Individual provider Active NPI

Andrea L. Torres, APN-CNP

  • Nurse Practitioner
  • Deerfield, IL
National Provider Identifier
1629328984
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
277002318 Issued in IL
Practice address
300 Waukegan Rd
Deerfield, IL 60015-4908
Phone
(847) 580-8168
NPI assigned
Sep 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 209009452 IL
Nurse Practitioner 363L00000X 277002318 IL Primary

Addresses

Primary practice location

300 Waukegan Rd
Deerfield, IL 60015-4908

Mailing address

1777 Green Bay Rd Ste 201
Highland Park, IL 60035-3109
Phone (847) 433-3460

Other practice location 1

1777 Green Bay Rd Ste 201
Highland Park, IL 60035-3109
Phone (847) 433-3460

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
I20130215000528 IL Practitioner - Nurse Practitioner 1355595596 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

1777 Green Bay Rd
Suite 201
Highland Park, IL 60035-3109
Phone (847) 433-3460

2650 Ridge Ave
Evanston, IL 60201-1700

Hospital & facility affiliations

  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
  • Advocate Condell Medical Center Hospital, Libertyville, IL, CCN 140202

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
277002318ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitae Health Medical Illinois, PLLC CurrentSince May 1, 2022 Accepting new patients
Endeavor Health Medical Group CurrentSince Jan 25, 2023 Accepting new patients
Endeavor Health Medical Group Current Accepting new patients

Locations

800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

9532 Eagle Way
Chicago, IL 60678

300 Waukegan Rd
Deerfield, IL 60015
Phone (847) 580-8287

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

1511 Greenwood Rd
Glenview, IL 60026
Phone (847) 287-3981

1777 Green Bay Rd
Highland Park, IL 60035
Phone (847) 433-3460

1777 Green Bay Rd
#201
Highland Park, IL 60035
Phone (847) 433-3460

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1629328984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 GREEN BAY RD STE 201",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353109",
            "telephone_number": "847-433-3460",
            "fax_number": "847-433-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WAUKEGAN RD",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154908",
            "telephone_number": "847-580-8168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1777 Green Bay Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Highland Park",
            "state": "IL",
            "postal_code": "600353109",
            "country_code": "US",
            "telephone_number": "847-433-3460",
            "fax_number": "847-433-4062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TORRES",
        "first_name": "ANDREA",
        "middle_name": "L.",
        "credential": "APN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209009452",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "277002318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield, IL

Sources for this page

Verify at the official NPI Registry.