KATHRINE SUNSTEDT (NPI# 1942801071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942801071 |
| Entity Type | Individual |
| Full Name | KATHRINE SUNSTEDT |
| Credential | CPNP-AC |
| Practice Address |
420 Ne Glen Oak Ave Ste 201 Peoria IL 61603-3112 |
| Mailing Address |
1500 Eagle Ave Apt 2 Washington IL 61571-1160 |
| Practice Telephone | 3096249844 |
| Mailing Telephone | 3099890046 |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0222X |
Nurse Practitioner Specialization: Pediatrics, Critical Care |
209.021251 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
420 NE GLEN OAK AVE STE 201 |
| City | PEORIA |
| State | IL |
| Zip Code | 61603-3112 |
| 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 |
| Find all providers in zip 61603 | ||||
| Taxonomy Code | 363LP0222X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902105760 | Angela D Graham | Nurse Practitioner | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2011-03-19 |
| 1154649598 | Cynthia D Read | Nurse Practitioner | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2010-05-10 |
| 1740507292 | Tara L Osman | Nurse Practitioner | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2010-04-23 |
| 1073842878 | Lisa M Pierce | Nurse Practitioner | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2009-12-08 |
| 1265660716 | Kelly Skender | Nurse Practitioner | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2009-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245837863 | Emily Anne Whitlow | Nurse Practitioner | 5023 W Agatite Ave Unit 1, Chicago, IL 60630-3907 | 2020-10-06 |
| 1508271727 | Amy Wilhelmi | Nurse Practitioner | 21 Carey Ln, Streamwood, IL 60107-6662 | 2014-06-26 |
| 1700115235 | Janis Marie Quinn | Nurse Practitioner | 225 E. Chicago Ave, Chicago, IL 60611-2605 | 2009-12-11 |
| 1629213624 | Karriann Marie Longtin | Nurse Practitioner | 400 S Kennedy Dr Ste 900, Bradley, IL 60915-2683 | 2008-12-05 |
| 1649272154 | Beth Nachtsheim Bolick | Nurse Practitioner | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2005-08-15 |
| 1942828306 | Stephanie Allison Gierman | Nurse Practitioner | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-07-11 |
| 1851925622 | Lauren Alyssa Shaughnessy | Nurse Practitioner | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-03-02 |
| 1326683236 | Brittany Brennan | Nurse Practitioner | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2019-11-14 |
| 1093378986 | Trudy Jean Johnson | Nurse Practitioner | 5841 S Maryland Ave # Mc1145, Chicago, IL 60637-1443 | 2019-04-17 |
| 1730651167 | Kara Hildebrandt | Nurse Practitioner | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2018-12-25 |
| Find all providers with the same taxonomy | ||||
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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.