DR. SUZAN CATHLEEN SHANE-GRAY APN, EDD
NPI 1144525452
Clinical Nurse Specialist - Pediatrics in Peoria, IL

NPI Status: Active since January 18, 2011

Contact Information

530 NE GLEN OAK AVE
POB 113
PEORIA, IL
ZIP 61637
Phone: (309) 224-8683

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  • Individual
  • Female
  • Clinical Nurse Specialist
  • Pediatrics

About SUZAN SHANE-GRAY

This page provides the complete NPI Profile along with additional information for Suzan Shane-gray, a provider established in Peoria, Illinois with a medical specialization in Clinical Nurse Specialist, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1144525452 assigned on January 2011. The practitioner's primary taxonomy code is 364SP0200X with license number 209.008562 (IL). The provider is registered as an individual and her NPI record was last updated 15 years ago.

NPI
1144525452
Provider Name
DR. SUZAN CATHLEEN SHANE-GRAY APN, EDD
Gender
Female
Entity Type
Individual
Location Address
530 NE GLEN OAK AVE POB 113 PEORIA, IL 61637
Location Phone
(309) 224-8683
Mailing Address
530 NE GLEN OAK AVE POB 113 PEORIA, IL 61637
Mailing Phone
(309) 224-8683
Is Sole Proprietor?
No
Enumeration Date
01-18-2011
Last Update Date
01-18-2011
Code Navigator

A Clinical Nurse Specialist (CNS) like Suzan Shane-gray is a type of advanced practice registered nurse (APRN) that provides direct patient care in various nursing specialties, including pediatrics or psychiatric-mental health. CNSs collaborate with other nurses and medical professionals to improve patient care quality. CNSs are often positioned in leadership roles where they may provide education and mentorship to other nursing personnel. Additionally, CNSs may also conduct research and advocate for certain healthcare policies.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Nurse Specialist Pediatrics

Taxonomy Code
364SP0200X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
209.008562
License State
IL

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1144525452
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
218410210410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 8 + 4 + 1 + 0 + 2 + 1 + 0 + 4 + 1 + 0 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1144525452 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1801881446MISS CARA L PHILLIPS PHARMD
Individual
Pharmacist530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2285
1902883648 SAMIR SAXENA MD
Individual
Internal Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 624-8818
1114970761CENTRAL ILLINOIS PATHOLOGY, SC
Organization
Pathology (Anatomic Pathology & Clinical Pathology)530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 624-9011
1548201189DR. RAHUL K. CHAWLA MD
Individual
Pediatrics (Pediatric Critical Care Medicine)530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2250
1366485906DR. LAYNE T. LOVELL M.D.
Individual
Family Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2000
1710922182 MICHELLE L BERTKE APN,CNP
Individual
Nurse Practitioner (Family)530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2312
1669418380 PAMELA PECENKA ANP
Individual
Nurse Practitioner530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2323
1477599272 MARC D SQUILLANTE D.O.
Individual
Emergency Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2553
1750317327 JOSEPH A SOTTILE M.D.
Individual
Emergency Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2553
1104852631 JOANNA C GARDNER M.D.
Individual
Emergency Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2553
1356377626 GREG J TUDOR M.D.
Individual
Emergency Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2553
1477580116 LISA T BARKER M.D.
Individual
Emergency Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2553
1942238613 RICHARD F MILLER M.D.
Individual
Emergency Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2553
1619906146 PAUL M MATTHEWS M.D.
Individual
Emergency Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2553
1255360715 JOHN W HAFNER M.D.
Individual
Emergency Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2553
1508894098 TIMOTHY J SCHAEFER M.D.
Individual
Emergency Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2553
1639108020 TROY S CUTLER M.D.
Individual
Emergency Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2553
1295763787 MICHAEL A CRUZ M.D.
Individual
Emergency Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2553
1982633202 LUCILLE A FENDRICK M.D.
Individual
Emergency Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2553
1962431585 MARI B BAKER M.D.
Individual
Emergency Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2553

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144525452, enumerated in the NPI registry as an "individual" on January 18, 2011

The provider is located at 530 Ne Glen Oak Ave Pob 113 Peoria, Il 61637 and the phone number is (309) 224-8683

The provider's speciality is Clinical Nurse Specialist with taxonomy code 364SP0200X with a focus in Pediatrics

This NPI record was last updated on January 18, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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