Individual provider Active NPI

Darina Weathers, FNP-BC

  • Family Nurse Practitioner
  • Crete, IL
National Provider Identifier
1235886003
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209032694 Issued in IL
Practice address
534 1St St Ste D
Crete, IL 60417-2153
Phone
(773) 980-6948
NPI assigned
Mar 2, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209032694 IL Primary

Addresses

Primary practice location

534 1St St Ste D
Crete, IL 60417-2153

Mailing address

534 1St St Ste D
Crete, IL 60417-2153
Phone (773) 980-6948

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
I20251003003162 IL Practitioner - Nurse Practitioner 7810493228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois Back and Joint PLLCGroup PAC ID 3072926385, 4 clinicians

Practice addresses (Care Compare)

11540 183Rd PL
Suite SE
Orland Park, IL 60467-5431
Phone (708) 310-6733

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209032694ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Back and Joint PLLC CurrentSince Aug 22, 2025 Accepting new patients

Locations

11540 183rd Pl
Ste Se
Orland Park, IL 60467
Phone (708) 310-6733

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.

NPI Registry JSON

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1235886003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 1ST ST STE D",
            "city": "CRETE",
            "state": "IL",
            "postal_code": "604172153",
            "telephone_number": "773-980-6948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 1ST ST STE D",
            "city": "CRETE",
            "state": "IL",
            "postal_code": "604172153",
            "telephone_number": "773-980-6948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERS",
        "first_name": "DARINA",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-02",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209032694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crete, IL

Sources for this page

Verify at the official NPI Registry.