Individual provider Active NPI

Mariyiama James

  • Nurse Practitioner
  • Joliet, IL
National Provider Identifier
1376270371
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209025039 Issued in IL
Practice address
250 Water Stone Cir
Joliet, IL 60431-8313
Phone
(815) 740-4104
NPI assigned
Aug 1, 2022
Last updated
Jul 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209025039 IL Primary

Addresses

Primary practice location

250 Water Stone Cir
Joliet, IL 60431-8313

Mailing address

250 Water Stone Cir
Joliet, IL 60431-8313
Phone (815) 740-4104

Other names 1

  • Mariyiama James Other name

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
I20221005001554 IL Practitioner - Nurse Practitioner 3971989559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joliet Area Community Hospice CorporationGroup PAC ID 6305860123, 6 clinicians

Practice addresses (Care Compare)

250 Water Stone Cir
Joliet, IL 60431-8313
Phone (815) 740-4104

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209025039ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Joliet Area Community Hospice Corporation Nurse Practitioner CurrentSince Jul 7, 2025 Accepting new patients

Locations

250 Water Stone Cir
Joliet, IL 60431
Phone (815) 740-4104

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1376270371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 WATER STONE CIR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604318313",
            "telephone_number": "815-740-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 WATER STONE CIR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604318313",
            "telephone_number": "815-740-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "MARIYIAMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-01",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209025039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIYIAMA",
            "last_name": "JAMES",
            "credential": "MSN, APRN, FNP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.