Individual provider Active NPI

Felicita Navarro

  • Sonography Radiologic Technologist
  • Gurnee, IL
National Provider Identifier
1306684832
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
License
126753 Issued in IL
Practice address
501 N Riverside Dr Ste 217
Gurnee, IL 60031-5918
Phone
(224) 551-5783
Fax
(224) 532-2681
NPI assigned
Jul 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Technician/Technologist 156F00000X
Sonography Radiologic Technologist 2471S1302X 126753 IL Primary

Addresses

Primary practice location

501 N Riverside Dr Ste 217
Gurnee, IL 60031-5918

Mailing address

501 N Riverside Dr Ste 217
Gurnee, IL 60031-5918
Phone (224) 551-5783

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
126753ILMDSonography Radiologic Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
1St Look Mobile Ultrasound LLC CurrentSince Jul 21, 2024 Accepting new patients

Locations

501 N Riverside Dr
Ste 217
Gurnee, IL 60031
Phone (224) 551-5783

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1306684832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N RIVERSIDE DR STE 217",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315918",
            "telephone_number": "224-551-5783",
            "fax_number": "224-532-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N RIVERSIDE DR STE 217",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315918",
            "telephone_number": "224-551-5783",
            "fax_number": "224-532-2681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVARRO",
        "first_name": "FELICITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "IL",
            "license": "126753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.