Crystal D Stimpson, RN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

041.415377 Issued in IL

Practice address

900 S Deer Rd
Macomb, IL 61455-2639

Phone

(309) 837-4876

Fax

(309) 833-1531

NPI assigned

Aug 8, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533686400000",
    "number": "1902385222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S DEER RD",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614552639",
            "telephone_number": "309-837-4876",
            "fax_number": "309-833-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S DEER RD",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614552639",
            "telephone_number": "309-837-4876",
            "fax_number": "309-833-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIMPSON",
        "first_name": "CRYSTAL",
        "middle_name": "D",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2018-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "IL",
            "license": "041.415377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Springfield Clinic LLP
• Springfield Clinic Macomb Lab
• Layne Stambaugh, PMHNP
• Christine M. Standard, AUD
• Craig A. Stear, D.C.
• Thomas William Stites, R.PH.
• Andrew Stodolkiewicz
• Kaye Stone, FNP-C
• Christopher Damian Stortzum, MD
• Angela Summy, PTA

• Psychiatric/Mental Health Registered Nurse in Macomb, IL
• Providers in Macomb, IL by specialty
• Psychiatric/Mental Health Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.