Alysha Hart, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209011353 Issued in IL

Practice address

1875 Dempster St
Suite 8477206464550
Park Ridge, IL 60068-1186

Phone

(847) 720-6464

Fax

(847) 720-6463

NPI assigned

Apr 28, 2014

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)

Enrolled

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469404800000",
    "number": "1386054583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 SANTA FE RD",
            "address_2": "APT 308",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604464211",
            "telephone_number": "773-575-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 DEMPSTER ST",
            "address_2": "SUITE 8477206464550",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681186",
            "telephone_number": "847-720-6464",
            "fax_number": "847-720-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "ALYSHA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-28",
        "last_updated": "2016-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209011353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Syed Ammar Haq
• Magdalene Rene Harki, PSY.D. ABPP
• Harmony Acupuncture LLC
• Melissa Harris, PT
• Susan Rickels Harris, AU.D., CCC-A
• Brianna Marie Hart, MS
• Elizabeth Regina Tuminello Hartman, PHD
• Garrett Hartman, L.P.C.
• Pamela Hartnell
• Marla Hartzen, MD

• Family Nurse Practitioner in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; 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.