Individual provider Active NPI

Rebecca Elise Trojan, RN

  • Infection Control Registered Nurse
  • Elmhurst, IL
National Provider Identifier
1396453056
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infection Control Registered NurseTaxonomy code 163WI0600X
License
041311314 Issued in IL
Practice address
1150 S Euclid Ave
Elmhurst, IL 60126-5178
Phone
(630) 936-4143
NPI assigned
Nov 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infection Control Registered Nurse 163WI0600X 041311314 IL Primary

Addresses

Primary practice location

1150 S Euclid Ave
Elmhurst, IL 60126-5178

Mailing address

1150 S Euclid Ave
Elmhurst, IL 60126-5178
Phone (630) 936-4143

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL reames@provlife.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
041311314ILMDInfection Control Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1668124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1396453056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 S EUCLID AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265178",
            "telephone_number": "630-936-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 S EUCLID AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265178",
            "telephone_number": "630-936-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROJAN",
        "first_name": "REBECCA",
        "middle_name": "ELISE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-11",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infection Control",
            "state": "IL",
            "license": "041311314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "reames@provlife.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1150 S Euclid Ave",
            "city": "Elmhurst",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601265178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; 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.