Active NPI
Lisa C Bell, RN, FNP
- Family Nurse Practitioner
- Monee, IL
National Provider Identifier
1164707691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209.014476
- Practice address
- 5410 W Main St
Suite 9
Monee, IL 60449-8101 - Phone
- (773) 444-8591
- NPI assigned
- Oct 16, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 041.382654 | IL | |
| Medical-Surgical Registered Nurse | 163WM0705X | 041.382654 | IL | |
| Family Nurse Practitioner | 363LF0000X | 209.014476 | IL | Primary |
Addresses
Primary practice location
5410 W Main St
Suite 9
Monee, IL 60449-8101
Mailing address
5410 W Main St
Suite 9
Monee, IL 60449-8101
Phone (773) 444-8591
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.382654 | IL | MD | Medical-Surgical Registered Nurse |
| 209.014476 | IL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677801600000",
"number": "1164707691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5410 W MAIN ST",
"address_2": "SUITE 9",
"city": "MONEE",
"state": "IL",
"postal_code": "604498101",
"telephone_number": "773-444-8591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5410 W MAIN ST",
"address_2": "SUITE 9",
"city": "MONEE",
"state": "IL",
"postal_code": "604498101",
"telephone_number": "773-444-8591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELL",
"first_name": "LISA",
"middle_name": "C",
"credential": "RN, FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-16",
"last_updated": "2023-03-03",
"certification_date": "2023-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "IL",
"license": "041.382654",
"primary": false
},
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "IL",
"license": "041.382654",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.014476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.