Individual provider Active NPI

Debra Lynn Conti, FNP-BC

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1063621589
Registry record updated Jun 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.006941 Issued in IL
Practice address
800 E 55TH St
Chicago, IL 60615
Phone
(773) 702-0660
NPI assigned
May 22, 2007
Last updated
Jun 4, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.006941 IL Primary

Addresses

Primary practice location

800 E 55TH St
Chicago, IL 60615

Mailing address

800 E 55TH St
Chicago, IL 60615-4906
Phone (773) 795-2260

Other practice location 1

800 Broadview Village Sq
Broadview, IL 60155-4887
Phone (708) 731-5555

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20171130001521 IL Practitioner - Nurse Practitioner 0941572887 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.006941ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Wound Institute LLC CurrentSince Apr 1, 2025 Accepting new patients
Calling Care Services Inc. CurrentSince Feb 23, 2025 Accepting new patients
Calling Care Services Inc. CurrentSince Feb 23, 2025 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Dec 11, 2017 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Dec 11, 2017 Accepting new patients
Calling Care Services Inc. Current Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

2545 S Ml King Dr
Chicago, IL 60616
Phone (312) 842-7117

29373 Network Pl
Chicago, IL 60673

3306 W 63rd St
Chicago, IL 60629
Phone (773) 424-8109

Interoperability endpoints

  • Direct secure messaging: debra.conti.1@14940.direct.athenahealth.com
  • Direct secure messaging: debra.conti.1@25479.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/21150/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/25479/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1063621589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E 55TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154906",
            "telephone_number": "773-795-2260",
            "fax_number": "773-834-3756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E 55TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60615",
            "telephone_number": "773-702-0660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Broadview Village Sq",
            "address_purpose": "LOCATION",
            "city": "Broadview",
            "state": "IL",
            "postal_code": "601554887",
            "country_code": "US",
            "telephone_number": "708-731-5555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONTI",
        "first_name": "DEBRA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.006941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.