Organization Active NPI

Elevated Health & Wellness

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1205624186
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ELEVATED HEALTH & WELLNESS
Practice address
2315 E 93Rd St Ste 339
Chicago, IL 60617-3916
Phone
(312) 927-1897
Fax
(949) 703-8941
NPI assigned
Apr 29, 2025
Last updated
Apr 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Authorized official

Name
Ms. Keyona Gayles, MSN, FNPNPI 1669028312
Title
Aprn, FNP-C
Phone
(773) 491-4141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

2315 E 93Rd St Ste 339
Chicago, IL 60617-3916

Mailing address

9624 S Lowe Ave
Chicago, IL 60628-1011
Phone (773) 491-4141

Other names 1

  • Elevated Health and Wellness Other name

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": "1745884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745884800000",
    "number": "1205624186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9624 S LOWE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606281011",
            "telephone_number": "773-491-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 E 93RD ST STE 339",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173916",
            "telephone_number": "312-927-1897",
            "fax_number": "949-703-8941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATED HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-29",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A",
        "authorized_official_last_name": "GAYLES",
        "authorized_official_first_name": "KEYONA",
        "authorized_official_title_or_position": "APRN, FNP-C",
        "authorized_official_telephone_number": "773-491-4141",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSN, FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elevated Health and Wellness",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.