Amy Suzanne Stomberg

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

041331463 Issued in IL

Practice address

1090 W Carl Sandburg Dr
Galesburg, IL 61401

Phone

(309) 343-0311

Fax

(309) 343-0385

NPI assigned

Nov 24, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1124980560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 W CARL SANDBURG DR",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "61401",
            "telephone_number": "309-343-0311",
            "fax_number": "309-343-0385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 W CARL SANDBURG DR",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "61401",
            "telephone_number": "309-343-0311",
            "fax_number": "309-343-0385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOMBERG",
        "first_name": "AMY",
        "middle_name": "SUZANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "IL",
            "license": "041331463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Standard, PT
• Ayisha Stanley, PHARMD, RPH
• Hershel W Statham, PH.D
• Dawn Michele Stevenson-Reed, AGACNP - BC
• Noelle Christine Stokes, LMT, CNA
• Vladimir Strunin, MD
• Whitney Noel Stuart
• Hephzibah Sudhakar, PT
• Heather Sullivan, PHARMD.
• Timothy F Sullivan, CRNA

• Ambulatory Care Registered Nurse in Galesburg, IL
• Providers in Galesburg, IL by specialty
• Ambulatory Care Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.