Family Health Center of East Central Illinois, Inc.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

FAMILY HEALTH CENTER OF EAST CENTRAL ILLINOIS, INC.

Practice address

117 W Main St
Camargo, IL 61919-3312

Phone

(217) 832-2602

Fax

(217) 832-8358

NPI assigned

Aug 22, 2006

Last updated

Feb 13, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa L Shepherd, CNPNPI 1922112978

Title

Vice-President

Phone

(217) 832-2602

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa L Shepherd, CNP

  • Family Nurse Practitioner
  • Camargo, IL
  • NPI 1922112978
  Medicare reassignment Care Compare group Authorized official
• Daphne Louise Piercy, APN CFNP

  • Family Nurse Practitioner
  • Camargo, IL
  • NPI 1689676033
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1174639223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W MAIN ST",
            "city": "CAMARGO",
            "state": "IL",
            "postal_code": "619193312",
            "telephone_number": "217-832-2602",
            "fax_number": "217-832-8358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W MAIN ST",
            "city": "CAMARGO",
            "state": "IL",
            "postal_code": "619193312",
            "telephone_number": "217-832-2602",
            "fax_number": "217-832-8358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH CENTER OF EAST CENTRAL ILLINOIS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "217-832-2602",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC9748",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daphne Louise Piercy, APN CFNP
• Lisa L Shepherd, CNP

• Family Nurse Practitioner in Camargo, IL
• Providers in Camargo, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.