Organization Active NPI

Myeasyaccesshealthcare, PLLC

  • Primary Care Clinic/Center
  • Peoria, IL
National Provider Identifier
1457089377
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MYEASYACCESSHEALTHCARE, PLLC
Practice address
5127 N Sherwood Ave
Peoria, IL 61614-4726
Phone
(309) 339-4364
NPI assigned
Aug 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Authorized official

Name
Daniah Nacarato, APNNPI 1740680602
Title
Family Nurse Practitioner
Phone
(309) 339-4364

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

5127 N Sherwood Ave
Peoria, IL 61614-4726

Mailing address

5127 N Sherwood Ave
Peoria, IL 61614-4726
Phone (309) 339-4364

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL daniah.myeasyaccesshealthcare@gmail.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1457089377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5127 N SHERWOOD AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616144726",
            "telephone_number": "309-339-4364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5127 N SHERWOOD AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616144726",
            "telephone_number": "309-339-4364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYEASYACCESSHEALTHCARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "NACARATO",
        "authorized_official_first_name": "DANIAH",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "309-339-4364",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "daniah.myeasyaccesshealthcare@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "address_1": "5127 N Sherwood Ave",
            "city": "Peoria",
            "state": "IL",
            "country_code": "US",
            "postal_code": "616144726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.

Verify at the official NPI Registry.