Lisa Nicole Uribe, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

277.000839 Issued in 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

Last updated

Mar 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Xpress Medical & Wellness Inc.

  dba Timeless Vitality

  • Family Medicine Physician
  • Orland Park, IL
  • NPI 1275390148

  Multi-Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1396239596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14620 S LA GRANGE RD STE 2",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622581",
            "telephone_number": "630-312-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14620 S LA GRANGE RD STE 2",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622581",
            "telephone_number": "630-312-9282",
            "fax_number": "630-618-3977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "645 S Central Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606445059",
            "country_code": "US",
            "telephone_number": "773-626-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "URIBE",
        "first_name": "LISA",
        "middle_name": "NICOLE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-20",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277.000839",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.017612",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• United Limited LLC. (United Limited)
• United Limited LLC.
• United Mobility Transport, Inc.
• Universal Pain Management Institute LTD
• Universal Therapy Providers Inc (physical therapy and acupuncture office)
• Uropartners, LLC
• Uropartners, LLC (Associated Urological Specialists)
• Lauren Renee Usauskas, RDN, LDN, CD
• Usv Optical Inc
• Beatrice Uta, M.D.

• Family Nurse Practitioner in Orland Park, IL
• Providers in Orland Park, 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 Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.