Individual provider Active NPI

Carol Calma, APN

  • Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1548709272
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209015201 Issued in IL
Practice address
4605 N Elston Ave
3A
Chicago, IL 60630-4373
Phone
(773) 742-9708
NPI assigned
Feb 14, 2017
Last updated
Feb 14, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209015201 IL Primary

Addresses

Primary practice location

4605 N Elston Ave
3A
Chicago, IL 60630-4373

Mailing address

4605 N Elston Ave
3A
Chicago, IL 60630-4373
Phone (773) 742-9708

Other names 1

  • Carol Calma Professional 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)
Enrolled

State licenses

LicenseStateTypeSpecialty
209015201ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Proper Balance Healthcare PastSince Aug 10, 2018 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1548709272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 N ELSTON AVE",
            "address_2": "3A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606304373",
            "telephone_number": "773-742-9708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 N ELSTON AVE",
            "address_2": "3A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606304373",
            "telephone_number": "773-742-9708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALMA",
        "first_name": "CAROL",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209015201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "CALMA",
            "credential": "APN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Feb 14, 2017; 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.