Individual provider Active NPI

Deyonna Gina James, RN

  • General Practice Registered Nurse
  • Chicago, IL
National Provider Identifier
1053188805
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
041550818 Issued in IL
Practice address
3306 W 63Rd St
Chicago, IL 60629-3317
Phone
(773) 424-8109
NPI assigned
Dec 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 041550818 IL Primary

Addresses

Primary practice location

3306 W 63Rd St
Chicago, IL 60629-3317

Mailing address

7101 N Cicero Ave Ste 202
Lincolnwood, IL 60712-2143
Phone (847) 972-1135

Other practice location 1

6303 N Clark St
Chicago, IL 60660-1203
Phone (773) 293-7599

Other practice location 2

2409 N Clybourn Ave
Chicago, IL 60614-6185
Phone (773) 661-2425

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
041550818ILMDGeneral Practice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1053188805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 N CICERO AVE STE 202",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607122143",
            "telephone_number": "847-972-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3306 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606293317",
            "telephone_number": "773-424-8109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6303 N Clark St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606601203",
            "country_code": "US",
            "telephone_number": "773-293-7599",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2409 N Clybourn Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606146185",
            "country_code": "US",
            "telephone_number": "773-661-2425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMES",
        "first_name": "DEYONNA",
        "middle_name": "GINA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "IL",
            "license": "041550818",
            "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 Dec 11, 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.

Verify at the official NPI Registry.