Individual provider Active NPI

Christina Michelle Lattner, DNP APRN

  • Nephrology Physician
  • Chicago, IL
National Provider Identifier
1174030811
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
209.014245 Issued in IL
Practice address
1540 W Chicago Ave
Chicago, IL 60642-5236
Phone
(773) 423-6400
NPI assigned
Jan 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 209.014245 IL Primary

Addresses

Primary practice location

1540 W Chicago Ave
Chicago, IL 60642-5236

Mailing address

9119 S Exchange Ave
Chicago, IL 60617-4225
Phone (773) 768-5000

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
I20180828001055 IL Practitioner - Nurse Practitioner 2264781012 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.014245ILMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chicago Family Health Center, Inc. CurrentSince Jul 10, 2018 Accepting new patients
Chicago Family Health Center, Inc. Current Accepting new patients
Chicago Family Health Center Inc CurrentSince Jul 10, 2018 Accepting new patients
Shifa Dialysis LLC Past Accepting new patients
Shifa Nephrology Associates LLC Nephrology PastSince Jun 13, 2017 Accepting new patients

Locations

570 E 115th St
Chicago, IL 60628

9119 S Exchange Ave
Chicago, IL 60617

Interoperability endpoints

  • Direct secure messaging: christina.lattner.1@18277.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1174030811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9119 S EXCHANGE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606174225",
            "telephone_number": "773-768-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606425236",
            "telephone_number": "773-423-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATTNER",
        "first_name": "CHRISTINA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DNP APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-03",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "209.014245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.