Rachel Sulfridge

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209025342 Issued in IL

Practice address

2135 City Gate LN Ste 350
Naperville, IL 60563-3092

Phone

(864) 625-3376

NPI assigned

Jun 22, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oak Dermatology LLCGroup PAC ID 7810256849, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Oak Dermatology LLC

  • MOHS-Micrographic Surgery Physician
  • Itasca, IL
  • NPI 1487168258
  Medicare reassignment Care Compare group NPD
• Endeavor Health Medical Group

  • Emergency Medicine Physician
  • Evanston, IL
  • NPI 1497701882
  Medicare reassignment NPD
• Endeavor Health Medical Group

  • Anesthesiology Physician
  • Evanston, IL
  • NPI 1265695944
  NPD
• Rush University Medical Group

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1093819542
  NPD (past)

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1144951989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 CITY GATE LN STE 350",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605633092",
            "telephone_number": "864-625-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 CITY GATE LN STE 350",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605633092",
            "telephone_number": "864-625-3376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 E Devon Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Itasca",
            "state": "IL",
            "postal_code": "601432639",
            "country_code": "US",
            "telephone_number": "864-625-3376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 Theodore St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Joliet",
            "state": "IL",
            "postal_code": "604350605",
            "country_code": "US",
            "telephone_number": "864-625-3376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULFRIDGE",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209025342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karin Eva Sudlow, CCC-SLP
• Shannon Suffoletto, LCPC
• Jeremy Joseph Sugrue, M.D.
• William Byung Jun Suh, D.C.
• Kristen Suing, PSY.D.
• Madeline Sullenberg
• Sullivan Speech Therapy PLLC
• Antonina Rosaria Sullivan, OTR/L
• Janet Groesch Sullivan, ATC
• Kimberly Deus Sullivan, PSY.D., M.A.

• Family Nurse Practitioner in Naperville, IL
• Providers in Naperville, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.