Lisa Nicole Uribe, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Orland Park, IL
NPI 1396239596 · NPPES record last updated Mar 6, 2024
Key facts
- NPI
- 1396239596
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 277.000839 (IL)
- Practice address
- 14620 S la Grange Rd Ste 2
Orland Park, IL 60462-2581 - Phone
- (630) 312-9282
- Fax
- (630) 618-3977
- NPI assigned
- Jun 20, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180801002201 | IL | Practitioner - Nurse Practitioner | 4183972508 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.017612 | IL | MD | Family Nurse Practitioner |
| 277.000839 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Xpress Medical & Wellness Inc. | Multi-Specialty | Current |
Accepting new patients |
Locations
14620 S La Grange Rd
Ste 6
Orland Park, IL 60462
Phone (630) 312-9282
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | 277.000839 | IL | Yes |
| Family Nurse Practitioner |
363LF0000X | 209.017612 | IL |
Addresses
Primary practice location
14620 S la Grange Rd Ste 2
Orland Park, IL 60462-2581
Mailing address
14620 S la Grange Rd Ste 2
Orland Park, IL 60462-2581
Phone (630) 312-9282
Other practice location 1
645 S Central Ave
Chicago, IL 60644-5059
Phone (773) 626-4300
Other providers in Orland Park, IL
- United Limited LLC.
- United Limited LLC.
- United Mobility Transport, Inc.
- Universal Pain Management Institute LTD
- Universal Therapy Providers Inc
- Uropartners, LLC
- Uropartners, LLC
- Lauren Renee Usauskas
- Usv Optical Inc
- Beatrice Uta
All providers in Orland Park, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.