TRACY A STEVENS


Address: 1401 E State St Fl 2, Rockford, IL 61104-2315
Phone: 7796962460

TRACY A STEVENS (NPI# 1417486663) 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) 1417486663
Entity Type Individual
Full Name TRACY A STEVENS
Practice Address 1401 E State St Fl 2
Rockford
IL 61104-2315
Mailing Address Po Box 1567
Rockford
IL 61110-0067
Practice Telephone 7796962460
Mailing Telephone 7796967150
Enumeration Date 2017-06-09
Last Update Date 2017-08-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 041384954 IL Nursing Service Providers
Y 363L00000X Nurse Practitioner 209-016439 IL Physician Assistants & Advanced Practice Nursing Providers

Other Providers TRACY STEVENS

NPI Name Taxonomy Address Enumeration
1760043673 Tracy Lee Stevens Nurse Practitioner 2222 Ne 130th Ave, Portland, OR 97230-1705 2019-06-23
1033397252 Tracy Stevens Registered Nurse 280 Seward Street, Rochester, NY 14608 2008-02-11
1679977037 Tracy Nichole Stevens Physical Therapist 500 Lanier Ave W, Suite 303, Fayetteville, GA 30214-7636 2014-10-14
1992754154 Tracy L Stevens Internal Medicine 4330 Wornall Rd, Suite 2000, Kansas City, MO 64111-5939 2006-05-08
1619948668 Tracy Kendrew Stevens Pediatrics 489 State St, Bangor, ME 04401-6616 2006-01-29

Office Location

Street Address 1401 E STATE ST FL 2
City ROCKFORD
State IL
Zip Code 61104-2315

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699216564 Swedishamerican Hospital Nutritionist 1415 E. State St., Lower Level A3, Rockford, IL 61104 2017-03-13
1376950485 Swedishamerican Hospital Nurse Practitioner 1340 Charles St Ste 200, Rockford, IL 61104 2014-07-21
1871907774 Oday Alsarraf Psychiatry & Neurology 1401 E State Street, Center for Mental Health, Swedish American Hospital, Rockford, IL 61104 2014-06-18
1962652339 Children's Home and Aid Community/Behavioral Health 424 7th St, Rockford, IL 61104 2008-09-23
1689729535 Swedishamerican Hospital Nurse Practitioner 1340 Charles St Ste 100, Rockford, IL 61104 2007-01-23
1790873016 David J Schleicher Obstetrics & Gynecology 209 9th St Ste 200, Rockford, IL 61104 2006-10-11
1013026624 Thomas Ryan Moss Dentist 1415 E State Street, Rockford, IL 61104 2006-08-29
1366452096 Arturo Santiago Manas Obstetrics & Gynecology 1415 E State St Fl 8, Rockford, IL 61104 2006-08-08
1245263268 William John Stout Physician Assistant 1401 E State Street, Rockford, IL 61104 2006-07-10
1689604969 Prabha Chand Dosi Pediatrics 1401 E. State Street, Rockford, IL 61104 2006-07-03
Find all providers in zip 61104

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265052401 Jet Healthcare LLC Nurse Practitioner 5979 Nebeshone Ln, Rockford, IL 61103-8926 2020-04-17
1760023162 Mh Health Care Services, PC Nurse Practitioner 5943 E Riverside Blvd, Rockford, IL 61114-4935 2019-10-07
1235792045 Michelle Anna Barrett Nurse Practitioner 6000 E State St Ste 1, Rockford, IL 61108-2521 2019-04-17
1780177030 Emily Glass Mims Nurse Practitioner 9518 Us Highway 231, Rockford, AL 35132-5551 2018-06-12
1003269895 Jason Roberts Nurse Practitioner 199 Longview Dr, Rockford, MI 49341-1130 2016-07-18
1376950485 Swedishamerican Hospital Nurse Practitioner 1340 Charles St Ste 200, Rockford, IL 61104 2014-07-21
1588800700 Sylvia Ann Garza Nurse Practitioner 3401 N. Perryville Rd, Rockford Health Physicians, Rockford, IL 61114 2008-12-17
1295955284 Jennifer Lee Binder Nurse Practitioner 2327 Nebraska Rd, Rockford, IL 61108-7510 2007-05-01
1689729535 Swedishamerican Hospital Nurse Practitioner 1340 Charles St Ste 100, Rockford, IL 61104 2007-01-23
1902995087 Lori Ann Schultz Nurse Practitioner 1235 N Mulford Rd Ste 205, Rockford, IL 61107-3879 2006-10-12
Find all providers in ROCKFORD

Competitor

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City ROCKFORD
Zip Code 61104

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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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