Individual provider Active NPI

Shanita Valentine, APRN

  • Nurse Practitioner
  • Aurora, IL
National Provider Identifier
1164956918
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209015899 Issued in IL
Practice address
2000 Ogden Ave
Aurora, IL 60504-7222
Phone
(630) 978-6250
Fax
(630) 978-6869
NPI assigned
Apr 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209015899 IL Primary
Gerontology Nurse Practitioner 363LG0600X 209.015899 IL

Addresses

Primary practice location

2000 Ogden Ave
Aurora, IL 60504-7222

Mailing address

2000 Ogden Ave
Aurora, IL 60504-7222
Phone (630) 978-6250

Other practice location 1

2614 W Jefferson St
Joliet, IL 60435-6433
Phone (815) 725-1355

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shanita.valentine@dulyhealthandcare.com

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
I20170512000517 IL Practitioner - Nurse Practitioner 1951688324 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Loyola University of Chicago, Stritch School of Medicine, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Copley Memorial Hospital IncGroup PAC ID 4587656921, 45 clinicians
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

1100 W Veterans Pkwy
Yorkville, IL 60560-4728

2000 Ogden Ave
Aurora, IL 60504-7222
Phone (630) 499-4721

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209015899ILMDNurse Practitioner
209.015899ILMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Group CurrentSince May 19, 2025 Accepting new patients
Dupage Medical Group LTD CurrentSince May 15, 2017 Accepting new patients
Copley Memorial Hospital, Inc. CurrentSince Nov 13, 2023 Accepting new patients
Dupage Medical Group LTD CurrentSince May 15, 2017 Accepting new patients
Copley Memorial Hospital Inc. Past Accepting new patients

Locations

2000 Ogden Ave
Aurora, IL 60504
Phone (630) 466-8200

2000 Ogden Ave
Ste A1100
Aurora, IL 60504
Phone (630) 692-5628

30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210

1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

75 Remittance Dr
Dept 1611
Chicago, IL 60675

2100 Glenwood Ave
Joliet, IL 60435
Phone (815) 999-3201

2614 W Jefferson St
Joliet, IL 60435
Phone (815) 725-1355

25 N Winfield Rd
Ste 300
Winfield, IL 60190
Phone (630) 933-8100

1100 W Veterans Pkwy
Ste 300
Yorkville, IL 60560
Phone (630) 978-6250

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1164956918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 OGDEN AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047222",
            "telephone_number": "630-978-6250",
            "fax_number": "630-978-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 OGDEN AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047222",
            "telephone_number": "630-978-6250",
            "fax_number": "630-978-6869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2614 W Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Joliet",
            "state": "IL",
            "postal_code": "604356433",
            "country_code": "US",
            "telephone_number": "815-725-1355",
            "fax_number": "815-725-9861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALENTINE",
        "first_name": "SHANITA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-19",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209015899",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IL",
            "license": "209.015899",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shanita.valentine@dulyhealthandcare.com",
            "affiliation": "N",
            "address_1": "2614 W Jefferson St",
            "city": "Joliet",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604356433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.