Individual provider Active NPI

Silviya Kochuparambil Sebastian, DNP, FNP-BC

  • Family Nurse Practitioner
  • Westmont, IL
National Provider Identifier
1619519790
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209024150 Issued in IL
Practice address
38 W 65TH St Apt 3
Westmont, IL 60559-3165
Phone
(901) 359-0057
NPI assigned
Oct 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041367958 IL
Family Nurse Practitioner 363LF0000X 209024150 IL Primary

Addresses

Primary practice location

38 W 65TH St Apt 3
Westmont, IL 60559-3165

Mailing address

38 W 65TH St Apt 3
Westmont, IL 60559-3165
Phone (901) 359-0057

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
I20211214002807 IL Order and Referring Only - Nurse Practitioner 1557751138

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209024150ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vna Health Care Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: skochuparambilsebastian586365@direct.ochin.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1619519790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 W 65TH ST APT 3",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605593165",
            "telephone_number": "901-359-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 W 65TH ST APT 3",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605593165",
            "telephone_number": "901-359-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCHUPARAMBIL SEBASTIAN",
        "first_name": "SILVIYA",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-10",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041367958",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209024150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westmont, IL

Sources for this page

Verify at the official NPI Registry.