Lydia Jodrey, RN, MSN, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

209008114 Issued in IL

Practice address

121 S Wilke Rd
#600
Arlington Heights, IL 60005-1533

Phone

(847) 259-8379

NPI assigned

Dec 27, 2010

Last updated

Dec 27, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Lydia Stushek Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner, Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1293408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293408000000",
    "number": "1568766038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 S WARREN AVE",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600746423",
            "telephone_number": "847-749-4237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S WILKE RD",
            "address_2": "#600",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051533",
            "telephone_number": "847-259-8379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JODREY",
        "first_name": "LYDIA",
        "name_prefix": "Mrs.",
        "credential": "RN, MSN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-27",
        "last_updated": "2010-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "209008114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYDIA",
            "last_name": "STUSHEK",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joan Durlacher, Psy.D., LTD.
• Joan I Wood, LLC
• Joann F. Hamm, O.D., P.C.
• Shilpa B Jobalia, MS LMFT
• Rick L Jobski, M.D.
• John J Dzakovich DDS LTD
• John J. Dzakovich DDS LTD.
• Jeslyn John Lukose, APN-CNP
• John S Fox DDS LTD
• Edward John, D.D.S.

• Pediatric Nurse Practitioner in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Pediatric Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; 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.