Individual provider Active NPI

Shime Sarsoza Dequina Herrera, APN-CNP, DNP

  • Nurse Practitioner
  • Palatine, IL
National Provider Identifier
1407747421
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209032690 Issued in IL
Practice address
500 N Hicks Rd
Palatine, IL 60067-3614
Phone
(630) 646-1200
Fax
(630) 548-1740
NPI assigned
Jul 9, 2025
Last updated
Aug 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209032690 IL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209032690 IL

Addresses

Primary practice location

500 N Hicks Rd
Palatine, IL 60067-3614

Mailing address

2650 Ridge Ave Ste 1223
Evanston, IL 60201-1700
Phone (847) 570-2030

Other names 1

  • Shime Sarsoza Dequina Former name

Medicare participation

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.032690ILMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1752019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1407747421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE STE 1223",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011700",
            "telephone_number": "847-570-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N HICKS RD",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600673614",
            "telephone_number": "630-646-1200",
            "fax_number": "630-548-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEQUINA HERRERA",
        "first_name": "SHIME",
        "middle_name": "SARSOZA",
        "credential": "APN-CNP, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-09",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209032690",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209032690",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIME",
            "last_name": "DEQUINA",
            "middle_name": "SARSOZA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palatine, IL

Sources for this page

Verify at the official NPI Registry.