Individual provider Active NPI

Morgan Lyndsey Wininger Shanks, ACNP-BC, RN, MSN

  • Critical Care Medicine Nurse Practitioner
  • Downers Grove, IL
National Provider Identifier
1548567357
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X
License
209009601 Issued in IL
Practice address
3815 Highland Avenue
Critical Care Pavilion
Downers Grove, IL 60515
Phone
(317) 948-8112
Fax
(317) 948-8079
NPI assigned
Feb 15, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28165171 IN
Critical Care Medicine Nurse Practitioner 363LC0200X 71003309 IN
Critical Care Medicine Nurse Practitioner 363LC0200X 209009601 IL Primary
Registered Nurse 163W00000X 041400941 IL
Registered Nurse 163W00000X 28165171A IN

Addresses

Primary practice location

3815 Highland Avenue
Critical Care Pavilion
Downers Grove, IL 60515

Mailing address

3815 Highland Avenue
Critical Care Pavilion
Downers Grove, IL 60515
Phone (630) 275-7052

Other names 1

  • Miss Morgan Lyndsey Wininger Former name

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
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
041400941ILMDRegistered Nurse
28165171INMDRegistered Nurse
28165171AINMDRegistered Nurse
209009601ILMDCritical Care Medicine Nurse Practitioner
71003309INMDCritical Care Medicine Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383868800000",
    "number": "1548567357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 HIGHLAND AVENUE",
            "address_2": "CRITICAL CARE PAVILION",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "60515",
            "telephone_number": "630-275-7052",
            "fax_number": "317-948-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 HIGHLAND AVENUE",
            "address_2": "CRITICAL CARE PAVILION",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "60515",
            "telephone_number": "317-948-8112",
            "fax_number": "317-948-8079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANKS",
        "first_name": "MORGAN",
        "middle_name": "LYNDSEY WININGER",
        "name_prefix": "Mrs.",
        "credential": "ACNP-BC, RN, MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-15",
        "last_updated": "2013-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28165171",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "IN",
            "license": "71003309",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "IL",
            "license": "209009601",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041400941",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28165171A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MORGAN",
            "last_name": "WININGER",
            "middle_name": "LYNDSEY",
            "prefix": "MISS",
            "credential": "ACNP-BC, RN, MSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Downers Grove, IL

Sources for this page

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