Individual provider Active NPI

Ann Marie Morici, RN

  • Registered Nurse
  • Downers Grove, IL
National Provider Identifier
1346560323
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
041-211658 Issued in IL
Practice address
6900 Main St
Suite 60
Downers Grove, IL 60516-3454
Phone
(630) 964-5330
Fax
(630) 445-4033
NPI assigned
Jun 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041-211658 IL Primary

Addresses

Primary practice location

6900 Main St
Suite 60
Downers Grove, IL 60516-3454

Mailing address

6900 Main St
Suite 60
Downers Grove, IL 60516-3454
Phone (630) 964-5330

Other identifiers 1

IdentifierTypeStateIssuer
26-0970590OtherILSTATE OF ILLINOIS

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
041-211658ILMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1346560323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 MAIN ST",
            "address_2": "SUITE 60",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605163454",
            "telephone_number": "630-964-5330",
            "fax_number": "630-445-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 MAIN ST",
            "address_2": "SUITE 60",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605163454",
            "telephone_number": "630-964-5330",
            "fax_number": "630-445-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORICI",
        "first_name": "ANN MARIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-01",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041-211658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ILLINOIS",
            "identifier": "26-0970590",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.