Celeste Presperin Pearson

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

209.021555 Issued in IL

Practice address

1015 S Madison Ave
La Grange, IL 60525-2854

Phone

(708) 315-4146

NPI assigned

Feb 9, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

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.

• Lotus Geriatric Nurse Practitioner Consultants LLC

  • Gerontology Nurse Practitioner
  • Westmont, IL
  • NPI 1295263747
  Medicare reassignment

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1265024400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 S MADISON AVE",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252854",
            "telephone_number": "708-315-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 S MADISON AVE",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252854",
            "telephone_number": "708-315-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESPERIN PEARSON",
        "first_name": "CELESTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IL",
            "license": "209.021555",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209.021555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Pontrelli
• Therese Porod
• Positively Psyched, PLLC
• Powers Mindset Therapy PLLC
• Kristen Chandler Powers, LCSW, MPH
• Vanessa Prinz, IBCLC
• Psychological Wellness Center, Inc.
• Anthony Fernando Pulex, PT, DPT
• Dianne Frances Quiaoit, PT
• Isaac A Qureshi, D.D.S.

• Adult Health Nurse Practitioner in La Grange, IL
• Providers in La Grange, IL by specialty
• Adult Health Nurse Practitioner in Illinois

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