Individual provider Active NPI

Deanna Hatchett, LPN

  • Licensed Practical Nurse
  • Frankfort, IL
National Provider Identifier
1467025775
Registry record updated Aug 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
043.114826 Issued in IL
Practice address
601 Willow St
Frankfort, IL 60423-1140
Phone
(815) 806-4600
Fax
(815) 806-4601
NPI assigned
Jul 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 043.114826 IL Primary

Addresses

Primary practice location

601 Willow St
Frankfort, IL 60423-1140

Mailing address

2651 W Washington Blvd
Chicago, IL 60612-2055
Phone (773) 553-1000

Other practice location 1

42 W Madison St
Chicago, IL 60602-4309
Phone (773) 553-1000

Other practice location 2

2651 W Washington Blvd
Chicago, IL 60612-2055
Phone (773) 553-1000

Other identifiers 1

IdentifierTypeStateIssuer
1063541688MedicaidIL

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
043.114826ILMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Way Area Spec Ed 843 PastSince Aug 28, 2022 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661558400000",
    "number": "1467025775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2651 W WASHINGTON BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606122055",
            "telephone_number": "773-553-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 WILLOW ST",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231140",
            "telephone_number": "815-806-4600",
            "fax_number": "815-806-4601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42 W Madison St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606024309",
            "country_code": "US",
            "telephone_number": "773-553-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2651 W Washington Blvd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606122055",
            "country_code": "US",
            "telephone_number": "773-553-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HATCHETT",
        "first_name": "DEANNA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-23",
        "last_updated": "2022-08-27",
        "certification_date": "2022-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IL",
            "license": "043.114826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063541688",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.