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SPRINGFIELD CLINIC LLP
NPI 1124785779
Health Educator in Springfield, IL

Active since November 18, 2021CLIA Certified · 2 labs
350 W CARPENTER ST, SPRINGFIELD, IL 62702(217) 528-7541 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Springfield Clinic Llp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPRINGFIELD CLINIC LLP (NPI 1124785779) is a healthcare organization registered as a health educator in Springfield, Illinois and active in the NPI registry since November 2021. The organization holds 2 active CLIA laboratory certificates and lists Christopher Michael Cousins, Vice President, as its authorized official.

NPPES Registry Identity

NPI1124785779
Entity TypeOrganization
Primary Taxonomy174H00000X
Legal Business NameSPRINGFIELD CLINIC LLP
Location Address350 W CARPENTER STSpringfield, IL 62702-4902
Mailing Address1025 S 6th StSpringfield, IL 62703-2403 · (217) 528-7541
Phone(217) 528-7541
Organization SubpartNo
Authorized OfficialChristopher Michael CousinsVice President · (217) 391-7100
Enumeration DateNovember 18, 2021
NPPES CertifiedNovember 18, 2021
✔ NPI 1124785779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHealth EducatorOther Service Providers
Taxonomy Code174H00000X
Definition
Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor's degree and may receive additional training, such as through mentoring, internships, or volunteer work.
350 W CARPENTER ST, Springfield, IL 62702
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2307897

Springfield Clinic Radiology 800 1st · Springfield, IL
Active · expires Jul 16, 2028
CLIA Number14D2307897
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateJuly 17, 2026
Certificate Expiration DateJuly 16, 2028
Laboratory DirectorBrooklyn Loos
Laboratory Phone(217) 528-7451
Laboratory LocationSpringfield Clinic Radiology 800 1st800 N 1st St, Springfield, IL 62702
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 14D0435731

Springfield Clinic 1st - 900 Bldg Lab · Springfield, IL
Active · expires Feb 14, 2028
CLIA Number14D0435731
Laboratory TypePhysician Office
Certificate Effective DateFebruary 15, 2026
Certificate Expiration DateFebruary 14, 2028
Laboratory DirectorMr. Theresa Fuchs
Laboratory Phone(217) 525-4543
Laboratory LocationSpringfield Clinic 1st - 900 Bldg Lab900 North 1st Street, First Floor, Springfield, IL 62702
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA L LEE APN
Nurse Practitioner (Family)
350 W CARPENTER ST
SPRINGFIELD, IL 62702
Sangamon County (217) 528-7541
EMMA WILLIAMS LMT
Massage Therapist
350 W CARPENTER ST
SPRINGFIELD, IL 62702
Sangamon County (217) 528-7541
HEATHER NICOLE FULHORST FNP-BC
Nurse Practitioner (Family)
350 W CARPENTER ST
SPRINGFIELD, IL 62702
Sangamon County (217) 546-5395
MS. KATHRYN A. GIETL R.N.C.,W.H.N.P.
Obstetrics & Gynecology
350 W CARPENTER ST
SPRINGFIELD, IL 62702
Sangamon County (217) 525-0210
CHRISTINA M HORNBACK APRN
Nurse Practitioner (Family)
350 W CARPENTER ST
SPRINGFIELD, IL 62702
Sangamon County (217) 528-7541
KELSEY K. KNIEPMANN RD, LDN
Dietitian, Registered
350 W CARPENTER ST
SPRINGFIELD, IL 62702
Sangamon County (217) 528-7541
NICHOLAS M. FENWICK APRN
Nurse Practitioner (Family)
350 W CARPENTER ST
SPRINGFIELD, IL 62702
Sangamon County (217) 528-7541
DR. JANDA TERESE STEVENS M.D.
Emergency Medicine
350 W CARPENTER ST
SPRINGFIELD, IL 62702
Sangamon County (217) 528-7541

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Springfield Clinic LLP's NPI number?

The NPI number for Springfield Clinic LLP is 1124785779. It was assigned to this organization in the NPPES registry on November 18, 2021.

Where is Springfield Clinic LLP located?

Springfield Clinic LLP is located at 350 W Carpenter St, Springfield, IL 62702. The listed phone number is (217) 528-7541.

What is Springfield Clinic LLP's specialty?

The primary specialty registered for this NPI is Health Educator with taxonomy code 174H00000X.

Does Springfield Clinic LLP hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Springfield Clinic LLP was last updated on November 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.