Clark and Schulze NP Practice

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CLARK AND SCHULZE NP PRACTICE

Practice address

1806 Woodfield Dr Ofc 111
Savoy, IL 61874-9505

Phone

(618) 367-3732

NPI assigned

Oct 3, 2022

Last updated

Oct 3, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Crystal ClarkNPI 1427557321

Title

NP/Operating Agent

Phone

(618) 367-3732

Specialties & licenses 3

Addresses

Other identifiers 2

Electronic endpoints 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Crystal S Clark

  • Nurse Practitioner
  • Monticello, IL
  • NPI 1427557321
  NPD (past) Authorized official
• Sarah Schulze, CPNP

  • Pediatric Nurse Practitioner
  • Champaign, IL
  • NPI 1972979409
  NPD
• Wendy Foley, FNP-C

  • Primary Care Nurse Practitioner
  • Savoy, IL
  • NPI 1336654748
  NPD (past)

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1659095503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 WOODFIELD DR",
            "city": "SAVOY",
            "state": "IL",
            "postal_code": "618749505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 WOODFIELD DR OFC 111",
            "city": "SAVOY",
            "state": "IL",
            "postal_code": "618749505",
            "telephone_number": "618-367-3732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1806 Woodfield Dr",
            "address_purpose": "LOCATION",
            "city": "Savoy",
            "state": "IL",
            "postal_code": "618749505",
            "country_code": "US",
            "telephone_number": "618-367-3732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLARK AND SCHULZE NP PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "NP/OPERATING AGENT",
        "authorized_official_telephone_number": "618-367-3732"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1972979409",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1427557321",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kareo.com",
            "affiliation": "N",
            "address_1": "1806 Woodfield Dr",
            "city": "Savoy",
            "state": "IL",
            "country_code": "US",
            "postal_code": "618749505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Guillermo D Castillo, M.D.
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• Champaign Urbana Nursing and Rehab LP
• Chittick SCC LLC
• Brianna Coffey
• Cassandra Lee Colbert, LPC
• Cameron Rose Conroy, LSW
• Cooper Counseling PLLC
• Courtney Porter Therapy, LLC

• Clinic/Center in Savoy, IL
• Providers in Savoy, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.

Verify at the official NPI Registry.