Active NPI
Angelica Lopez, FNP-C
- Nurse Practitioner
- Morrison, IL
National Provider Identifier
1003500794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209027597
- Practice address
- 303 N Jackson St
Morrison, IL 61270-3042 - Phone
- (815) 772-4003
- NPI assigned
- Jun 6, 2023
- Last updated
- Jun 6, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209027597 | IL | Primary |
Addresses
Primary practice location
303 N Jackson St
Morrison, IL 61270-3042
Mailing address
303 N Jackson St
Morrison, IL 61270-3042
Phone (815) 772-4003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209027597 | IL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686009600000",
"number": "1003500794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 N JACKSON ST",
"city": "MORRISON",
"state": "IL",
"postal_code": "612703042",
"telephone_number": "815-772-4003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 N JACKSON ST",
"city": "MORRISON",
"state": "IL",
"postal_code": "612703042",
"telephone_number": "815-772-4003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "ANGELICA",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-06",
"last_updated": "2023-06-06",
"certification_date": "2023-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209027597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morrison, IL
- David C Jennings, OD
- John a Tomasino Jr DDS PC
- Jarica Jordan
- Cherish Lamarche
- Crystle Renee Liebhart Meggenberg, DNP
- Lutheran Social Services of Illinois (Whiteside County Sheriff's Office)
- Christina Lutz, LCPC
- Mance Chiropractic LTD
- Melissa Renee McNamara, ARNP
- Medical Associates of Clinton, Iowa, P.L.C. (Morrison Family Health Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.