Ivona Bousheh

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209.030739 Issued in IL

Practice address

3050 Pheasant Creek Dr Apt 104
Northbrook, IL 60062-3369

Phone

(773) 954-4577

NPI assigned

Sep 19, 2024

Sex

Female

Sole proprietor

Yes

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

Enrolled in IL

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

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ivona.bousheh.1@25479.direct.athenahealth.com

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.

• Calling Care Services Inc.

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1861086696

  IL

  Medicare reassignment NPD
• Calling Care Services Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1346965092
  NPD

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1548097769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 PHEASANT CREEK DR APT 104",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600623369",
            "telephone_number": "773-954-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 PHEASANT CREEK DR APT 104",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600623369",
            "telephone_number": "773-954-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUSHEH",
        "first_name": "IVONA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.030739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Borbath
• Patricia Bordon
• Jacob Ryan Borge, M.A., LPC
• Abbie Borgstrom
• Kaylee Bothom
• William Lee Boushie, PT
• Ariana Boutain, BCBA-D
• Sarah Elizabeth Bouton
• Felice Ann Boyer
• Monika Jeanay Boyer

• All providers in Northbrook, IL
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.