Individual provider Active NPI

Janet Elaine Stierwalt, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Newton, IL
National Provider Identifier
1548291289
Registry record updated Jan 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209-005982 Issued in IL
Practice address
500 S Scott Ave
Newton, IL 62448-1665
Phone
(618) 783-2144
NPI assigned
Jul 5, 2006
Last updated
Jan 18, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209-005982 IL Primary

Addresses

Primary practice location

500 S Scott Ave
Newton, IL 62448-1665

Mailing address

800 E Locust St
Olney, IL 62450-2553
Phone (618) 395-7340

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209-005982ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland County Family CurrentSince Feb 17, 2006 Accepting new patients

Locations

132 Courthouse Sq
Toledo, IL 62468
Phone (217) 849-3211

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453075200000",
    "number": "1548291289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E LOCUST ST",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "624502553",
            "telephone_number": "618-395-7340",
            "fax_number": "618-395-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S SCOTT AVE",
            "city": "NEWTON",
            "state": "IL",
            "postal_code": "624481665",
            "telephone_number": "618-783-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIERWALT",
        "first_name": "JANET",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2016-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209-005982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2016; 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.