Individual provider Active NPI

Breda Odwyer Murphy, APN-FNP BC

  • Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1619420809
Registry record updated Nov 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.016733 Issued in IL
Practice address
6336 W 60TH St
Chicago, IL 60638-4222
Phone
(773) 255-7167
NPI assigned
Jul 25, 2016
Last updated
Nov 22, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209.016733 IL Primary
Registered Nurse 163W00000X 041.387329 IL

Addresses

Primary practice location

6336 W 60TH St
Chicago, IL 60638-4222

Mailing address

6336 W 60TH St
Chicago, IL 60638-4222
Phone (773) 255-7167

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
I20180108002878 IL Practitioner - Nurse Practitioner 9032478532 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Zoelife Healthcare Services IncGroup PAC ID 9830500610, 8 clinicians

Practice addresses (Care Compare)

10209 W Lincoln Hwy
Frankfort, IL 60423-1279
Phone (708) 998-2979

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041.387329ILMDRegistered Nurse
209.016733ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sudhir M Gokhale MD SC CurrentSince Jun 28, 2019 Accepting new patients
Zoelife Healthcare Services Inc CurrentSince Mar 31, 2024 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Oct 1, 2019 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Oct 1, 2019 Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

4901 W 79th St
Burbank, IL 60459
Phone (708) 425-9321

29373 Network Pl
Chicago, IL 60673

10209 W Lincoln Hwy
Frankfort, IL 60423
Phone (708) 998-2979

10735 S Cicero Ave
Ste 100
Oak Lawn, IL 60453
Phone (708) 581-5866

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": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511308800000",
    "number": "1619420809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6336 W 60TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606384222",
            "telephone_number": "773-255-7167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6336 W 60TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606384222",
            "telephone_number": "773-255-7167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODWYER MURPHY",
        "first_name": "BREDA",
        "name_prefix": "Ms.",
        "credential": "APN-FNP BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-25",
        "last_updated": "2017-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.016733",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.387329",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.