Individual provider Active NPI

Vanessa Katherine Hofer

  • Registered Nurse
  • Glen Ellyn, IL
National Provider Identifier
1376241349
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
041.471420 Issued in IL
Practice address
875 Roosevelt Rd Ste 3
Glen Ellyn, IL 60137-6101
Phone
(630) 262-6078
NPI assigned
Feb 20, 2023
Last updated
Feb 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041.471420 IL Primary

Addresses

Primary practice location

875 Roosevelt Rd Ste 3
Glen Ellyn, IL 60137-6101

Mailing address

875 Roosevelt Rd Ste 3
Glen Ellyn, IL 60137-6101

Other practice location 1

308 Randall Rd Ste B
Geneva, IL 60134-4201
Phone (630) 262-6078

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

LicenseStateTypeSpecialty
041.471420ILMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1376241349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 ROOSEVELT RD STE 3",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601376101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 ROOSEVELT RD STE 3",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601376101",
            "telephone_number": "630-262-6078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "308 Randall Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "IL",
            "postal_code": "601344201",
            "country_code": "US",
            "telephone_number": "630-262-6078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFER",
        "first_name": "VANESSA",
        "middle_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.471420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ellyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.