Organization Active NPI

Advanced Practice Associates

Doing business as Advanced Practice Assocates

  • Nurse Practitioner
  • Aurora, IL
National Provider Identifier
1205020799
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
ADVANCED PRACTICE ASSOCIATES
Doing business as
Advanced Practice Assocates
Practice address
580 Breckenridge Dr
Aurora, IL 60504-5259
Phone
(630) 692-0355
NPI assigned
Aug 28, 2007
Last updated
Jan 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

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

Authorized official

Name
Therese M Kozubik, NP
Title
Nurse Practitioner
Phone
(630) 692-0355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X IL Primary

Addresses

Primary practice location

580 Breckenridge Dr
Aurora, IL 60504-5259

Mailing address

580 Breckenridge Dr
Aurora, IL 60504-5259
Phone (630) 692-0355

Other identifiers 1

IdentifierTypeStateIssuer
DD4541OtherILPALMETTO GBA

Other names 1

  • Advanced Practice Assocates Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1205020799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 BRECKENRIDGE DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605045259",
            "telephone_number": "630-692-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 BRECKENRIDGE DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605045259",
            "telephone_number": "630-692-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PRACTICE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "KOZUBIK",
        "authorized_official_first_name": "THERESE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "630-692-0355",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "DD4541",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Practice Assocates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.