Nicole Hartig, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

043108853 Issued in IL

Practice address

361 Old Indian TRL
Aurora, IL 60506-2431

Phone

(630) 844-7400

NPI assigned

Jul 15, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1619529096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 WARBLER LN",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605607116",
            "telephone_number": "847-907-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 OLD INDIAN TRL",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605062431",
            "telephone_number": "630-844-7400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1005 Terminal Way Ste 125",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895022198",
            "country_code": "US",
            "telephone_number": "877-786-4999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTIG",
        "first_name": "NICOLE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IL",
            "license": "043108853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latasha Kimyatta Harris
• Sandra L Harris, MD
• Shabahyah Harris
• Amina Fatimah Hart
• Jalaine C Hart
• Corinna Hartwig-Mullally, APRN
• Anthony Harvat
• Johnice Harvey
• Kristina Noelle Harvey, PA-C, MPSAS, MSMS
• Samantha Pamela Hasemann

• Licensed Practical Nurse in Aurora, IL
• Providers in Aurora, IL by specialty
• Licensed Practical Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.