Active NPI
Joya Gabrielle Van Der Laan, MSN, FNP-BC
- Family Nurse Practitioner
- Westmont, IL
National Provider Identifier
1437427515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 277.000928
- Practice address
- 513 N Warwick Ave
Westmont, IL 60559-1550 - Phone
- (773) 410-7893
- Fax
- (484) 891-1602
- NPI assigned
- Dec 5, 2011
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 277.000928 | IL | Primary |
Addresses
Primary practice location
513 N Warwick Ave
Westmont, IL 60559-1550
Mailing address
513 N Warwick Ave
Westmont, IL 60559-1550
Phone (773) 410-7893
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
- Opted out of Medicare
- Yes, effective Jan 24, 2018 through Jan 24, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 277.000928 | IL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604361600000",
"number": "1437427515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "513 N WARWICK AVE",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605591550",
"telephone_number": "773-410-7893",
"fax_number": "484-891-1602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "513 N WARWICK AVE",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605591550",
"telephone_number": "773-410-7893",
"fax_number": "484-891-1602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN DER LAAN",
"first_name": "JOYA",
"middle_name": "GABRIELLE",
"name_prefix": "Mrs.",
"credential": "MSN, FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-05",
"last_updated": "2020-11-03",
"certification_date": "2020-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "277.000928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westmont, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.