NP-MD Practice PC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209014261 Issued in IL

Legal business name

NP-MD PRACTICE PC

Practice address

75 Executive Dr
Suite 104
Aurora, IL 60504-8137

Phone

(630) 405-7244

Fax

(630) 735-5103

NPI assigned

May 13, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Amandeep Singh Verma, DNP, MSN,FNP-BC, WCC

Title

Medical Director

Phone

(630) 405-7244

Specialties & licenses 3

Addresses

Other names 1

• Everest NP-MD Group Practice P.C. Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amandeep Singh, DNP, MSN, FNP-BC WCC

  • Family Nurse Practitioner
  • Aurora, IL
  • NPI 1447606223
  Medicare reassignment
• Nicholas Frank Tufo, RN

  • General Practice Registered Nurse
  • Sierra Vista, AZ
  • NPI 1336894484
  NPD (past)

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1356797849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 EXECUTIVE DR",
            "address_2": "SUITE 104",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605048137",
            "telephone_number": "630-405-7244",
            "fax_number": "630-735-5103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 EXECUTIVE DR",
            "address_2": "SUITE 104",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605048137",
            "telephone_number": "630-405-7244",
            "fax_number": "630-735-5103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Executive Dr., Suite 104",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "AZ",
            "postal_code": "85821",
            "country_code": "US",
            "telephone_number": "480-240-9786",
            "fax_number": "630-708-7612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "637 S 48th St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852812355",
            "country_code": "US",
            "telephone_number": "480-240-9786",
            "fax_number": "630-708-7612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NP-MD PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-13",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "VERMA",
        "authorized_official_first_name": "AMANDEEP",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "630-405-7244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, MSN,FNP-BC, WCC"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209014261",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IL",
            "license": "209014261",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Everest NP-MD Group Practice P.C.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Everest NP-MD Group Practice P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Tamika Rochelle Nunn

• Family Nurse Practitioner in Aurora, IL
• Providers in Aurora, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.