Active NPI
Carolyn Ann Calhoun, APN, CNM
- Advanced Practice Midwife
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 209.010720
- Practice address
- 2321 N Wisconsin Ave
Peoria, IL 61603-5613 - Phone
- (309) 680-7600
- Fax
- (309) 681-8443
- NPI assigned
- Nov 5, 2013
- Last updated
- Jul 21, 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 | 209.010720 | IL | Primary |
Addresses
Primary practice location
2321 N Wisconsin Ave
Peoria, IL 61603-5613
Mailing address
2214 N University St
Peoria, IL 61604-3221
Phone (309) 680-7600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5433001 | Medicaid | IL |
Other names 1
- Mrs. Carolyn Ann Strom
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
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2900 N Knoxville Ave
Peoria, IL 61603-1748
Phone (309) 308-3310
8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050
9128 N Lindbergh Dr
Osf Medical Group Obstetrics and Gynecology
Peoria, IL 61615-1422
Phone (309) 308-3310
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.010720 | IL | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients |
Locations
1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195
2806 N Knoxville Ave
Peoria, IL 61604
Phone (309) 655-6961
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
9128 N Lindbergh Dr
Peoria, IL 61615
Phone (309) 308-3310
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
dba patton pharmacy and v&s variety
- 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": "1383609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1811326317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2214 N UNIVERSITY ST",
"city": "PEORIA",
"state": "IL",
"postal_code": "616043221",
"telephone_number": "309-680-7600",
"fax_number": "309-681-8443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2321 N WISCONSIN AVE",
"city": "PEORIA",
"state": "IL",
"postal_code": "616035613",
"telephone_number": "309-680-7600",
"fax_number": "309-681-8443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALHOUN",
"first_name": "CAROLYN",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "APN, CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-05",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "IL",
"license": "209.010720",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5433001",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CAROLYN",
"last_name": "STROM",
"middle_name": "ANN",
"prefix": "MRS.",
"credential": "APN, CNM",
"code": "1",
"type": "Former Name"
}
]
}
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 Jul 21, 2022; 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.