Individual provider Active NPI

Angela Gathings, NP

  • Nurse Practitioner
  • Downers Grove, IL
National Provider Identifier
1598242802
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.017881 Issued in IL
Practice address
1020 31St St
Downers Grove, IL 60515
Phone
(630) 824-6377
NPI assigned
Jul 20, 2018
Last updated
Jan 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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 209.017881 IL Primary

Addresses

Primary practice location

1020 31St St
Downers Grove, IL 60515

Mailing address

4415 Harrison St
Ste 247
Hillside, IL 60162-1919
Phone (312) 738-3355

Other practice location 1

710 Bristol Ave
Westchester, IL 60154-2704
Phone (312) 218-3343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190221001188 IL Practitioner - Nurse Practitioner 1052659844 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.017881ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harmonycares Complete Health Services, PLLC Nurse Practitioner CurrentSince Dec 1, 2025 Accepting new patients
Vpa PC CurrentSince Jul 28, 2025 Accepting new patients
Vpa PC CurrentSince Jul 28, 2025 Accepting new patients
Senior Healthcare & Rehab LLC Past Accepting new patients

Organizations & group practices 4

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": "1532044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1598242802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 HARRISON ST",
            "address_2": "STE 247",
            "city": "HILLSIDE",
            "state": "IL",
            "postal_code": "601621919",
            "telephone_number": "312-738-3355",
            "fax_number": "312-564-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 31ST ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "60515",
            "telephone_number": "630-824-6377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 Bristol Ave",
            "address_purpose": "LOCATION",
            "city": "Westchester",
            "state": "IL",
            "postal_code": "601542704",
            "country_code": "US",
            "telephone_number": "312-218-3343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GATHINGS",
        "first_name": "ANGELA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-20",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.017881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

Verify at the official NPI Registry.