Active NPI
Kierra Stuvland, CNM, WHNP
- Advanced Practice Midwife
- Chicago, IL
National Provider Identifier
1376904458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- Practice address
- 1701 W Superior St
Chicago, IL 60622-5646 - Phone
- (312) 666-3494
- NPI assigned
- Mar 16, 2016
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 104106320 | IL | |
| Advanced Practice Midwife | 367A00000X | CNM07665 | IL | |
| Doula | 374J00000X | |||
| Advanced Practice Midwife | 367A00000X | IL | Primary |
Addresses
Primary practice location
1701 W Superior St
Chicago, IL 60622-5646
Mailing address
2314 W Huron St Unit 2
Chicago, IL 60612-1206
Phone (847) 644-8587
Other practice location 1
2418 W Division St
Chicago, IL 60622-2940
Phone (312) 666-3494
Other practice location 2
731 Girard St NW
Washington, DC 20001-3820
Phone (847) 644-8587
Other names 1
- Kierra Amanda Jackson
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://www.eriefamilyhealth.org/ |
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)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104106320 | IL | MD | Women's Health Nurse Practitioner |
| CNM07665 | IL | MD | Advanced Practice Midwife |
Interoperability endpoints
- kstuvland736617@direct.ochin.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657065600000",
"number": "1376904458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2314 W HURON ST UNIT 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606121206",
"telephone_number": "847-644-8587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 W SUPERIOR ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606225646",
"telephone_number": "312-666-3494"
}
],
"practiceLocations": [
{
"address_1": "2418 W Division St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606222940",
"country_code": "US",
"telephone_number": "312-666-3494",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "731 Girard St NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200013820",
"country_code": "US",
"telephone_number": "847-644-8587",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STUVLAND",
"first_name": "KIERRA",
"credential": "CNM, WHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-16",
"last_updated": "2022-07-06",
"certification_date": "2022-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "IL",
"license": "104106320",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "IL",
"license": "CNM07665",
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://www.eriefamilyhealth.org/",
"affiliation": "N",
"address_1": "1701 W Superior St",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606225646",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KIERRA",
"last_name": "JACKSON",
"middle_name": "AMANDA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.