Active NPI
Connie L Parr, APN, CPNP
- Pediatric Nurse Practitioner
- Warrenville, IL
National Provider Identifier
1437274651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 209000942
- Practice address
- 4580 Weaver Pkwy Ste 204
Warrenville, IL 60555-3864 - Phone
- (630) 473-3970
- Fax
- (630) 994-5028
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 209000942 | IL | Primary |
Addresses
Primary practice location
4580 Weaver Pkwy Ste 204
Warrenville, IL 60555-3864
Mailing address
4580 Weaver Parkway
Suite 204
Warrenville, IL 60555-3864
Phone (630) 473-3970
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 Pediatric Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209000942 | IL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connie Cares for Kids-ADHD and Learning Disabilities, LLC | Current | Accepting new patients |
Locations
4580 Weaver Pkwy
Ste 102
Warrenville, IL 60555
Phone (630) 839-9199
4580 Weaver Pkwy
Ste 204
Warrenville, IL 60555
Phone (630) 473-3970
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Warrenville, IL
- NPI 1437676400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1437274651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4580 WEAVER PARKWAY",
"address_2": "SUITE 204",
"city": "WARRENVILLE",
"state": "IL",
"postal_code": "605553864",
"telephone_number": "630-473-3970",
"fax_number": "630-994-5028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4580 WEAVER PKWY STE 204",
"city": "WARRENVILLE",
"state": "IL",
"postal_code": "605553864",
"telephone_number": "630-473-3970",
"fax_number": "630-994-5028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARR",
"first_name": "CONNIE",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "APN, CPNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "IL",
"license": "209000942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warrenville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.