Individual provider Active NPI

Ma. Ruby Vista Finnegan, RN-NP

  • Family Nurse Practitioner
  • Gurnee, IL
National Provider Identifier
1326591306
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.014288 Issued in IL
Practice address
731 S Il Route 21
Unit 120
Gurnee, IL 60031-3813
Phone
(847) 855-9700
Fax
(847) 855-8990
NPI assigned
Jul 26, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.014288 IL Primary

Addresses

Primary practice location

731 S Il Route 21
Unit 120
Gurnee, IL 60031-3813

Mailing address

816 Arthur Ave
Libertyville, IL 60048-3129
Phone (847) 367-1361

Other names 1

  • Maria Ruby Vista Finnegan Other name

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

NPI Registry JSON

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469491200000",
    "number": "1326591306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 ARTHUR AVE",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483129",
            "telephone_number": "847-367-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 S IL ROUTE 21",
            "address_2": "UNIT 120",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313813",
            "telephone_number": "847-855-9700",
            "fax_number": "847-855-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINNEGAN",
        "first_name": "MA. RUBY",
        "middle_name": "VISTA",
        "credential": "RN-NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.014288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA RUBY",
            "last_name": "FINNEGAN",
            "middle_name": "VISTA",
            "credential": "RN-NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 26, 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.

Verify at the official NPI Registry.