Dawn Michele Stevenson-Reed, AGACNP - BC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

H116754 Issued in IA

Practice address

310 Home Blvd
Galesburg, IL 61401-7408

Phone

(309) 343-0311

NPI assigned

Jul 23, 2015

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

Other names 1

• Dawn Michele Dominguez Former name

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1962887604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2826 W LOCUST ST STE 2A",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528043354",
            "telephone_number": "563-332-8528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 HOME BLVD",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614017408",
            "telephone_number": "309-343-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON-REED",
        "first_name": "DAWN",
        "middle_name": "MICHELE",
        "credential": "AGACNP - BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-23",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IA",
            "license": "H116754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "DOMINGUEZ",
            "middle_name": "MICHELE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Amy Suzanne Stomberg
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• Hephzibah Sudhakar, PT

• Acute Care Nurse Practitioner in Galesburg, IL
• Providers in Galesburg, IL by specialty
• Acute Care Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.