Active NPI
Elayne N Price, FNP-BC
- Family Nurse Practitioner
- Naperville, IL
National Provider Identifier
1295775583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209015065
- Practice address
- 455 S. Brainard Street
Naperville, IL 60540 - Phone
- (630) 637-5550
- Fax
- (630) 637-5554
- NPI assigned
- Jun 7, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 201724 | NC | |
| Family Nurse Practitioner | 363LF0000X | 209015065 | IL | Primary |
Addresses
Primary practice location
455 S. Brainard Street
Naperville, IL 60540
Mailing address
455 S. Brainard Street
Naperville, IL 60540
Phone (630) 637-5550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15258 | Other | NC | BCBSNC |
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 |
|---|---|---|---|
| 209015065 | IL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478649600000",
"number": "1295775583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 S. BRAINARD STREET",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "60540",
"telephone_number": "630-637-5550",
"fax_number": "630-637-5554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 S. BRAINARD STREET",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "60540",
"telephone_number": "630-637-5550",
"fax_number": "630-637-5554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "ELAYNE",
"middle_name": "N",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-07",
"last_updated": "2016-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "201724",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209015065",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC",
"identifier": "15258",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.