Individual provider Active NPI

Stephanie Dahmus Gounder, FNP-BC

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1508008152
Registry record updated Mar 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209007521 Issued in IL
Practice address
3347 N Clark St
Unit C
Chicago, IL 60657-1149
Phone
(773) 698-8552
NPI assigned
Mar 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209007521 IL Primary

Addresses

Primary practice location

3347 N Clark St
Unit C
Chicago, IL 60657-1149

Mailing address

645 N Kingsbury St
#2601
Chicago, IL 60654-6940
Phone (312) 867-7271

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)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aosta Supply, LLC Past Accepting new patients
Gounder Clinic, LLC Family PastSince May 1, 2009 Accepting new patients
Gounder Health and Wellness, LLC Past Accepting new patients

Organizations & group practices 3

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": "1238198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238198400000",
    "number": "1508008152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 N KINGSBURY ST",
            "address_2": "#2601",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606546940",
            "telephone_number": "312-867-7271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3347 N CLARK ST",
            "address_2": "UNIT C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571149",
            "telephone_number": "773-698-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUNDER",
        "first_name": "STEPHANIE",
        "middle_name": "DAHMUS",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-28",
        "last_updated": "2009-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209007521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2009; 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.