Individual provider Active NPI

Nyisha Beemon, RN

  • Registered Nurse
  • Chicago, IL
National Provider Identifier
1033778865
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
041429948 Issued in IL
Practice address
124 W 69TH St
Chicago, IL 60621-3746
Phone
(312) 538-8907
NPI assigned
Jun 6, 2019
Last updated
May 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041429948 IL Primary

Addresses

Primary practice location

124 W 69TH St
Chicago, IL 60621-3746

Mailing address

7325 S Indiana Ave
Chicago, IL 60619-1616
Phone (773) 406-4246

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
041429948ILMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Life Enhancement Health Care Institute CurrentSince Dec 6, 2020 Accepting new patients
Life Enhancement Caregivers Current Accepting new patients
Enhanced Care Home Health Current Accepting new patients

Locations

124 W 69th St
Chicago, IL 60621
Phone (312) 538-8907

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1033778865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7325 S INDIANA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606191616",
            "telephone_number": "773-406-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 W 69TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606213746",
            "telephone_number": "312-538-8907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEEMON",
        "first_name": "NYISHA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-06",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041429948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.