Active NPI
Elizabeth Nkansah
- Family Nurse Practitioner
- Chicago, IL
National Provider Identifier
1619346236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209.013177
- Practice address
- 5901 N Cicero Ave Ste 600
Chicago, IL 60646-5721 - Phone
- (773) 545-9200
- NPI assigned
- Sep 24, 2015
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.013177 | IL | Primary |
Addresses
Primary practice location
5901 N Cicero Ave Ste 600
Chicago, IL 60646-5721
Mailing address
792 Delacourte Ave
Bolingbrook, IL 60490-5005
Phone (630) 802-4636
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.013177 | IL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455494400000",
"number": "1619346236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "792 DELACOURTE AVE",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604905005",
"telephone_number": "630-802-4636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 N CICERO AVE STE 600",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606465721",
"telephone_number": "773-545-9200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NKANSAH",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-24",
"last_updated": "2016-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.013177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.