Elizabeth Rose Paddack, APN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

209007625 Issued in IL

Practice address

100 Spalding Dr Ste 208
Naperville, IL 60540-6552

Phone

(630) 717-2600

Fax

(630) 718-2656

NPI assigned

Jul 1, 2009

Last updated

Jul 12, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Interoperability endpoints

• Direct secure messaging: epaddack177279@direct.edward.org

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1336377027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713260",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606771260",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SPALDING DR STE 208",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406552",
            "telephone_number": "630-717-2600",
            "fax_number": "630-718-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADDACK",
        "first_name": "ELIZABETH",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-01",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209007625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "epaddack177279@direct.edward.org",
            "affiliation": "N",
            "address_1": "100 Spalding Dr Ste 208",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605406552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lauren Ashley Pac, LCPC
• Lisa Pac, DPT
• Mary Elizabeth Pacejka, LCSW
• Melissa Lynn Pacione, LPC
• Scott J Padalik, M.D.
• Nathalia Padilla Diaz, PSYD
• Jessica Padilla
• Lizette Padilla
• Sofia Padilla, M.D.
• Rachel N Paetow

• Adult Health Nurse Practitioner in Naperville, IL
• Providers in Naperville, IL by specialty
• Adult Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.