Active NPI
Peggy Ann Garvey, NP
- Pediatric Nurse Practitioner
- Winfield, IL
National Provider Identifier
1619184991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 209-002851
- Practice address
- 25 N Winfield Rd
Winfield, IL 60190-1222 - Phone
- (312) 227-6260
- Fax
- (312) 227-9419
- NPI assigned
- May 17, 2007
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 209-002851 | IL | Primary |
Addresses
Primary practice location
25 N Winfield Rd
Winfield, IL 60190-1222
Mailing address
225 E Chicago Ave, Box 43
Chicago, IL 60611-2605
Phone (312) 227-6260
Other practice location 1
2301 Enterprise Dr
Westchester, IL 60154-5802
Phone (312) 227-7900
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209-002851 | IL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lurie Children'S Medical Group, LLC | Past | Accepting new patients | |
| Lurie Children'S Medical Group Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Chicago, IL
- NPI 1518064716
-
- Pediatrics Physician
- Chicago, IL
- NPI 1992758544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585785600000",
"number": "1619184991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 E CHICAGO AVE, BOX 43",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112605",
"telephone_number": "312-227-6260",
"fax_number": "312-227-9419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 N WINFIELD RD",
"city": "WINFIELD",
"state": "IL",
"postal_code": "601901222",
"telephone_number": "312-227-6260",
"fax_number": "312-227-9419"
}
],
"practiceLocations": [
{
"address_1": "2301 Enterprise Dr",
"address_purpose": "LOCATION",
"city": "Westchester",
"state": "IL",
"postal_code": "601545802",
"country_code": "US",
"telephone_number": "312-227-7900",
"fax_number": "312-227-9844",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARVEY",
"first_name": "PEGGY",
"middle_name": "ANN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2020-04-02",
"certification_date": "2020-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "IL",
"license": "209-002851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.