Active NPI
Jill Cryder, FNP-BC
- Family Nurse Practitioner
- Olympia Fields, IL
National Provider Identifier
1437682739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209015767
- Practice address
- 20060 Governors Dr
Suite 300
Olympia Fields, IL 60461-1029 - Phone
- (708) 283-2600
- NPI assigned
- Apr 4, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 209015767 | IL | Primary |
Addresses
Primary practice location
20060 Governors Dr
Suite 300
Olympia Fields, IL 60461-1029
Mailing address
20060 Governors Dr
Suite 300
Olympia Fields, IL 60461-1029
Phone (708) 283-2600
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jcryder29327@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209015767 | IL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640044800000",
"number": "1437682739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20060 GOVERNORS DR",
"address_2": "SUITE 300",
"city": "OLYMPIA FIELDS",
"state": "IL",
"postal_code": "604611029",
"telephone_number": "708-283-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20060 GOVERNORS DR",
"address_2": "SUITE 300",
"city": "OLYMPIA FIELDS",
"state": "IL",
"postal_code": "604611029",
"telephone_number": "708-283-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRYDER",
"first_name": "JILL",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-04",
"last_updated": "2021-12-21",
"certification_date": "2021-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209015767",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jcryder29327@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "20060 Governors Dr",
"address_2": "Suite 300",
"city": "Olympia Fields",
"state": "IL",
"country_code": "US",
"postal_code": "604611029",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "20060 Governors Dr",
"address_2": "Suite 300",
"city": "Olympia Fields",
"state": "IL",
"country_code": "US",
"postal_code": "604611029",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Olympia Fields, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.