Individual provider Active NPI

Dorothy Ann Valin, APRN, CNS BC, PH.D.

  • Adult Psychiatric/Mental Health Registered Nurse
  • Chicago, IL
National Provider Identifier
1053500355
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
209-004105 Issued in IL
Practice address
446 E Ontario St
Northwestern Memorial Hospital, Suite 7-248
Chicago, IL 60611
Phone
(312) 926-3909
Fax
(312) 926-4840
NPI assigned
Oct 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041-281367 IL
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 209.004105 IL
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 209-004105 IL Primary

Addresses

Primary practice location

446 E Ontario St
Northwestern Memorial Hospital, Suite 7-248
Chicago, IL 60611

Mailing address

446 E Ontario St
Northwestern Memorial Hospital, Suite 7-248
Chicago, IL 60611-4418
Phone (312) 926-3909

Other identifiers 1

IdentifierTypeStateIssuer
209-004105OtherILAPRN CNS

Other names 1

  • Ms. Dorothy Valin Osgood Former name

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
041-281367ILMDRegistered Nurse
209-004105ILMDAdult Psychiatric/Mental Health Registered Nurse
209.004105ILMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Social Services of Illinois PastSince Feb 22, 2016 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1053500355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 E ONTARIO ST",
            "address_2": "NORTHWESTERN MEMORIAL HOSPITAL, SUITE 7-248",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114418",
            "telephone_number": "312-926-3909",
            "fax_number": "312-926-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 E ONTARIO ST",
            "address_2": "NORTHWESTERN MEMORIAL HOSPITAL, SUITE 7-248",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60611",
            "telephone_number": "312-926-3909",
            "fax_number": "312-926-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALIN",
        "first_name": "DOROTHY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "APRN, CNS BC, PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-23",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041-281367",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "IL",
            "license": "209.004105",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "IL",
            "license": "209-004105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN CNS",
            "identifier": "209-004105",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOROTHY",
            "last_name": "OSGOOD",
            "middle_name": "VALIN",
            "prefix": "MS.",
            "credential": "APRN, CNS BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jul 24, 2018; 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.