Jill E Divita, R.N

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

041219070 Issued in IL

Practice address

1230 N. Highland Ave
Aurora, IL 60506

Phone

(630) 966-4319

Fax

(630) 859-3841

NPI assigned

May 9, 2014

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

Other names 1

• Jill E Peterson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1399593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399593600000",
    "number": "1336550557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 N. HIGHLAND AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "60506",
            "telephone_number": "630-966-4319",
            "fax_number": "630-859-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 N. HIGHLAND AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "60506",
            "telephone_number": "630-966-4319",
            "fax_number": "630-859-3841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIVITA",
        "first_name": "JILL",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "R.N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-09",
        "last_updated": "2014-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "IL",
            "license": "041219070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "PETERSON",
            "middle_name": "E",
            "credential": "R.N",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dinesh J Patel DDS PC
• Cecilianan Ding
• Binh T Dinh, PHARMD
• Direct Mobile Vision, PLLC
• Naveen Divakaruni, DO
• Cameo Alexis Dixon
• DMJ Home Health Services, Inc
• Malaya Bryonn Dobbins
• Amy Dobbs
• Jessica Dobrzynski

• Adult Psychiatric/Mental Health Registered Nurse in Aurora, IL
• Providers in Aurora, IL by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; 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.