Individual provider Active NPI

Lakeshia Keys-Nesbit, APN

  • Family Nurse Practitioner
  • Romeoville, IL
National Provider Identifier
1376908244
Registry record updated Dec 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209013717 Issued in IL
Practice address
1644 Fiddyment Dr
Romeoville, IL 60446-5156
Phone
(630) 664-1329
NPI assigned
Dec 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209013717 IL Primary

Addresses

Primary practice location

1644 Fiddyment Dr
Romeoville, IL 60446-5156

Mailing address

1644 Fiddyment Dr
Romeoville, IL 60446-5156
Phone (630) 664-1329

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
I20160219001581 IL Practitioner - Nurse Practitioner 0446555098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CMC Healthcare LLCGroup PAC ID 4688039209, 133 clinicians

Practice addresses (Care Compare)

200 Martin Ave
Naperville, IL 60540-6516
Phone (630) 355-4111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209013717ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CMC Healthcare LLC CurrentSince Oct 11, 2024 Accepting new patients
Vpa PC Past Accepting new patients
Paragon Clinical Midwest, LLC Past Accepting new patients
Osf Multi-Specialty Group Past Accepting new patients

Locations

422 E 4th St S
Arcola, IL 61910
Phone (217) 268-3022

2451 W Touhy Ave
Chicago, IL 60645
Phone (312) 593-5599

2201 Main St
Evanston, IL 60202
Phone (847) 905-3000

200 Martin Ave
Naperville, IL 60540
Phone (630) 236-8018

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450656000000",
    "number": "1376908244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1644 FIDDYMENT DR",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604465156",
            "telephone_number": "630-664-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1644 FIDDYMENT DR",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604465156",
            "telephone_number": "630-664-1329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEYS-NESBIT",
        "first_name": "LAKESHIA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-21",
        "last_updated": "2015-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209013717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Romeoville, IL

Sources for this page

Verify at the official NPI Registry.