Peggy Stewart

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

320267 Issued in WI

Practice address

1547 Russell St
Green Bay, WI 54304-3013

Phone

(920) 265-8631

NPI assigned

Feb 8, 2017

Sex

Female

Sole proprietor

Yes

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": "1486512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486512000000",
    "number": "1366980583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1547 RUSSELL ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543043013",
            "telephone_number": "920-265-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1547 RUSSELL ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543043013",
            "telephone_number": "920-265-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "PEGGY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-08",
        "last_updated": "2017-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "320267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Eric Stevenson, MD
• Juli Ann Stevenson, DNP, CRNA, APRN
• Kyle R Stevenson, PT
• Kathleen G Steward, APNP
• James Ryan Stewart, D.O.
• Bridget A Stiles, OT
• Bridget E Stillman, APNP
• Erin C Stillmank, APNP
• Amy Stillson
• Melanie Ann Stimpson

• Licensed Practical Nurse in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.