Active NPI
Chris M Ayers, CNS
- Clinical Nurse Specialist
- Galesburg, IL
National Provider Identifier
1801168158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Nurse Specialist
- License
- 209-000513
- Practice address
- 3375 N Seminary St
Galesburg, IL 61401-1251 - Phone
- (309) 343-5114
- Fax
- (309) 343-7859
- NPI assigned
- Feb 2, 2012
- Last updated
- Feb 2, 2012
- 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 |
|---|---|---|---|---|
| Clinical Nurse Specialist | 364S00000X | 209-000513 | IL | Primary |
Addresses
Primary practice location
3375 N Seminary St
Galesburg, IL 61401-1251
Mailing address
3375 N Seminary St
Galesburg, IL 61401-1251
Phone (309) 343-5114
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 Specialist, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209-000513 | IL | MD | Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Mary Medical Center | Past | Accepting new patients |
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": "1328140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328140800000",
"number": "1801168158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3375 N SEMINARY ST",
"city": "GALESBURG",
"state": "IL",
"postal_code": "614011251",
"telephone_number": "309-343-5114",
"fax_number": "309-343-7859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3375 N SEMINARY ST",
"city": "GALESBURG",
"state": "IL",
"postal_code": "614011251",
"telephone_number": "309-343-5114",
"fax_number": "309-343-7859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYERS",
"first_name": "CHRIS",
"middle_name": "M",
"credential": "CNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-02",
"last_updated": "2012-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "IL",
"license": "209-000513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Galesburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.