Terri Nannette Shumway in Peoria - Nurse Practitioner
Terri Nannette Shumway - NPI 1972612836
Terri Nannette Shumway is a Nurse Practitioner in Peoria, Illinois. Terri Nannette Shumway practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Terri Nannette Shumway is 1972612836. The last update date is 2013-06-06.
Terri Nannette Shumway's current location address is 8600 N. Route 91, Peoria, Illinois. You can contact this provider via phone number 3096835050 and fax number 3096835335. The mailing address for Terri Nannette Shumway is 8600 N. Route 91, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Terri Nannette Shumway |
|---|---|
| Address | 8600 N. Route 91, Peoria, Illinois |
| Phone Number | 3096835050 |
| Fax Number | 3096835335 |
| Sole Proprietor | N |
| Credentials | APN |
NPI Number Detail
| NPI Number | 1972612836 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2013-06-06 |
Provider Mailing Address Detail
| Address | 8600 N. Route 91 |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616150001 |
| Phone Number | 3096835050 |
| Fax Number | 3096835335 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 209-004693 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DE5770 | IL | RR GROUP # | |
| TAX ID | IL | 30-0024900 | |
| 1972612836 | IL | NPI | |
| P00332136 | IL | RR MEDICARE INDIVIDUAL PI | |
| 5832068 | IL | BCBS GROUP ID | |
| 1528084266 | IL | GROUP NPI | |
| 213056 | IL | MEDICARE GROUP |
Post Comment/ Review Below
What is the unique identifier code issued to Terri Nannette Shumway by the Centers for Medicare & Medicaid Services?
The Terri Nannette Shumway has been assigned the NPI (National Provider Identifier) 1972612836. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Terri Nannette Shumway's facilities are geographically located?
The facilities of Terri Nannette Shumway are physically situated at the following location: 8600 N. Route 91, Peoria, IL, 616150001.
What is Terri Nannette Shumway's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Terri Nannette Shumway is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.
On what date did Terri Nannette Shumway receive its 1972612836 assignment from the Centers for Medicare & Medicaid Services?
The Terri Nannette Shumway was assigned its 1972612836 on 2006-08-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Terri Nannette Shumway most recently updated or refreshed?
The details pertaining to the Terri Nannette Shumway, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-06-06.
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