Active NPI
Phyllis Nugent, RN
- Registered Nurse
- Lewistown, IL
National Provider Identifier
1073871596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 041.393497
- Practice address
- 13687 N Lakeview Dr
Lewistown, IL 61542-9258 - Phone
- (309) 547-2779
- NPI assigned
- May 3, 2012
- Last updated
- May 3, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041.393497 | IL | Primary |
Addresses
Primary practice location
13687 N Lakeview Dr
Lewistown, IL 61542-9258
Mailing address
13687 N Lakeview Dr
Lewistown, IL 61542-9258
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.393497 | IL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336003200000",
"number": "1073871596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13687 N LAKEVIEW DR",
"city": "LEWISTOWN",
"state": "IL",
"postal_code": "615429258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13687 N LAKEVIEW DR",
"city": "LEWISTOWN",
"state": "IL",
"postal_code": "615429258",
"telephone_number": "309-547-2779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUGENT",
"first_name": "PHYLLIS",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-03",
"last_updated": "2012-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041.393497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewistown, IL
- Main Street Pharmacy Inc
- Main Street Pharmacy Inc
- Ronald Joe Miles, RPH
- Amber L Nelson, SSP
- Niemann Foods Inc (County Market Pharmacy 458)
- Prairie View Care Center of Lewistown
- Prairie View Care Center of Lewistown
- Prairie View Care Center of Lewistown, Inc
- Jesse J Stinauer, D.M.D.
- Pamela Jo Tippey-Herrick, LCPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.