Active NPI
Lotus Geriatric Nurse Practitioner Consultants LLC
- Gerontology Nurse Practitioner
- Westmont, IL
National Provider Identifier
1295263747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 209008833
- Legal business name
- LOTUS GERIATRIC NURSE PRACTITIONER CONSULTANTS LLC
- Practice address
- 5801 S Cass Ave
Westmont, IL 60559-2300 - Phone
- (630) 971-2645
- NPI assigned
- May 30, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Patricia Ann McCann, APN BC
- Title
- Advanced Practice Nurse
- Phone
- (708) 373-7929
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 209008833 | IL | Primary |
Addresses
Primary practice location
5801 S Cass Ave
Westmont, IL 60559-2300
Mailing address
12851 S Ponderosa Dr
Palos Heights, IL 60463-1931
Phone (708) 373-7929
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- La Grange, IL
- NPI 1588957013
-
- Nurse Practitioner
- Westmont, IL
- NPI 1720287485
-
- Nurse Practitioner
- Springfield, IL
- NPI 1699142711
-
- Adult Health Nurse Practitioner
- La Grange, IL
- NPI 1265024400
-
- Adult Health Nurse Practitioner
- Carol Stream, IL
- NPI 1770680142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1496102400000",
"number": "1295263747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12851 S PONDEROSA DR",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604631931",
"telephone_number": "708-373-7929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5801 S CASS AVE",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605592300",
"telephone_number": "630-971-2645"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOTUS GERIATRIC NURSE PRACTITIONER CONSULTANTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-30",
"last_updated": "2017-05-30",
"status": "A",
"authorized_official_last_name": "MCCANN",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "ADVANCED PRACTICE NURSE",
"authorized_official_telephone_number": "708-373-7929",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "APN BC"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": "IL",
"license": "209008833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westmont, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.