Individual provider Active NPI

Gina Theresa Consolino-Barsotti, APN, CNP

  • Adult Health Nurse Practitioner
  • Elmhurst, IL
National Provider Identifier
1417059759
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209003946 Issued in IL
Practice address
190 Prospect Avenue
Elmhurst College Wellness Center
Elmhurst, IL 60126
Phone
(630) 617-3565
Fax
(630) 617-3255
NPI assigned
Sep 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041294923 IL
Adult Health Nurse Practitioner 363LA2200X 209003946 IL Primary
Women's Health Nurse Practitioner 363LW0102X 209003946 IL

Addresses

Primary practice location

190 Prospect Avenue
Elmhurst College Wellness Center
Elmhurst, IL 60126

Mailing address

190 Prospect Avenue
Elmhurst College Wellness Center
Elmhurst, IL 60126
Phone (630) 617-3565

Other names 1

  • Ms. Gina Theresa Consolino Former name

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
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
041294923ILMDRegistered Nurse
209003946ILMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elmhurst College PastSince Oct 13, 2017 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1417059759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 PROSPECT AVENUE",
            "address_2": "ELMHURST COLLEGE WELLNESS CENTER",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "60126",
            "telephone_number": "630-617-3565",
            "fax_number": "630-617-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 PROSPECT AVENUE",
            "address_2": "ELMHURST COLLEGE WELLNESS CENTER",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "60126",
            "telephone_number": "630-617-3565",
            "fax_number": "630-617-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSOLINO-BARSOTTI",
        "first_name": "GINA",
        "middle_name": "THERESA",
        "name_prefix": "Ms.",
        "credential": "APN, CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041294923",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209003946",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IL",
            "license": "209003946",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "CONSOLINO",
            "middle_name": "THERESA",
            "prefix": "MS.",
            "credential": "APN CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jan 30, 2017; 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.