MS. STEPHANIE MAE ROMAN (NPI# 1275133514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275133514 |
| Entity Type | Individual |
| Full Name | MS. STEPHANIE MAE ROMAN |
| Practice Address |
325 Illinois Rt 2 Dixon IL 61021-9118 |
| Practice Telephone | 8152846611 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700360385 | Stephanie Roman | Pharmacist | 2424 Mission St, San Francisco, CA 94110-2415 | 2018-09-20 |
| 1437392206 | Stephanie Roman | Nurse's Aide | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2009-04-09 |
| Street Address |
325 ILLINOIS RT 2 |
| City | DIXON |
| State | IL |
| Zip Code | 61021-9118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225237233 | Maria D Ruch | Counselor | 325 Illinois Rt 2, Dixon, IL 61021-9118 | 2007-07-11 |
| 1417558719 | Michael Kenneth Buza | Counselor | 325 Illinois Rt 2, Dixon, IL 61021-9118 | 2020-11-03 |
| 1003416520 | Rae Lynn Metzler8 | Counselor | 325 Illinois Rt 2, Dixon, IL 61021-9118 | 2020-10-26 |
| 1477160935 | Anne Fridh | Counselor | 325 Illinois Rt 2, Dixon, IL 61021-9118 | 2020-09-29 |
| 1255948634 | Ashley Nicole Edwards | Social Worker | 325 Illinois Rt 2, Dixon, IL 61021-9118 | 2020-09-29 |
| 1184230856 | Olimpia Bernal | Counselor | 325 Illinois Rt 2, Dixon, IL 61021-9118 | 2020-09-18 |
| 1538772496 | Sierra Nicole Elsbury | Counselor | 325 Illinois Rt 2, Dixon, IL 61021-9118 | 2020-08-28 |
| 1659984953 | Caitlin Joy Refatllari | Counselor | 325 Illinois Rt 2, Dixon, IL 61021-9118 | 2020-08-26 |
| 1811500390 | Tyler Inghram | Counselor | 325 Illinois Rt 2, Dixon, IL 61021-9118 | 2020-08-25 |
| 1427660505 | Fonda Y Stroup | Counselor | 325 Illinois Rt 2, Dixon, IL 61021-9118 | 2020-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699331082 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1600 South Galena Ave, Dixon, IL 61021 | 2019-05-12 |
| 1285135590 | Richard Allen Sibert | Counselor | 325 Il Route 2,dixon Il, Dixon, IL 61021 | 2018-02-22 |
| 1518485432 | Madeline Luniewicz | Counselor | 325 Il-2, Dixon, IL 61021 | 2017-08-30 |
| 1669992566 | Nicole Marie Shaffer | Specialist/Technologist | 650 Reynoldswood Road, Dixon, IL 61021 | 2017-06-21 |
| 1346660446 | Lydia Sitter | Audiologist | 215 3. 1st Street, Suite 317, Ksb Medical Group, Dixon, IL 61021 | 2014-04-16 |
| 1053600080 | Janet I. Malmberg | Nurse Practitioner | 309 South Galena Ave, Suite 100, Dixon, IL 61021 | 2011-03-30 |
| 1376775262 | Kelly L Klein | Optometrist | 511 Palmyra Street, Ksb Eye & Vision Care, Dixon, IL 61021 | 2009-08-11 |
| 1013119106 | Michael Joseph Sarno | Physical Therapist | 401 E. First Street, Dixon, IL 61021 | 2007-06-01 |
| 1891905600 | Thomas G. Gehlbach | Internal Medicine | 215 E 1st St Ste 111, Dixon, IL 61021 | 2007-05-23 |
| 1699987230 | Sameer Jain | Family Medicine | 102 S. Hennepin Ave., Ksb Medical Group, Dixon, IL 61021 | 2007-05-04 |
| Find all providers in zip 61021 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902451669 | Angel Ann-marie Gatchel | Counselor | 715 Berkshire Ct, Dixon, CA 95620-2223 | 2019-08-08 |
| 1568021137 | Kim Miller | Counselor | 748 Timber Creek Rd, Dixon, IL 61021-9564 | 2019-06-07 |
| 1285135590 | Richard Allen Sibert | Counselor | 325 Il Route 2,dixon Il, Dixon, IL 61021 | 2018-02-22 |
| 1821390972 | Stephanie Knight Englund | Counselor | 325 Rte 2, Dixon, IL 61021-9118 | 2010-11-23 |
| 1962524793 | Michael C Tucker | Counselor | 748 Timbercreek Road, Dixon, IL 61021 | 2007-04-04 |
| 1427117118 | Kelly L Burrow | Counselor | 325 Il Rt 2, Dixon, IL 61021 | 2006-12-08 |
| 1659913929 | Emma Swanson | Counselor | 922 Washington Ave, Dixon, IL 61021-1254 | 2019-10-08 |
| 1417517277 | Alison Danielle White | Counselor | 325 Illinois Rt 2, Dixon, IL 61021-9118 | 2019-06-14 |
| 1295213882 | Jessica M Douglass | Counselor | 325 Il Route 2, Dixon, IL 61021-9118 | 2018-08-06 |
| 1578063129 | Jeff Aaron Woods | Counselor | 325 Il Route 2, Dixon, IL 61021-9118 | 2018-02-20 |
| Find all providers in DIXON | ||||
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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.