Active NPI
Debra Elaine Pilate
- Registered Nurse
- Lansing, IL
National Provider Identifier
1376009084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 041836274
- Practice address
- 17066 Ridgewood Ave
Lansing, IL 60438-1137 - Phone
- (708) 398-3385
- NPI assigned
- Feb 18, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041836274 | IL | Primary |
Addresses
Primary practice location
17066 Ridgewood Ave
Lansing, IL 60438-1137
Mailing address
17066 Ridgewood Ave
Lansing, IL 60438-1137
Phone (708) 398-3385
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041836274 | Other | IL | IL DEPT PROF REGULATIONS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041836274 | IL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550448000000",
"number": "1376009084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17066 RIDGEWOOD AVE",
"city": "LANSING",
"state": "IL",
"postal_code": "604381137",
"telephone_number": "708-398-3385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17066 RIDGEWOOD AVE",
"city": "LANSING",
"state": "IL",
"postal_code": "604381137",
"telephone_number": "708-398-3385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PILATE",
"first_name": "DEBRA",
"middle_name": "ELAINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-18",
"last_updated": "2019-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041836274",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IL DEPT PROF REGULATIONS",
"identifier": "041836274",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lansing, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.