Larissa Wright, APRN

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

209.028853 Issued in IL

Practice address

1890 Silver Cross Blvd Ste 370
New Lenox, IL 60451-9607

Phone

(815) 717-8727

NPI assigned

Nov 17, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Suburban Gynecology, LLC

  • Obstetrics & Gynecology Physician
  • Joliet, IL
  • NPI 1063602217
  Medicare reassignment NPD
• Mymenopauserx Medical Group

  • Gynecology Physician
  • Wheaton, IL
  • NPI 1356016224
  NPD

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1215702410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BLVD STE 370",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519607",
            "telephone_number": "815-717-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BLVD STE 370",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519607",
            "telephone_number": "815-717-8727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "LARISSA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IL",
            "license": "209.028853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Wolter
• Eileen S Woltman, LCSW
• Womens Health Consultants SC
• Theresa Workman, LCSW
• Kathleen Wortel, COTA
• Ramaraja B Yalavarthi, M.D.
• Shishin Yamada, M.D.
• Dalsem Yang
• Shingo Yano, MD
• Hannah Shamseh Yasin

• Women's Health Nurse Practitioner in New Lenox, IL
• Providers in New Lenox, IL by specialty
• Women's Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.