Active NPI
Jennifer Lynn Soady, DNP, APRN, CNM
- Advanced Practice Midwife
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- Practice address
- 2419 W Cornerstone CT
Peoria, IL 61614-2529 - Phone
- (217) 528-7541
- NPI assigned
- Dec 28, 2022
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | Primary |
Addresses
Primary practice location
2419 W Cornerstone CT
Peoria, IL 61614-2529
Mailing address
PO Box 19248
Springfield, IL 62794-9248
Phone (217) 528-7541
Other practice location 1
617 Illini Dr.
East Peoria, IL 61611
Phone (309) 267-4457
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2500 W Reynolds St
Pontiac, IL 61764-9774
8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Springfield Clinic, LLP | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients |
Locations
2111 E Oakland Ave
Ste B
Bloomington, IL 61701
Phone (309) 531-3012
1614 E Norris Dr
Ottawa, IL 61350
Phone (815) 433-1010
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
2419 W Cornerstone Ct
Peoria, IL 61614
Phone (309) 265-3415
1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195
920 West St
Ste 100
Peru, IL 61354
Phone (815) 431-0435
775 Engineering Ave
Springfield, IL 62703
Phone (217) 522-4300
Interoperability endpoints
- jennifer.soady.1@28977.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1780638478
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1801509443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19248",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627949248",
"telephone_number": "217-528-7541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2419 W CORNERSTONE CT",
"city": "PEORIA",
"state": "IL",
"postal_code": "616142529",
"telephone_number": "217-528-7541"
}
],
"practiceLocations": [
{
"address_1": "617 Illini Dr.",
"address_purpose": "LOCATION",
"city": "East Peoria",
"state": "IL",
"postal_code": "61611",
"country_code": "US",
"telephone_number": "309-267-4457",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOADY",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "DNP, APRN, CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-28",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.