Individual provider Active NPI

Evagelia Spyratos, APN

  • Adult Health Nurse Practitioner
  • Skokie, IL
National Provider Identifier
1598943524
Registry record updated May 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209.006635 Issued in IL
Practice address
5016 Suffield CT
Unit B
Skokie, IL 60077-1675
Phone
(847) 568-0673
NPI assigned
Feb 1, 2008
Last updated
May 7, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 209.006635 IL Primary

Addresses

Primary practice location

5016 Suffield CT
Unit B
Skokie, IL 60077-1675

Mailing address

5016 Suffield CT
Unit B
Skokie, IL 60077-1675
Phone (847) 568-0673

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080430000784 IL Practitioner - Nurse Practitioner 9133208259

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.006635ILMDAdult Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: eva.spyratos.p1@direct.alegiscare.nextgenshare.com
  • Direct secure messaging: eva.spyratos.p2@direct.alegiscare.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241654400000",
    "number": "1598943524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5016 SUFFIELD CT",
            "address_2": "UNIT B",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771675",
            "telephone_number": "847-568-0673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5016 SUFFIELD CT",
            "address_2": "UNIT B",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771675",
            "telephone_number": "847-568-0673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPYRATOS",
        "first_name": "EVAGELIA",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-01",
        "last_updated": "2009-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209.006635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.