Individual provider Active NPI

Yesenia Sianez

  • Family Nurse Practitioner
  • Bridgeview, IL
National Provider Identifier
1326631292
Registry record updated Aug 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209030237 Issued in IL
Practice address
7124 W 83Rd St Unit C
Bridgeview, IL 60455-4034
Phone
(708) 788-5088
Fax
(708) 575-7177
NPI assigned
Feb 11, 2021
Last updated
Aug 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209030237 IL Primary
Community Health Registered Nurse 163WC1500X 041436654 IL

Addresses

Primary practice location

7124 W 83Rd St Unit C
Bridgeview, IL 60455-4034

Mailing address

2855 S Kenneth Ave
Chicago, IL 60623-4207
Phone (773) 679-0943

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL YSianez@bcfwc Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250114003837 IL Practitioner - Nurse Practitioner 1951839240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Urgiclinic Urgent Care PLLCGroup PAC ID 0143688069, 3 clinicians

Practice addresses (Care Compare)

7124 W 83Rd St
Unit 3
Bridgeview, IL 60455-4034
Phone (708) 788-5088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041436654ILMDCommunity Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Urgiclinic Urgent Care PLLC CurrentSince Nov 14, 2024 Accepting new patients

Locations

7124 W 83rd St
Unit 3
Bridgeview, IL 60455
Phone (708) 314-0307

7124 W 83rd St
Unit C
Bridgeview, IL 60455
Phone (708) 788-5088

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724457600000",
    "number": "1326631292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 S KENNETH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606234207",
            "telephone_number": "773-679-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7124 W 83RD ST UNIT C",
            "city": "BRIDGEVIEW",
            "state": "IL",
            "postal_code": "604554034",
            "telephone_number": "708-788-5088",
            "fax_number": "708-575-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIANEZ",
        "first_name": "YESENIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-11",
        "last_updated": "2024-08-24",
        "certification_date": "2024-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209030237",
            "primary": true
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "IL",
            "license": "041436654",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "YSianez@bcfwc",
            "affiliation": "N",
            "endpointDescription": "YSianez@bcfwc,org",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6821 S Halsted St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606211833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bridgeview, IL

Sources for this page

Verify at the official NPI Registry.