Individual provider Active NPI

Lisa C Bell, RN, FNP

  • Family Nurse Practitioner
  • Monee, IL
National Provider Identifier
1164707691
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.014476 Issued in IL
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

Updated by the provider on Mar 3, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041.382654ILMDMedical-Surgical Registered Nurse
209.014476ILMDFamily 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

Verify at the official NPI Registry.