Individual provider Active NPI

Laura Cabrales, APN

  • Pediatric Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1366848400
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
209.012085 Issued in IL
Practice address
239 W Root St
Chicago, IL 60609-2848
Phone
(773) 254-4030
NPI assigned
Nov 18, 2014
Last updated
Jul 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 209.012085 IL Primary

Addresses

Primary practice location

239 W Root St
Chicago, IL 60609-2848

Mailing address

239 W Root St
Chicago, IL 60609-2848
Phone (773) 254-4030

Other practice location 1

2859 S Pulaski
Chicago, IL 60623
Phone (773) 762-3333

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address laura.cabrales.1@17986.direct.athenahealth.com

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
I20190426002032 IL Practitioner - Nurse Practitioner 4284976002 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.012085ILMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Care Foundation CurrentSince Jul 17, 2022 Accepting new patients
Infant Welfare Society of Chicago CurrentSince Apr 1, 2019 Accepting new patients

Locations

239 W Root St
Chicago, IL 60609
Phone (773) 254-4030

3600 W Fullerton Ave
Chicago, IL 60647
Phone (773) 782-2800

Interoperability endpoints

  • Direct secure messaging: laura.cabrales.1@26570.direct.athenahealth.com

Organizations & group practices 2

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": "1416268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1366848400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 W ROOT ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606092848",
            "telephone_number": "773-254-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 W ROOT ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606092848",
            "telephone_number": "773-254-4030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2859 S Pulaski",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60623",
            "country_code": "US",
            "telephone_number": "773-762-3333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CABRALES",
        "first_name": "LAURA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-18",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "209.012085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "laura.cabrales.1@17986.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "3600 W Fullerton Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606472319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.