Active NPI
Aniema Ekong
- Psychiatric/Mental Health Nurse Practitioner
- Lisle, IL
National Provider Identifier
1336715978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 209.023313
- Practice address
- 4533 Arborview Dr
Lisle, IL 60532 - Phone
- (630) 995-1936
- NPI assigned
- Jun 3, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209.023313 | IL | Primary |
Addresses
Primary practice location
4533 Arborview Dr
Lisle, IL 60532
Mailing address
4533 Arborview Dr
Lisle, IL 60532
Phone (630) 995-1936
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209.023313 | Other | IL | IDFPR |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.023313 | IL | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622678400000",
"number": "1336715978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4533 ARBORVIEW DR",
"city": "LISLE",
"state": "IL",
"postal_code": "60532",
"telephone_number": "630-995-1936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4533 ARBORVIEW DR",
"city": "LISLE",
"state": "IL",
"postal_code": "60532",
"telephone_number": "630-995-1936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EKONG",
"first_name": "ANIEMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-03",
"last_updated": "2021-06-03",
"certification_date": "2021-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IL",
"license": "209.023313",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IDFPR",
"identifier": "209.023313",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lisle, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.