KEVIN M STARKWEATHER


Address: 350 W Carpenter St, Springfield, IL 62702-4902
Phone: 2175287541

KEVIN M STARKWEATHER (NPI# 1275189565) 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) 1275189565
Entity Type Individual
Full Name KEVIN M STARKWEATHER
Credential DNP
Practice Address 350 W Carpenter St
Springfield
IL 62702-4902
Mailing Address 1025 S 6th St
Springfield
IL 62703-2403
Practice Telephone 2175287541
Practice Fax Number 2175251404
Mailing Telephone 2175287541
Enumeration Date 2019-08-13
Last Update Date 2020-05-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
209019843 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 350 W CARPENTER ST
City SPRINGFIELD
State IL
Zip Code 62702-4902

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740264365 Nicolas A. Forero Internal Medicine 350 W Carpenter St, Springfield, IL 62702-4902 2005-12-06
1346882412 Morgan M Curless Dietitian, Registered 350 W Carpenter St, Springfield, IL 62702-4902 2019-10-10
1003461831 Jessica L Akers Nurse Practitioner 350 W Carpenter St, Springfield, IL 62702-4902 2019-08-08
1396229522 Alison J. Gerringer Nurse Practitioner 350 W Carpenter St, Springfield, IL 62702-4902 2018-09-24
1538642533 Edwilyn H. Colwell Nurse Practitioner 350 W Carpenter St, Springfield, IL 62702-4902 2018-09-14
1134609167 Kelsey K. Kniepmann Dietitian, Registered 350 W Carpenter St, Springfield, IL 62702-4902 2018-08-20
1467940387 Springfield Clinic LLP Clinical Medical Laboratory 350 W Carpenter St, Springfield, IL 62702-4902 2018-04-26
1215434550 Terra R. Curtis Nurse Practitioner 350 W Carpenter St, Springfield, IL 62702-4902 2018-04-12
1942661954 Janice L. Floyd Nurse Practitioner 350 W Carpenter St, Springfield, IL 62702-4902 2016-03-18
1770950107 Michael Genin Physician Assistant 350 W Carpenter St, Springfield, IL 62702-4902 2015-09-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457866519 Mohammad Jamal Uddin Ansari Internal Medicine 751 N Rutledge St Ste 400, Springfield, IL 62702 2017-12-11
1588105811 Mickey Graphia Surgery 701 N 1st St # D346, Springfield, IL 62702 2017-03-20
1376908913 Abdul Hannan Internal Medicine 315 W Carpenter St # B, Springfield, IL 62702 2015-12-28
1871986414 Rachel Hoselton Nurse Practitioner 400 N 9th St Fl 4, Springfield, IL 62702 2015-03-06
1548697774 Alyssa Wilson Behavioral Analyst 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 2013-10-02
1174965446 Amy Wilson Speech-Language Pathologist 2120 West Washington Street, Springfield, IL 62702 2013-07-26
1275898116 Pele Boutrous Dina Pediatrics 415 N 9th St # 4w16, Springfield, IL 62702 2012-07-06
1427327733 Brook D Croke Genetic Counselor, MS 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 2011-12-16
1629352604 Renae M Sanchez Pharmacist 3216 East Clearlake Ave, Springfield, IL 62702 2011-10-07
1982915302 William Leland Zelkovich Radiology 701 N 1st, Springfield, IL 62702 2010-06-30
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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1255940060 Rosemarie Stebbins Nurse Practitioner 436 Dwight St Ste 205, Springfield, MA 01103-1317 2020-07-28
1962906552 Caroline Mcgarr Butler Nurse Practitioner 368 River St Ste 160, Springfield, VT 05156-2242 2018-03-20
1578070561 Claudia Franc Williams Nurse Practitioner Springfield Medical Care Systems, Inc. 25 Ridgewood Rd, Springfield, VT 05156 2017-12-29
1598298457 Summer Tipton Nurse Practitioner 2140 S Hillcrest Ave, Springfield, MO 65807-2108 2017-04-07
1417406489 Amy L Peters Nurse Practitioner 1242 E Independence St, #200, Springfield, MO 65804-4284 2016-10-01
1679833271 Sentew Care Nurse Practitioner LLC Nurse Practitioner 8322 Bark Tree Ct, Springfield, VA 22153-3828 2012-05-17
1508157140 Springfield Internal Medicine Group Nurse Practitioner 1435 E Bradford Pkwy, Suite 105, Springfield, MO 65804-6563 2011-05-01
1043533128 Keri Lynn Sutton Nurse Practitioner 1730 E Republic Rd Ste K, Springfield, MO 65804-6519 2010-03-03
1093967630 Maire Alexander Nurse Practitioner 7939 Lake Pleasant Dr, Springfield, VA 22153-2750 2008-10-15
1790937498 Marlene Karen Schmitz Nurse Practitioner 385 Morris Ave Ste 100, Springfield, NJ 07081-1100 2008-10-14
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Competitor

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City SPRINGFIELD
Zip Code 62702

Improve Information

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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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