Organization Active NPI

Bassell Nurse Practitioner Services, LLC

  • Licensed Practical Nurse
  • Chicago, IL
National Provider Identifier
1326434754
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
309.008041 Issued in IL
Legal business name
BASSELL NURSE PRACTITIONER SERVICES, LLC
Practice address
5061 N Pulaski Rd
Chicago, IL 60630-2706
Phone
(773) 604-4217
NPI assigned
Apr 13, 2015
Last updated
Apr 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

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

Authorized official

Name
Leslie Bassell
Title
Owner
Phone
(312) 226-0472

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193400000X SINGLE SPECIALTY GROUP 164W00000X 309.008041 IL Primary

Addresses

Primary practice location

5061 N Pulaski Rd
Chicago, IL 60630-2706

Mailing address

1070 W 15TH St
Chicago, IL 60608-1869
Phone (312) 226-0472

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1326434754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 W 15TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081869",
            "telephone_number": "312-226-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5061 N PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302706",
            "telephone_number": "773-604-4217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASSELL NURSE PRACTITIONER SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "BASSELL",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-226-0472"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "IL",
            "license": "309.008041",
            "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 Apr 16, 2015; 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.