Active NPI
Joan Marie O'Brien, REGISTERED NURSE
- Home Health Registered Nurse
- Hinsdale, IL
National Provider Identifier
1558023598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 041163065
- Practice address
- 5 W 2ND St Ste 4
Hinsdale, IL 60521-4172 - Phone
- (708) 254-8186
- Fax
- (630) 323-4669
- NPI assigned
- Oct 7, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 041163065 | IL | Primary |
Addresses
Primary practice location
5 W 2ND St Ste 4
Hinsdale, IL 60521-4172
Mailing address
5 W 2ND St Ste 4
Hinsdale, IL 60521-4172
Phone (708) 254-8186
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jobrien@independence4seniors.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | jobrien@independence4seniors.com | ||
| Direct Messaging Address | jobrien@independence4seniors.com | Health Information Exchange (HIE) |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041163065 | IL | MD | Home Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avid Health at Home Illinois | Home Health | Past | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633564800000",
"number": "1558023598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 W 2ND ST STE 4",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605214172",
"telephone_number": "708-254-8186",
"fax_number": "630-323-4665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 W 2ND ST STE 4",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605214172",
"telephone_number": "708-254-8186",
"fax_number": "630-323-4669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRIEN",
"first_name": "JOAN",
"middle_name": "MARIE",
"credential": "REGISTERED NURSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-07",
"last_updated": "2021-10-07",
"certification_date": "2021-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "IL",
"license": "041163065",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jobrien@independence4seniors.com",
"affiliation": "N",
"endpointDescription": "work email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "5 W 2nd St Ste 4",
"city": "Hinsdale",
"state": "IL",
"country_code": "US",
"postal_code": "605214172",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jobrien@independence4seniors.com",
"affiliation": "N",
"address_1": "5 W 2nd St Ste 4",
"city": "Hinsdale",
"state": "IL",
"country_code": "US",
"postal_code": "605214172",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jobrien@independence4seniors.com",
"affiliation": "N",
"endpointDescription": "work email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "5 W 2nd St Ste 4",
"city": "Hinsdale",
"state": "IL",
"country_code": "US",
"postal_code": "605214172",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hinsdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.