Laine Mercedes Lee Nunez, NURSE PRACTITIONER

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209.022928 Issued in IL

Practice address

2550 W Addison St
Chicago, IL 60618-5952

Phone

(773) 281-2217

NPI assigned

Jun 29, 2021

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

Electronic endpoints 1

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.

• Illinois Kidney Care PLLC

  • Nephrology Physician
  • Chicago, IL
  • NPI 1154984755
  Medicare reassignment NPD

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1245800424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 W ADDISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606185952",
            "telephone_number": "773-281-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 W ADDISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606185952",
            "telephone_number": "773-281-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE NUNEZ",
        "first_name": "LAINE",
        "middle_name": "MERCEDES",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.022928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Chicago",
            "affiliation": "N",
            "address_1": "2550 W Addison St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606185952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lee C Drahos, DDS, PC
• Gina Lee Choi, MD
• Katherine Tan Lee Chuy, M.D.
• Lee Ferrenbach
• Kathryn Michelle Lee Noll, D.O.
• Jiwon Lee Wang, MD
• Lee Wichman LCPC Inc
• Elizabeth Joy Lee-Eng, CRNA
• Adrianna Jiaying Lee, MD
• Alexandra Lee

• Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.