Active NPI
Rita Moreno Shaw, MSN,VA-BC,RN
- Registered Nurse
- Skokie, IL
National Provider Identifier
1174939847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 041-401428
- Practice address
- 7352 Lawndale Ave
Skokie, IL 60076-4022 - Phone
- (847) 626-0800
- Fax
- (847) 626-0819
- NPI assigned
- Jul 2, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041-401428 | IL | Primary |
Addresses
Primary practice location
7352 Lawndale Ave
Skokie, IL 60076-4022
Mailing address
7352 Lawndale Ave
Skokie, IL 60076-4022
Phone (847) 626-0800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041-401428 | IL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Picc Lines Plus LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Skokie, IL
- NPI 1669803524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404259200000",
"number": "1174939847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7352 LAWNDALE AVE",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600764022",
"telephone_number": "847-626-0800",
"fax_number": "847-626-0819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7352 LAWNDALE AVE",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600764022",
"telephone_number": "847-626-0800",
"fax_number": "847-626-0819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORENO SHAW",
"first_name": "RITA",
"credential": "MSN,VA-BC,RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-02",
"last_updated": "2014-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041-401428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.