Organization Active NPI

Carroll & Jo Davies & Stephenson Roe

  • Case Manager/Care Coordinator
  • Stockton, IL
National Provider Identifier
1598935504
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
CARROLL & JO DAVIES & STEPHENSON ROE
Practice address
500 N Rush St
Stockton, IL 61085-1004
Phone
(815) 947-3810
Fax
(815) 947-2717
NPI assigned
Mar 5, 2008
Last updated
Jul 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Marie Stiefel
Title
Regional Superintendent
Phone
(815) 947-3810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

500 N Rush St
Stockton, IL 61085-1004

Mailing address

500 N. Rush St.
Stockton, IL 61085-1004

National Provider Directory

National Provider Directory

Locations

27 S State Ave
Freeport, IL 61032

500 N Rush St
Stockton, IL 61085
Phone (815) 947-3810

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1598935504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N. RUSH ST.",
            "city": "STOCKTON",
            "state": "IL",
            "postal_code": "610851004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N RUSH ST",
            "city": "STOCKTON",
            "state": "IL",
            "postal_code": "610851004",
            "telephone_number": "815-947-3810",
            "fax_number": "815-947-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLL & JO DAVIES & STEPHENSON ROE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "STIEFEL",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "REGIONAL SUPERINTENDENT",
        "authorized_official_telephone_number": "815-947-3810"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.