Active NPI
Renita Camille Sanders, FNP
- Family Nurse Practitioner
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 277003051
- Practice address
- 9119 S Exchange Ave
Chicago, IL 60617-4225 - Phone
- (773) 768-5000
- NPI assigned
- Feb 27, 2018
- 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 | 277003051 | IL | Primary |
Addresses
Primary practice location
9119 S Exchange Ave
Chicago, IL 60617-4225
Mailing address
7601 Kingery Hwy
Willowbrook, IL 60527-5538
Phone (773) 299-0323
Other practice location 1
6748 W 111th St
Worth, IL 60482-1912
Phone (773) 299-0323
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10536 S Ewing Ave
Chicago, IL 60617-6219
Phone (773) 768-5000
9119 S Exchange Ave
Chicago, IL 60617-4225
Phone (773) 768-5000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 277003051 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicago Family Health Center Inc | Current | Accepting new patients | |
| Chicago Family Health Center, Inc. | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Community Health Alliance PLLC | Current | Accepting new patients | |
| One Savvy NP, LLC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Harmonycares Complete Health Services, PLLC | Current | Accepting new patients | |
| Mobilevax Staffing LLC | Past | Accepting new patients |
Locations
570 E 115th St
Chicago, IL 60628
520 W Erie St
Ste 300
Chicago, IL 60654
Phone (773) 733-0199
9119 S Exchange Ave
Chicago, IL 60617
Interoperability endpoints
- renita.sanders@398008301912068.direct.elationemr.com
- renita.sanders.1@18277.direct.athenahealth.com
Organizations & group practices 9
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.
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1245266337
-
- Pain Medicine (Anesthesiology) Physician
- Chicago, IL
- NPI 1124610704
-
- Family Medicine Physician
- Oakbrook Terrace, IL
- NPI 1174925663
-
- Clinical Medical Laboratory
- Tinley Park, IL
- NPI 1952062978
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1528390507
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1770785644
-
- Family Medicine Physician
- Jackson, MS
- NPI 1093543902
-
- Family Medicine Physician
- Brentwood, TN
- NPI 1578363362
-
- Primary Care Nurse Practitioner
- Chicago, IL
- NPI 1730936741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714262400000",
"number": "1629579271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7601 KINGERY HWY",
"city": "WILLOWBROOK",
"state": "IL",
"postal_code": "605275538",
"telephone_number": "773-299-0323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9119 S EXCHANGE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606174225",
"telephone_number": "773-768-5000"
}
],
"practiceLocations": [
{
"address_1": "6748 W 111th St",
"address_purpose": "LOCATION",
"city": "Worth",
"state": "IL",
"postal_code": "604821912",
"country_code": "US",
"telephone_number": "773-299-0323",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDERS",
"first_name": "RENITA",
"middle_name": "CAMILLE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-27",
"last_updated": "2024-04-28",
"certification_date": "2024-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "277003051",
"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 Apr 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.