519509 | 8153001100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275145013 | Stacey Brooke Rogers | Dentist | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-08-22 |
| 1144670381 | Stacey Rogers | Physical Therapy Assistant | 4560 Se International Way Ste 100, Portland, OR 97222-4628 | 2016-06-19 |
| 1811227143 | Stacey Simonson Rogers | Counselor | 5656 S 129th East Ave, Tulsa, OK 74134-6715 | 2010-01-08 |
| 1760487318 | Stacey J Rogers | Obstetrics & Gynecology | 725 Volvo Pkwy, Suite 200, Chesapeake, VA 23320-1602 | 2005-06-20 |
| Street Address |
2319 MANHATTAN RD |
| City | JOLIET |
| State | IL |
| Zip Code | 60433-8605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053751719 | Bipin Sharma | Counselor | 2319 Manhattan Rd, Joliet, IL 60433-8605 | 2013-06-26 |
| 1316576200 | Existential Counselor Society | Clinic/Center | 2319 Manhattan Rd, Joliet, IL 60433-8605 | 2020-04-03 |
| 1154973204 | Kirsten Leininger | Counselor | 2319 Manhattan Rd, Joliet, IL 60433-8605 | 2019-07-09 |
| 1801303664 | Existential Counselor Society | Counselor | 2319 Manhattan Rd, Joliet, IL 60433-8605 | 2018-01-03 |
| 1639530215 | Corby Ryan Jackson | Counselor | 2319 Manhattan Rd, Joliet, IL 60433-8605 | 2016-03-10 |
| 1063891232 | Bikram Sharma | Psychiatry & Neurology | 2319 Manhattan Rd, Joliet, IL 60433-8605 | 2015-05-21 |
| 1619303666 | Existential Counselor Societ Ltd. | Clinic/Center | 2319 Manhattan Rd, Joliet, IL 60433-8605 | 2013-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710105978 | Aparna Gottumukkula | Dentist | 1106 Neal Avenue, Joliet, IL 60433 | 2007-04-23 |
| 1932114758 | County of Will | Clinic/Center | 501 Ella Ave, Joliet, IL 60433 | 2006-07-30 |
| 1346481082 | Will County Health Dept | Clinic/Center | 501 Ella Ave, Joliet, IL 60433 | 2009-03-10 |
| 1588819544 | Will County Health Department | Clinic/Center | 501 Ella Ave, Joliet, IL 60433 | 2008-11-18 |
| 1982176285 | Anita Lomax | Assistant Behavior Analyst | 206 E Washington St Apt A, Joliet, IL 60433-1006 | 2018-12-26 |
| 1447723275 | Aba Everyday LLC | Community/Behavioral Health | 206 E Washington St Apt A, Joliet, IL 60433-1006 | 2019-01-03 |
| 1245366483 | Morningstar Counseling | Counselor | 350 E Washington St, Joliet, IL 60433-1150 | 2007-02-24 |
| 1053911479 | Demitrius Brackett | Clinic/Center | 350 E Washington St, Joliet, IL 60433-1150 | 2020-10-26 |
| 1326541566 | Ready To Go LLC | Non-emergency Medical Transport (VAN) | 119 Logan Ave, Joliet, IL 60433-1262 | 2018-03-14 |
| 1215223755 | Kodo Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1522 E Washington St, Joliet, IL 60433-1365 | 2011-06-23 |
| Find all providers in zip 60433 | ||||
| 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 |
|---|---|---|---|---|
| 1467090308 | Lisa Trevino | Nurse Practitioner | 301 Madison St Ste 240, Joliet, IL 60435-6549 | 2019-12-10 |
| 1194355685 | Jerry Shelby | Nurse Practitioner | 301 Madison St, Joliet, IL 60435-6549 | 2020-01-23 |
| 1386207306 | Wanda Matthews | Nurse Practitioner | 2614 W Jefferson St, Joliet, IL 60435-6433 | 2019-04-16 |
| 1881150860 | Sarah Dean | Nurse Practitioner | 1051 Essington Rd, Joliet, IL 60435-2801 | 2019-02-14 |
| 1235603713 | Jennifer M Alamillo | Nurse Practitioner | 333 Madison St, Joliet, IL 60435-8200 | 2019-01-17 |
| 1891277646 | Amber Marie Vladika | Nurse Practitioner | 333 Madison St, Joliet, IL 60435-8200 | 2018-08-29 |
| 1992286868 | Christopher Michael Gloude | Nurse Practitioner | 301 Madison St Ste 207, Joliet, IL 60435 | 2018-08-28 |
| 1114417391 | Tamara Baird | Nurse Practitioner | 333 Madison St, Joliet, IL 60435-8200 | 2018-05-14 |
| 1033623129 | Maureen Ann Gorszczyk | Nurse Practitioner | 250 Water Stone Cir, Joliet, IL 60431-8313 | 2017-11-28 |
| 1164956918 | Shanita Valentine | Nurse Practitioner | 2100 Glenwood Ave, Joliet, IL 60435 | 2017-04-19 |
| Find all providers in JOLIET | ||||
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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.