Active NPI
Mary Elizabeth Inman, RN
- Registered Nurse
- Peoria, IL
National Provider Identifier
1477980514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 041.414252
- Practice address
- 6501 N. Sheridan Rd.
Peoria, IL 61614 - Phone
- (309) 692-8670
- Fax
- (309) 692-7658
- NPI assigned
- Oct 3, 2013
- Last updated
- Oct 3, 2013
- Sex
- Female
- Sole proprietor
- No
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 | 041.414252 | IL | Primary |
Addresses
Primary practice location
6501 N. Sheridan Rd.
Peoria, IL 61614
Mailing address
6501 N. Sheridan Rd.
Peoria, IL 61614
Phone (309) 692-8670
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 |
|---|---|---|---|
| 041.414252 | IL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380758400000",
"number": "1477980514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6501 N. SHERIDAN RD.",
"city": "PEORIA",
"state": "IL",
"postal_code": "61614",
"telephone_number": "309-692-8670",
"fax_number": "309-692-7658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6501 N. SHERIDAN RD.",
"city": "PEORIA",
"state": "IL",
"postal_code": "61614",
"telephone_number": "309-692-8670",
"fax_number": "309-692-7658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INMAN",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-03",
"last_updated": "2013-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041.414252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, IL
- In-Home Physical Therapy
- Rosemary Ince
- Thad Indermuhle
- Thomas F Ingersoll, MD
- Natalie Christine Ingle, APRN NNP-BC
- Inner Spirit Chiropractic Inc
- Inspire Counseling and Wellness
- Inspirit Health PC (LifePlus MD)
- Institute of Physical and Medicine Rehabilitation
- Institute of Physical Medicine and Rehabilitation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.