Alicia Estrada, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209.027006 Issued in IL

Practice address

4952 W Irving Park Rd
Chicago, IL 60641-2693

Phone

(773) 614-7296

Fax

(866) 707-2267

NPI assigned

Mar 28, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alicia.estrada.aprn.fnp-bc.1@4283.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/4283/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grand Vein Specialists LLC

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1255603247
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1003510751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4952 W IRVING PARK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412693",
            "telephone_number": "773-614-7296",
            "fax_number": "866-707-2267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4952 W IRVING PARK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412693",
            "telephone_number": "773-614-7296",
            "fax_number": "866-707-2267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1508 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Waukegan",
            "state": "IL",
            "postal_code": "600853653",
            "country_code": "US",
            "telephone_number": "773-942-6141",
            "fax_number": "866-707-2267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6227 Cermak Rd",
            "address_purpose": "LOCATION",
            "city": "Berwyn",
            "state": "IL",
            "postal_code": "604022317",
            "country_code": "US",
            "telephone_number": "773-942-6141",
            "fax_number": "866-707-2267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "ALICIA",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-28",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.027006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esti Kohn Nutrition LLC
• Audrey Louise Estill, M.A., BCBA
• Stephen Estime
• David Estler, LCSW
• Ernesto Estor, MD
• Cindy Estrada, LCPC
• Crystal Elena Estrada, FNP-C
• Erika Estrada
• Esmeralda Estrada, LPC
• Gladys Estrada, M.D.

• Family Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.