Priyanka Sharma Han, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209.028403 Issued in IL

Practice address

301 N Randall Rd
Lake in the Hills, IL 60156-5961

Phone

(847) 658-6065

NPI assigned

Oct 13, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Children'S Medical Group, S.C.

  • Pediatrics Physician
  • Lake in the Hills, IL
  • NPI 1740483718
  NPD (past)

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

{
    "created_epoch": "1697155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1548041676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 HEMLOCK LN",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601855976",
            "telephone_number": "479-966-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N RANDALL RD",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601565961",
            "telephone_number": "847-658-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "PRIYANKA",
        "middle_name": "SHARMA",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-13",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.028403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Winter Hadley, RBT
• Shahzaib Ghazi Haider, MD
• Jennifer Anne Hallum, DC
• Ryan James Hallum, D.C.
• Lynn Marie Hamsen, MA, LCPC
• Adrian Ludwik Handzel
• Hanna Rayko LTD
• Shannon Hannigan Jackson, LCPC
• Ethan Hanson
• Kellie Havenga

• All providers in Lake in the Hills, IL
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; 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.