STEFANIE TILL (NPI# 1215589395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215589395 |
| Entity Type | Individual |
| Full Name | STEFANIE TILL |
| Credential | APRN |
| Practice Address |
933 E Pierce St Council Bluffs IA 51503-4626 |
| Mailing Address |
15166 Hearthstone Dr Council Bluffs IA 51503-5849 |
| Practice Telephone | 7123966000 |
| Mailing Telephone | 5633574466 |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2019-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
112866 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
933 E PIERCE ST |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip Code | 51503-4626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144220260 | Michelle A Haessler | Radiology | 933 E Pierce St, Council Bluffs, IA 51503-4626 | 2005-07-29 |
| 1497352165 | Jennie Edmundson Memorial Hospital | Clinical Medical Laboratory | 933 E Pierce St, Council Bluffs, IA 51503-4626 | 2020-10-06 |
| 1306455506 | Mariah C. Schaaf | Nurse Practitioner | 933 E Pierce St, Council Bluffs, IA 51503-4626 | 2020-07-24 |
| 1508422635 | Carli A. Zegers | Registered Nurse | 933 E Pierce St, Council Bluffs, IA 51503-4626 | 2019-05-14 |
| 1205336740 | Monica E. Wilcox | Nurse Practitioner | 933 E Pierce St, Council Bluffs, IA 51503-4626 | 2018-02-20 |
| 1578072351 | Lisa A. Pape | Nurse Practitioner | 933 E Pierce St, Council Bluffs, IA 51503-4626 | 2017-09-25 |
| 1861929168 | Misty D Wahab | Nurse Practitioner | 933 E Pierce St, Council Bluffs, IA 51503-4626 | 2017-05-17 |
| 1821535550 | Joni K. Anderson | Dietitian, Registered | 933 E Pierce St, Council Bluffs, IA 51503-4626 | 2017-01-19 |
| 1083077358 | Clifton R. Davis | Internal Medicine | 933 E Pierce St, Council Bluffs, IA 51503 | 2016-04-03 |
| 1821487752 | Jacob Stryker | Specialist/Technologist | 933 E Pierce St, Council Bluffs, IA 51503-4626 | 2015-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326654377 | Michael Menendez | Counselor | N 6th Street and Ave E, Council Bluffs, IA 51503 | 2020-09-16 |
| 1417598301 | Katherine E Turner | Counselor | 2303 Butler Street, Council Bluffs, IA 51503 | 2019-10-02 |
| 1992354666 | Phs Council Bluffs, Inc | Skilled Nursing Facility | 16 Valley View Drive, Council Bluffs, IA 51503 | 2019-09-05 |
| 1629429451 | Nathan Charles Shumway | Podiatrist | 320 Mckenzie Ave Ste 102, Council Bluffs, IA 51503 | 2016-06-22 |
| 1699131797 | Bluffs Pain Management LLC | Pain Medicine | 201 Ridge St Suite 102, Council Bluffs, IA 51503 | 2016-01-06 |
| 1811246903 | Georgia Ann Boeck | Hearing Instrument Specialist | 900 Woodbury Avenue, Suite 8b, Council Bluffs, IA 51503 | 2012-09-05 |
| 1790055796 | Wendy Jane'e Zenor | Licensed Practical Nurse | 1525 Rolling Hills Loop, Council Bluffs, IA 51503 | 2012-01-06 |
| 1649579186 | Mohana K Loya | Internal Medicine | 933 E Pierce St., Council Bluffs, IA 51503 | 2011-03-23 |
| 1568761369 | Brenda Kay Sennett | Occupational Therapist | 1600 Mcpherson Avenue, Council Bluffs, IA 51503 | 2011-03-18 |
| 1710129671 | Heart Lung and Vascular Surgery PC | Specialist | 210 Ridge, Jennie Edmundsen Hospital, Council Bluffs, IA 51503 | 2009-03-24 |
| Find all providers in zip 51503 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487271854 | Jill Lynn Hunt | Nurse Practitioner | 200 Tower Ridge Ct, Council Bluffs, IA 51503-0337 | 2020-07-01 |
| 1225529563 | Tami Jo Mayberry | Nurse Practitioner | 122 Knepper St, Council Bluffs, IA 51503-4927 | 2018-05-22 |
| 1578071320 | Cindy Marie Shupe | Nurse Practitioner | 34 Dillman Dr, Council Bluffs, IA 51503-1671 | 2018-01-15 |
| 1669837522 | Maria Long | Nurse Practitioner | 208 Fletcher Ave, Council Bluffs, IA 51503-3021 | 2015-12-20 |
| 1023636776 | Mallory Lloyd | Nurse Practitioner | 808 E Pierce St, Council Bluffs, IA 51503-4600 | 2020-07-09 |
| 1750902052 | Akossiwa Essi Yovogan | Nurse Practitioner | 1750 W Broadway, Council Bluffs, IA 51501-3814 | 2020-04-28 |
| 1700417029 | Megan D Lihs | Nurse Practitioner | 1022 Woodbury Ave, Council Bluffs, IA 51503-7915 | 2020-01-27 |
| 1598220436 | Rochelle Kay Schuka | Nurse Practitioner | 1022 Woodbury Ave, Council Bluffs, IA 51503-7915 | 2019-02-05 |
| 1801374384 | Katherine M. Nelson | Nurse Practitioner | 1751 Madison Ave, Council Bluffs, IA 51503-5246 | 2018-08-06 |
| 1588150809 | Nicholas J Crill | Nurse Practitioner | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2018-07-10 |
| Find all providers in COUNCIL BLUFFS | ||||
| City | COUNCIL BLUFFS |
| Zip Code | 51503 |
Please comment or provide details below to improve the information on STEFANIE TILL.
| 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.