Active NPI
Jeanne Sterricker-Rydell, APN, NP-C
- Family Nurse Practitioner
- South Elgin, IL
National Provider Identifier
1366738585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN.0991735
- Practice address
- 552 Randall Rd
South Elgin, IL 60177-3315 - Phone
- (847) 697-9100
- Fax
- (847) 697-5105
- NPI assigned
- Jun 27, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.008712 | IL | |
| Family Nurse Practitioner | 363LF0000X | APN.0991735 | CO | Primary |
Addresses
Primary practice location
552 Randall Rd
South Elgin, IL 60177-3315
Mailing address
552 Randall Rd
South Elgin, IL 60177-3315
Phone (847) 697-9100
Other practice location 1
320 Beard Creek Rd
Edwards, CO 81632-6433
Phone (970) 945-2840
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F400183338 | Other | IL | MEDICARE PTAN (INDIVIDUAL) |
| 920540 | Other | IL | MEDICARE PTAN (GROUP) |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN.0991735 | CO | MD | Family Nurse Practitioner |
Interoperability endpoints
- jeanne.sterricker-rydell.2@14940.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644969600000",
"number": "1366738585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "552 RANDALL RD",
"city": "SOUTH ELGIN",
"state": "IL",
"postal_code": "601773315",
"telephone_number": "847-697-9100",
"fax_number": "847-697-5105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "552 RANDALL RD",
"city": "SOUTH ELGIN",
"state": "IL",
"postal_code": "601773315",
"telephone_number": "847-697-9100",
"fax_number": "847-697-5105"
}
],
"practiceLocations": [
{
"address_1": "320 Beard Creek Rd",
"address_purpose": "LOCATION",
"city": "Edwards",
"state": "CO",
"postal_code": "816326433",
"country_code": "US",
"telephone_number": "970-945-2840",
"fax_number": "970-945-2893",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STERRICKER-RYDELL",
"first_name": "JEANNE",
"credential": "APN, NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-27",
"last_updated": "2022-02-16",
"certification_date": "2022-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.008712",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "APN.0991735",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN (INDIVIDUAL)",
"identifier": "F400183338",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN (GROUP)",
"identifier": "920540",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in South Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.