Individual provider Active NPI

Gardenia Shamoun, APN-CNP

  • Nurse Practitioner
  • Arlington Heights, IL
National Provider Identifier
1336876531
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209036168 Issued in IL
Practice address
800 W Central Rd
Arlington Heights, IL 60005-2349
Phone
(847) 618-1000
NPI assigned
Aug 7, 2022
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209036168 IL Primary
Pediatric Nurse Practitioner 363LP0200X 209.036168 IL

Addresses

Primary practice location

800 W Central Rd
Arlington Heights, IL 60005-2349

Mailing address

1610 Kingsdale Rd
Hoffman Estates, IL 60169-4039
Phone (217) 218-0727

Other practice location 1

800 W. Central Rd.
Pediatric Acute Care Center (PACC)
Arlington Heights, IL 60005-2349
Phone (847) 570-1010

Other names 1

  • Gardenia Zozan Former name

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

LicenseStateTypeSpecialty
041456380ILMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1659830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1336876531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 KINGSDALE RD",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601694039",
            "telephone_number": "217-218-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W CENTRAL RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052349",
            "telephone_number": "847-618-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 W. Central Rd.",
            "address_2": "Pediatric Acute Care Center (PACC)",
            "address_purpose": "LOCATION",
            "city": "Arlington Heights",
            "state": "IL",
            "postal_code": "600052349",
            "country_code": "US",
            "telephone_number": "847-570-1010",
            "fax_number": "847-733-5108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAMOUN",
        "first_name": "GARDENIA",
        "name_prefix": "Dr.",
        "credential": "APN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-07",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209036168",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "209.036168",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GARDENIA",
            "last_name": "ZOZAN",
            "credential": "DNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; 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.