STEPHANIE NICOLE WHITLOCK (NPI# 1588222608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588222608 |
| Entity Type | Individual |
| Full Name | STEPHANIE NICOLE WHITLOCK |
| Credential | NP |
| Practice Address |
317 S 14th St Ste 1 Herrin IL 62948-3673 |
| Mailing Address |
Po Box 3988 Carbondale IL 62902-3988 |
| Practice Telephone | 6189886171 |
| Practice Fax Number | 6183516491 |
| Mailing Telephone | 6184575200 |
| Mailing Fax Number | 6185290586 |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2019-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209019467 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588946107 | Stephanie Whitlock | Nurse Practitioner | 1111 Ring Rd, Elizabethtown, KY 42701-4900 | 2011-09-10 |
| Street Address |
317 S 14TH ST STE 1 |
| City | HERRIN |
| State | IL |
| Zip Code | 62948-3673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639427933 | Salim Hosein | Surgery | 317 S 14th St Ste 1, Herrin, IL 62948 | 2012-08-17 |
| 1821515503 | Kristi Sierzega | Counselor | 317 S 14th St Ste 1, Herrin, IL 62948-3673 | 2017-08-24 |
| 1649708926 | Susan Kay Selock | Social Worker | 317 S 14th St Ste 1, Herrin, IL 62948-3673 | 2017-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215307590 | Carmelito Miralles Caronongan | Pediatrics | 120 S. 11th St., Herrin, IL 62948 | 2015-09-30 |
| 1073995684 | Motaz R Wraikat | Preventive Medicine | 315 S 13th St Ste 3, Herrin, IL 62948 | 2015-06-19 |
| 1962780288 | Pooja Sareen | Internal Medicine | 3024 S Park Avenue, Herrin, IL 62948 | 2011-08-03 |
| 1235459918 | Timoteo Castro Md & Josefina D. Castro Md Ltd | Family Medicine | 321 South 13st St., Herrin, IL 62948 | 2010-06-04 |
| 1457501926 | Don Cassidy Arnold II | Urology | 220 S Park Ave Fl 2, Herrin, IL 62948 | 2008-09-22 |
| 1306094560 | Karl Keith Mitchener | Speech-Language Pathologist | 1901 N 13th Street, Herrin, IL 62948 | 2008-08-29 |
| 1457509705 | Kathryn Marie Bordenet-jines | Occupational Therapy Assistant | 1901 N. 13th, Herrin, IL 62948 | 2008-08-28 |
| 1417105776 | Cheryl Lynn Matic | Occupational Therapy Assistant | 1901 N. 13th St., Herrin, IL 62948 | 2008-08-28 |
| 1174771422 | Mary Frances Graham | Physical Therapy Assistant | 1901 N. 13th Street, Herrin, IL 62948 | 2008-08-28 |
| 1134349798 | Nelson F Gauto Md PC | Clinic/Center | 3314 Patriot Court, Herrin, IL 62948 | 2007-04-26 |
| Find all providers in zip 62948 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528023496 | Sharon Ball | Nurse Practitioner | 201 South 14th St., Herrin Hospital Respiratory Disease Clinic, Herrin, IL 62948 | 2006-04-20 |
| 1932722196 | Kelli Jo Kirkpatrick | Nurse Practitioner | 405 Rushing Dr, Herrin, IL 62948-3730 | 2020-05-22 |
| 1548800386 | Danielle Jo Fisher | Nurse Practitioner | 201 S 14th St, Herrin, IL 62948-3631 | 2020-01-09 |
| 1306490438 | Dawn Marie Stowers | Nurse Practitioner | 3309 Logan Dr, Herrin, IL 62948 | 2019-07-26 |
| 1689235715 | Michelle Steh | Nurse Practitioner | 510 Lincoln Dr, Herrin, IL 62948-6334 | 2019-06-28 |
| 1902371313 | Dietra Leigh Angelly | Nurse Practitioner | 408 Lincoln Dr Ste B, Herrin, IL 62948 | 2018-10-11 |
| 1447732953 | Lucas Craig Webb | Nurse Practitioner | 201 S 14th St, Herrin, IL 62948-3631 | 2018-08-30 |
| 1932698172 | Aimee Belt | Nurse Practitioner | 220 S Park Ave, Herrin, IL 62948-3602 | 2018-05-03 |
| 1619412475 | Jessica Lohman | Nurse Practitioner | 405 Rushing Dr, Herrin, IL 62948-3730 | 2017-01-03 |
| 1053854729 | Antoinette Marie Miller | Nurse Practitioner | 404 Lincoln Dr, Herrin, IL 62948 | 2016-11-29 |
| Find all providers in HERRIN | ||||
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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.