Active NPI
Laura Ballschmiede
- Acute Care Nurse Practitioner
- Chicago, IL
National Provider Identifier
1295176261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 209018075
- Practice address
- 676 N Saint Clair St Ste 2140
Chicago, IL 60611-3143 - Phone
- (312) 695-0990
- Fax
- (312) 695-0468
- NPI assigned
- Jul 8, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 209018075 | IL | Primary |
Addresses
Primary practice location
676 N Saint Clair St Ste 2140
Chicago, IL 60611-3143
Mailing address
676 N Saint Clair St Ste 2140
Chicago, IL 60611-3143
Phone (312) 695-0990
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209018075 | IL | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640736000000",
"number": "1295176261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "676 N SAINT CLAIR ST STE 2140",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606113143",
"telephone_number": "312-695-0990",
"fax_number": "312-695-0468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "676 N SAINT CLAIR ST STE 2140",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606113143",
"telephone_number": "312-695-0990",
"fax_number": "312-695-0468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLSCHMIEDE",
"first_name": "LAURA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-08",
"last_updated": "2021-12-29",
"certification_date": "2021-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "IL",
"license": "209018075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.