Individual provider Active NPI

Nicole I East, APN

  • Family Nurse Practitioner
  • Skokie, IL
National Provider Identifier
1144753385
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209015859 Issued in IL
Practice address
5540 Touhy Ave
Skokie, IL 60077-3234
Phone
(847) 647-0355
NPI assigned
Apr 5, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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 209015859 IL Primary

Addresses

Primary practice location

5540 Touhy Ave
Skokie, IL 60077-3234

Mailing address

29373 Network PL
Chicago, IL 60673-1293

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address neast205810@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20170927001713 IL Practitioner - Nurse Practitioner 4587938774 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dispatchhealth-Arizona CurrentSince Jun 1, 2022 Accepting new patients
Physicians Immediate Care North Chicago LLC CurrentSince Sep 25, 2023 Accepting new patients
Dispatchhealth-Arizona CurrentSince Jun 1, 2022 Accepting new patients

Locations

226 S Randall Rd
Algonquin, IL 60102
Phone (224) 442-3000

980 N Michigan Ave
Ste 1400
Chicago, IL 60611
Phone (312) 214-3605

980 N Michigan Ave
Ste 140
Chicago, IL 60611

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

2255 W Harrison St
Ste C
Chicago, IL 60612

13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384

1840 N Richmond Rd
McHenry, IL 60051
Phone (779) 704-3075

901 E Rand Rd
Mount Prospect, IL 60056
Phone (708) 675-7966

3475 S Alpine Rd
Rockford, IL 61109
Phone (815) 874-8000

Interoperability endpoints

  • Direct secure messaging: nicole.east.1@14940.direct.athenahealth.com
  • Direct secure messaging: neast205810@direct.myadvocateaurora.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1144753385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5540 TOUHY AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773234",
            "telephone_number": "847-647-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAST",
        "first_name": "NICOLE",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-05",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209015859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "neast205810@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5540 Touhy Ave",
            "city": "Skokie",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600773234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "5540 Touhy Ave",
            "city": "Skokie",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600773234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.