Nastassia Marie Gurganus, MS, FNP-BC, MPH

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209010746 Issued in IL

Practice address

5841 S Maryland Ave
MC 5028
Chicago, IL 60637-1447

Phone

(773) 702-8344

NPI assigned

Sep 10, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385856000000",
    "number": "1487089306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N KINGSBURY ST",
            "address_2": "#1167",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606107432",
            "telephone_number": "931-216-5746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 S MARYLAND AVE",
            "address_2": "MC 5028",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371447",
            "telephone_number": "773-702-8344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURGANUS",
        "first_name": "NASTASSIA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MS, FNP-BC, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041406330",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209010746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Sarah Guralnick, M.D.
• Izabella Gurau, MD
• Sandeep Gurbuxani
• Edward Samuel Gurevich, D.C.
• Andrea Rose Gurga, OTD, OTR/L
• Julie Tepke Gurgone, LCPC
• Adrian Gurgul
• Sebastian Gurgul, PHARMD
• David Gurka, M.D.
• Jonathan Kemal Gurkan

• Family Nurse Practitioner in Chicago, IL
• Providers in Chicago, 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 Dec 1, 2013; 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.