STEPHANIE S BECKSTROM


Address: 200 E Pennsylvania Ave, Peoria, IL 61603-3089
Phone: 3096244000

STEPHANIE S BECKSTROM (NPI# 1487127734) 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) 1487127734
Entity Type Individual
Full Name STEPHANIE S BECKSTROM
Other Name STEPHANIE S WINSLOW
Credential APN
Practice Address 200 E Pennsylvania Ave
Peoria
IL 61603-3089
Practice Telephone 3096244000
Practice Fax Number 3096244010
Mailing Telephone 3096244000
Mailing Fax Number 3096244010
Enumeration Date 2019-01-09
Last Update Date 2019-01-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 209018602 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 200 E PENNSYLVANIA AVE
City PEORIA
State IL
Zip Code 61603-3089

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912901711 James W Bauer Internal Medicine 200 E Pennsylvania Ave, Ste 105, Peoria, IL 61603-3045 2005-06-09
1205473154 Gargi Dnyanesh Gupte Physician Assistant 200 E Pennsylvania Ave, Peoria, IL 61603-3089 2019-12-10
1174093009 Katelyn M Johnson Nurse Practitioner 200 E Pennsylvania Ave, Peoria, IL 61603-3089 2018-12-04
1093298127 Loan T Nguyen Nurse Practitioner 200 E Pennsylvania Ave, Peoria, IL 61603-3089 2018-09-14
1922580695 Anna K Boyce Audiologist 200 E Pennsylvania Ave, Peoria, IL 61603-3089 2018-08-30
1033604855 Caroline Marie Boczar Audiologist 200 E Pennsylvania Ave, Peoria, IL 61603-3089 2018-06-25
1831608991 Laurel K Donaldson Audiologist 200 E Pennsylvania Ave, Peoria, IL 61603-3089 2017-09-21
1851818835 Cynthia I Guede Nurse Practitioner 200 E Pennsylvania Ave, Peoria, IL 61603-3089 2017-08-29
1275986051 Travis E. Towne Social Worker 200 E Pennsylvania Ave, Peoria, IL 61603-3089 2016-07-18
1790139384 Jenna Ford Clinical Nurse Specialist 200 E Pennsylvania Ave, Peoria, IL 61603-3089 2016-04-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598362980 Courtney Klein Nurse Practitioner 1306 N. Berkley Ave, Peoria, IL 61603 2020-10-08
1114588217 Kong Xing Wang Dentist 320 East Armstrong Ave, Peoria, IL 61603 2019-06-28
1073015319 Sara Kristine Rosenbery Nurse Practitioner 515 Ne Glen Oak Ave Ste 202, Peoria, IL 61603 2018-03-02
1861860058 Jennifer Michelle Kelsey Clinical Nurse Specialist 420 Ne Glen Oak Avenue, Suite 401, Peoria, IL 61603 2015-09-04
1467859793 Bonnie Lansing Counselor 617 N Gendale Avenue, Behavioral Health Adult Program, Peoria, IL 61603 2014-12-02
1639597172 Jael K. Mahasi Counselor 1800 Ne Perry Avenue, Peoria, IL 61603 2014-04-02
1992054829 Justin S Ferragut Radiology 530 Northeast Glen Oak Avenue, Peoria, IL 61603 2012-09-06
1780952994 Syed Muhammad Tayyab Internal Medicine 828 Ne Glen Oak Ave Apt No208a, Peoria, IL 61603 2011-12-02
1528389079 St. Francis Medical Center General Acute Care Hospital 530 N E Glen Oak Ave, Peoria, IL 61603 2010-06-18
1780810648 Children's Home Association of Illinois Voluntary or Charitable 400 E. Frye, Peoria, IL 61603 2009-06-05
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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
1962034215 Lia Doh Nurse Practitioner 8357 W Rosewood Ln, Peoria, AZ 85383-3869 2020-02-05
1285274027 Chauntel M Nessmith Nurse Practitioner 7540 W Jenan Dr, Peoria, AZ 85345-1367 2020-01-09
1003450925 Kimberly Ann Flores Nurse Practitioner 12118 W Avenida Del Rey, Peoria, AZ 85383-5819 2019-11-04
1821630666 Leesa K Jost Nurse Practitioner 8914 N Prairie Pointe Rd, Peoria, IL 61615-1574 2019-10-14
1942842018 Tamarra Lynn Subyantoro Nurse Practitioner 5114 N Glen Park Place Rd Ste 110, Peoria, IL 61614-4686 2019-10-10
1255981593 Eunmee Hong Nurse Practitioner 21369 N 79th Dr, Peoria, AZ 85382-4453 2019-09-18
1295297737 Tasha R Besser Nurse Practitioner 5114 N Glen Park Place Rd Ste 220, Peoria, IL 61614-4686 2019-04-03
1669936506 Kristin Danielle Downs Nurse Practitioner 10408 N Centerway Dr, Peoria, IL 61615-1234 2019-01-24
1205312790 Kathleen Marie Hendricks Nurse Practitioner 2809 W Willow Knolls Dr, Peoria, IL 61614 2018-07-17
1538665609 Tara Moore Nurse Practitioner 10408 N Centerway Dr Ste Cde, Peoria, IL 61615-1234 2018-04-05
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Competitor

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City PEORIA
Zip Code 61603

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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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