Active NPI
Donna D Wittert, APN CNP CDE
- Nurse Practitioner
- Northbrook, IL
National Provider Identifier
1447238910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2090040111
- Practice address
- 3300 Milwaukee Ave
Northbrook, IL 60062-7126 - Phone
- (847) 795-9600
- Fax
- (847) 795-9600
- NPI assigned
- Jan 5, 2006
- Last updated
- Mar 6, 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2090040111 | IL | Primary |
Addresses
Primary practice location
3300 Milwaukee Ave
Northbrook, IL 60062-7126
Mailing address
3300 Milwaukee Ave
Northbrook, IL 60062-7126
Phone (847) 795-9600
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
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2090040111 | IL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488758400000",
"number": "1447238910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 MILWAUKEE AVE",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600627126",
"telephone_number": "847-795-9600",
"fax_number": "847-795-9600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 MILWAUKEE AVE",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600627126",
"telephone_number": "847-795-9600",
"fax_number": "847-795-9600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITTERT",
"first_name": "DONNA",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "APN CNP CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-05",
"last_updated": "2017-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "2090040111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.