Individual provider Active NPI

Alisha R Harrington-Taylor, FNP

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1336711340
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209030725 Issued in IL
Practice address
1326 N Waller Ave # 1
Chicago, IL 60651-1151
Phone
(773) 418-8810
NPI assigned
Jul 11, 2021
Last updated
Oct 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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 209030725 IL Primary

Addresses

Primary practice location

1326 N Waller Ave # 1
Chicago, IL 60651-1151

Mailing address

1326 N Waller Ave # 1
Chicago, IL 60651-1151
Phone (773) 418-8810

Other names 1

  • Alisha R Harrington-Taylor Other name

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
I20250318001234 IL Practitioner - Nurse Practitioner 3476075615 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nova Medico SCGroup PAC ID 9133219827, 11 clinicians
United Wound Care Institute-IllinoisGroup PAC ID 7416304365, 8 clinicians

Practice addresses (Care Compare)

1480 Renaissance Dr
Suite 211
Park Ridge, IL 60068-1353
Phone (847) 296-6161

2020 Calamos CT
Suite 250
Naperville, IL 60563-2856
Phone (888) 402-0202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209030725ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Wound Care Institute-Illinois CurrentSince Mar 1, 2025 Accepting new patients
Nova Medico S.C. CurrentSince Mar 1, 2025 Accepting new patients

Locations

2020 Calamos Ct
Ste 250
Naperville, IL 60563

1480 Renaissance Dr
Ste 211
Park Ridge, IL 60068
Phone (847) 296-6161

Organizations & group practices 2

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": "1625961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1336711340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 N WALLER AVE # 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606511151",
            "telephone_number": "773-418-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 N WALLER AVE # 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606511151",
            "telephone_number": "773-418-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRINGTON-TAYLOR",
        "first_name": "ALISHA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-11",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209030725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISHA",
            "last_name": "HARRINGTON-TAYLOR",
            "middle_name": "R",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.