Individual provider Active NPI

Josie Anne Dawe, RN, CPNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Warrenville, IL
National Provider Identifier
1255713236
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
27700177 Issued in IL
Practice address
4580 Weaver Pkwy Ste 102
Warrenville, IL 60555-3864
Phone
(630) 839-9199
Fax
(630) 839-9299
NPI assigned
Jun 25, 2015
Last updated
Oct 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Pediatric Nurse Practitioner 363LP0222X 377001720 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 27700177 IL Primary
Registered Nurse 163W00000X 0413363418 IL

Addresses

Primary practice location

4580 Weaver Pkwy Ste 102
Warrenville, IL 60555-3864

Mailing address

12922 Timber Wood Cir
Plainfield, IL 60585-2950
Phone (815) 326-2615

Other practice location 1

1 Transam Plaza Dr Ste 220
Oakbrook Terrace, IL 60181-4285
Phone (630) 839-9199

Other names 1

  • Josie Anne Judd Former name

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
I20210420000780 IL Practitioner - Nurse Practitioner 1850709403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Rush Medical College of Rush University, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Life Balance Counseling and Wellness IncGroup PAC ID 8325397904, 9 clinicians

Practice addresses (Care Compare)

2218 Marquette Rd
Peru, IL 61354-1538
Phone (815) 780-8765

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
0413363418ILMDRegistered Nurse
377001720ILMDCritical Care Pediatric Nurse Practitioner
27700177ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Life Balance Counseling and Wellness Inc CurrentSince Sep 2, 2023 Accepting new patients
Fulfill Health PastSince Sep 1, 2021 Accepting new patients

Locations

2428 Chartres St
La Salle, IL 61301
Phone (309) 830-1096

2218 Marquette Rd
Peru, IL 61354
Phone (815) 223-7970

Interoperability endpoints

  • Direct secure messaging: josiedawe@pha.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1255713236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12922 TIMBER WOOD CIR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605852950",
            "telephone_number": "815-326-2615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4580 WEAVER PKWY STE 102",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605553864",
            "telephone_number": "630-839-9199",
            "fax_number": "630-839-9299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Transam Plaza Dr Ste 220",
            "address_purpose": "LOCATION",
            "city": "Oakbrook Terrace",
            "state": "IL",
            "postal_code": "601814285",
            "country_code": "US",
            "telephone_number": "630-839-9199",
            "fax_number": "630-839-9299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAWE",
        "first_name": "JOSIE",
        "middle_name": "ANNE",
        "credential": "RN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-25",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0222X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics, Critical Care",
            "state": "IL",
            "license": "377001720",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "27700177",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "0413363418",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSIE",
            "last_name": "JUDD",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warrenville, IL

Sources for this page

Verify at the official NPI Registry.