STACY A. VANVLEET NP
NPI 1689734204
Nurse Practitioner in Rockford, IL

Q: What is Stacy Vanvleet's NPI number?

The NPI number for Stacy Vanvleet is 1689734204. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Q: What is Stacy Vanvleet's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Vanvleet was last updated on April 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since December 12, 2006

2400 N ROCKTON AVE, ROCKFORD, IL 61103(815) 971-5000 Get Directions Write a Review

NPPES record last updated: April 12, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Stacy A. Vanvleet Np NPPES

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

STACY A. VANVLEET NP (NPI 1689734204) is an individual nurse practitioner in Rockford, Illinois, licensed in Illinois (209-002958) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1689734204

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSTACY A. VANVLEETCredential: NP

Location Address2400 N ROCKTON AVERockford, IL 61103-3655

Mailing Address2400 N Rockton AveRockford, IL 61103-3655 · (815) 971-5000

Phone(815) 971-5000

Sole ProprietorNo

Enumeration DateDecember 12, 2006

Last NPPES UpdateApril 12, 2016

✔ NPI 1689734204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209-002958

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 certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2400 N ROCKTON AVE, Rockford, IL 61103

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Other Identifiers 3

Medicare UPINS79994IL

MedicaidNON PARIL

Medicare PIN200983IL

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.

KIMBERLY REMEDIOS-SMITH M.D.

Pediatrics (Neonatal-Perinatal Medicine)