Antonette Mortera, RN, BSN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

041328129 Issued in IL

Practice address

1907 N 76TH Ave
Elmwood Park, IL 60707-3605

Phone

(708) 452-0767

NPI assigned

Nov 19, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258588800000",
    "number": "1376871087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 N 76TH AVE",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607073605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 N 76TH AVE",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607073605",
            "telephone_number": "708-452-0767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTERA",
        "first_name": "ANTONETTE",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-19",
        "last_updated": "2009-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "IL",
            "license": "041328129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlo Anthony Messina, DPM
• Kathy Ann Meyer, D.D.S.
• Michael F Gonzalez DDS LTD
• Midwest Open MRI
• Barbara Miller, DT
• Michelle Berenice Moskovich, RPH
• Mount Sinai Hospital
• Uditt Mukherjee, DMD
• Patricia Murphy
• Danielle M Musso, DDS

• Home Health Registered Nurse in Elmwood Park, IL
• Providers in Elmwood Park, IL by specialty
• Home Health Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.