Individual provider Active NPI

Venessann Thornton-McLendon, FNP-BC

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1437656527
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277.002828 Issued in IL
Practice address
33 E 114TH St
Chicago, IL 60628-4921
Phone
(773) 660-4630
Fax
(773) 660-4650
NPI assigned
Apr 6, 2018
Last updated
Jan 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 277.002828 IL Primary
Primary Care Nurse Practitioner 363LP2300X 209.017425 IL

Addresses

Primary practice location

33 E 114TH St
Chicago, IL 60628-4921

Mailing address

33 E 114TH St
Chicago, IL 60628-4921
Phone (708) 238-4350

Other practice location 1

1 Executive Ct
South Barrington, IL 60010-9533
Phone (847) 882-2030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180913000152 IL Practitioner - Nurse Practitioner 6709136708 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lifeline Physicians LLCGroup PAC ID 4082083811, 10 clinicians

Practice addresses (Care Compare)

611 Hunter LN
Lake Forest, IL 60045-4905
Phone (847) 615-2273

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.34 of 100Reported as group
Quality
96.26
Improvement activities
40
Cost
62.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
277.002828ILMDFamily Nurse Practitioner
209.017425ILMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doorstep Doctors, LTD. CurrentSince Jul 6, 2026 Accepting new patients
Doctors on Site, LTD CurrentSince May 24, 2019 Accepting new patients
Lifeline Physicians LLC CurrentSince May 5, 2023 Accepting new patients
Human Resources Development Institute, Inc Past Accepting new patients
Lifeline Physicians LLC Past Accepting new patients

Locations

1 Executive Ct
Ste 1
South Barrington, IL 60010
Phone (847) 388-0929

401 S Milwaukee Ave
Ste 150
Wheeling, IL 60090
Phone (240) 574-0009

Organizations & group practices 5

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1437656527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 E 114TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606284921",
            "telephone_number": "708-238-4350",
            "fax_number": "773-660-4650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 E 114TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606284921",
            "telephone_number": "773-660-4630",
            "fax_number": "773-660-4650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Executive Ct",
            "address_purpose": "LOCATION",
            "city": "South Barrington",
            "state": "IL",
            "postal_code": "600109533",
            "country_code": "US",
            "telephone_number": "847-882-2030",
            "fax_number": "847-294-1954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THORNTON-MCLENDON",
        "first_name": "VENESSANN",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-06",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277.002828",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IL",
            "license": "209.017425",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.