Active NPI
Vanessa Cupp, RN
- General Practice Registered Nurse
- Crystal Lake, IL
National Provider Identifier
1053243345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- License
- 041369647
- Practice address
- 875 S Il Route 31
Crystal Lake, IL 60014-8168 - Phone
- (815) 356-7494
- Fax
- (779) 220-5500
- NPI assigned
- Jun 1, 2026
- Last updated
- Jun 1, 2026
- 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 |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 041369647 | IL | Primary |
Addresses
Primary practice location
875 S Il Route 31
Crystal Lake, IL 60014-8168
Mailing address
529 Tower PL
Fox River Grove, IL 60021-1879
Other practice location 1
2000 Lake Ave
Woodstock, IL 60098-7401
Phone (815) 337-7100
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
| License | State | Type | Specialty |
|---|---|---|---|
| 041369647 | IL | MD | General Practice Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780272000000",
"number": "1053243345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "529 TOWER PL",
"city": "FOX RIVER GROVE",
"state": "IL",
"postal_code": "600211879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 S IL ROUTE 31",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600148168",
"telephone_number": "815-356-7494",
"fax_number": "779-220-5500"
}
],
"practiceLocations": [
{
"address_1": "2000 Lake Ave",
"address_purpose": "LOCATION",
"city": "Woodstock",
"state": "IL",
"postal_code": "600987401",
"country_code": "US",
"telephone_number": "815-337-7100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUPP",
"first_name": "VANESSA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-01",
"last_updated": "2026-06-01",
"certification_date": "2026-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "IL",
"license": "041369647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crystal Lake, IL
- Crystal Lake Physical Therapy Inc
- Crystal Lake Regenerative Pain Associates PLLC
- Crystal Lake Wellness, LLC
- Crystal Pines Rehabilitation and Health Care Center, LLC (Crystal Pines Rehabilitation & Health Care Center)
- Tiffany Cubbison
- Melissa Curiel
- Betina C. Currao, O.T.
- Dean Currao, COTA
- Kirstin Autumn Cwik, LSW
- CZ Therapy and Wellness, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.