Rita Shamon, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209026197 Issued in IL

Practice address

501 N Riverside Dr Ste 216
Gurnee, IL 60031-5918

Phone

(847) 625-8300

Fax

(847) 625-8862

NPI assigned

Nov 2, 2022

Last updated

Jul 31, 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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

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• Senf NP Family Medicine PLLC

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• Trio Health Medical Il NP Partners PLLC

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  • Evanston, IL
  • NPI 1497637011
  Medicare reassignment

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1336856962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N RIVERSIDE DR STE 216",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315918",
            "telephone_number": "847-625-8300",
            "fax_number": "847-625-8862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N RIVERSIDE DR STE 216",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315918",
            "telephone_number": "847-625-8300",
            "fax_number": "847-625-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMON",
        "first_name": "RITA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-02",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209026197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Shaffer, ATC, LAT
• Dilip Kantilal Shah, MD
• Parthiv Shah, M.D.
• Vibhakar Shantilal Shah, M.D.
• Shaku Chhabria Neurological Services SC
• Julie Shapiro, MD
• Shari L. Bornstein MD
• K. Shaver
• Shawnalee Rochelle Shaw, FNP-C
• Holly Marie Sheahan, LCSW

• Nurse Practitioner in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.