Sunshine Mary C De la Cruz, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

041-332914 Issued in IL

Practice address

1883 2ND St # 38
Highland Park, IL 60035-3113

Phone

(847) 421-7400

NPI assigned

Aug 22, 2022

Last updated

Sep 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Sunshine Mary M Cabrera Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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.

• Arawan Artistry Aesthetics

  • Point of Service
  • Highland Park, IL
  • NPI 1619690914
  NPD Authorized official
• 5 Star Healthcare, Inc.

  • Home Health Agency
  • Des Plaines, IL
  • NPI 1245225986
  NPD (past)

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1629796925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9114 WAUKEGAN RD UNIT 506",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600533821",
            "telephone_number": "847-421-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1883 2ND ST # 38",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353113",
            "telephone_number": "847-421-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA CRUZ",
        "first_name": "SUNSHINE",
        "middle_name": "MARY C",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041-332914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUNSHINE",
            "last_name": "CABRERA",
            "middle_name": "MARY M",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christine Elizabeth Davis, LAC
• Denise Rose Davis, LCSW
• Scott Murray Davis, M.D.
• Anna Dorota Day
• Erica Dayan, M.D.
• Kimberly Kay Dean, PTA
• Maryann Deleon, MD
• Timothy C Dennis, MA
• David Joseph Derdiger, L.AC., MSOM
• James H. Desnick, M.D.

• Registered Nurse in Highland Park, IL
• Providers in Highland Park, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.