Individual provider Active NPI

Stephanie Lynn Zilch, RRT-NPS, ACCS

  • Critical Care Registered Respiratory Therapist
  • Peoria, IL
National Provider Identifier
1831766518
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Registered Respiratory TherapistTaxonomy code 2279C0205X
License
194006178 Issued in IL
Practice address
1124 S Mesa Dr
Peoria, IL 61607-1157
Phone
(309) 645-0229
NPI assigned
Jun 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Registered Respiratory Therapist 2279C0205X 194006178 IL Primary

Addresses

Primary practice location

1124 S Mesa Dr
Peoria, IL 61607-1157

Mailing address

12225 Greenville Ave # 600
Dallas, TX 75243-9362
Phone (469) 249-1887

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Peoria

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
194006178ILMDCritical Care Registered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1831766518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12225 GREENVILLE AVE # 600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752439362",
            "telephone_number": "469-249-1887",
            "fax_number": "877-788-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 S MESA DR",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616071157",
            "telephone_number": "309-645-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZILCH",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "credential": "RRT-NPS, ACCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279C0205X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Critical Care",
            "state": "IL",
            "license": "194006178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Peoria",
            "affiliation": "N",
            "address_1": "1124 S Mesa Dr",
            "city": "Peoria",
            "state": "IL",
            "country_code": "US",
            "postal_code": "616071157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jun 9, 2021; 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.