Active NPI
Theresa Bucy, APN, NP-C
- Adult Health Nurse Practitioner
- Joliet, IL
National Provider Identifier
1497060933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 209.006602
- Practice address
- 311 N Ottawa St
Joliet, IL 60432-4048 - Phone
- (887) 613-9393
- NPI assigned
- Aug 9, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 209.006602 | IL | Primary |
Addresses
Primary practice location
311 N Ottawa St
Joliet, IL 60432-4048
Mailing address
207 Stone Manor Cir
Batavia, IL 60510-2987
Phone (630) 414-9703
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
| License | State | Type | Specialty |
|---|---|---|---|
| 209.006602 | IL | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281312000000",
"number": "1497060933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 STONE MANOR CIR",
"city": "BATAVIA",
"state": "IL",
"postal_code": "605102987",
"telephone_number": "630-414-9703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 N OTTAWA ST",
"city": "JOLIET",
"state": "IL",
"postal_code": "604324048",
"telephone_number": "887-613-9393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCY",
"first_name": "THERESA",
"name_prefix": "Ms.",
"credential": "APN, NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-09",
"last_updated": "2010-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IL",
"license": "209.006602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.