Denise Pyles

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209011340 Issued in IL

Practice address

1137 Weil Rd
Lebanon, IL 62254-1805

Phone

(618) 401-6412

NPI assigned

May 14, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• JN Wellness Inc

  • Physical Medicine & Rehabilitation Physician
  • Saint Louis, MO
  • NPI 1245839166

  MO

  Medicare reassignment NPD

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400025600000",
    "number": "1477964203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 WEIL RD",
            "city": "LEBANON",
            "state": "IL",
            "postal_code": "622541805",
            "telephone_number": "618-401-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 WEIL RD",
            "city": "LEBANON",
            "state": "IL",
            "postal_code": "622541805",
            "telephone_number": "618-401-6412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYLES",
        "first_name": "DENISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209011340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian James Novy, MS, LAT, ATC
• Emily J Odom, D.C.
• Pennie Gunn Pavlisin, RN
• Erin Elizabeth Pennington, LPN
• Prescriptions Plus
• Lance L Ringhausen, ATC
• Meritt Delanie Rittenhouse
• Charissa Lee Thorpe, O.D.
• Lori Toennies, P.T.
• Amber M Trevino, DAT, M.S, ATC, LAT

• Family Nurse Practitioner in Lebanon, IL
• Providers in Lebanon, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.