Active NPI
Febin Mathew
- Nurse Practitioner
- Bloomingdale, IL
National Provider Identifier
1568818219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209014054
- Practice address
- 11 Founders Pointe N
Bloomingdale, IL 60108-1459 - Phone
- (630) 818-7696
- NPI assigned
- May 12, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209014054 | IL | Primary |
Addresses
Primary practice location
11 Founders Pointe N
Bloomingdale, IL 60108-1459
Mailing address
11 Founders Pointe N
Bloomingdale, IL 60108-1459
Phone (630) 818-7696
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209014054 | IL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463011200000",
"number": "1568818219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 FOUNDERS POINTE N",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601081459",
"telephone_number": "630-818-7696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 FOUNDERS POINTE N",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601081459",
"telephone_number": "630-818-7696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "FEBIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-12",
"last_updated": "2016-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209014054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomingdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.