Individual provider Active NPI

Ashley Elizabeth Miniet, APRN-FNP-C

  • Family Medicine Physician
  • Lemont, IL
National Provider Identifier
1467093088
Registry record updated Oct 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
209020178 Issued in IL
Practice address
15505 E 127TH St Ste 150
Lemont, IL 60439-4433
Phone
(630) 243-8888
NPI assigned
Oct 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 209020178 IL Primary

Addresses

Primary practice location

15505 E 127TH St Ste 150
Lemont, IL 60439-4433

Mailing address

15505 E 127TH St Ste 150
Lemont, IL 60439-4433
Phone (630) 243-8888

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
I20191114000901 IL Practitioner - Nurse Practitioner 2961834833 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209020178ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Service Systems, Inc Family Medicine CurrentSince Oct 5, 2019 Accepting new patients
Health Service Systems, Inc CurrentSince Oct 5, 2019 Accepting new patients

Locations

15505 E 127th St
Ste 150
Lemont, IL 60439
Phone (630) 243-8888

15505 E 127th St
Lemont, IL 60439
Phone (630) 243-8888

540 W North St
Ste 206207
Manhattan, IL 60442
Phone (815) 478-7866

540 W North St
Ste 207
Manhattan, IL 60442
Phone (815) 478-7866

1890 Silver Cross Blvd
Ste 265
New Lenox, IL 60451
Phone (815) 727-4292

Organizations & group practices 2

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": "1570147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570320000000",
    "number": "1467093088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15505 E 127TH ST STE 150",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604394433",
            "telephone_number": "630-243-8888",
            "fax_number": "630-257-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15505 E 127TH ST STE 150",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604394433",
            "telephone_number": "630-243-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINIET",
        "first_name": "ASHLEY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "APRN-FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-04",
        "last_updated": "2019-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "209020178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemont, IL

Sources for this page

Verify at the official NPI Registry.