Individual provider Active NPI

Queenester B Gray-Hightower, FNP

  • Family Nurse Practitioner
  • Niles, IL
National Provider Identifier
1346614260
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277000211 Issued in IL
Practice address
6201 W Howard St Ste 211a
Niles, IL 60714-3435
Phone
(708) 428-2996
Fax
(708) 400-9078
NPI assigned
Nov 16, 2015
Last updated
Mar 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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 277000211 IL Primary

Addresses

Primary practice location

6201 W Howard St Ste 211a
Niles, IL 60714-3435

Mailing address

6201 W Howard St Ste 211a
Niles, IL 60714-3435
Phone (708) 428-2996

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
I20170302001433 IL Practitioner - Nurse Practitioner 8325348899 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
R & W Medical LLC CurrentSince Jul 3, 2019 Accepting new patients
Quickcare Diagnostics LLC Current Accepting new patients
Northshore Health Centers, Inc. Past Accepting new patients
Northshore Health Centers, Inc. Family Past Accepting new patients

Locations

6170 Joliet Rd
Ste 1
Countryside, IL 60525
Phone (708) 352-0330

6201 W Howard St
Ste 211A
Niles, IL 60714
Phone (708) 428-2996

Organizations & group practices 4

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": "1447632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1346614260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 W HOWARD ST STE 211A",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143435",
            "telephone_number": "708-428-2996",
            "fax_number": "708-400-9078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 W HOWARD ST STE 211A",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143435",
            "telephone_number": "708-428-2996",
            "fax_number": "708-400-9078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY-HIGHTOWER",
        "first_name": "QUEENESTER",
        "middle_name": "B",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-16",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277000211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

Verify at the official NPI Registry.