Alisa Danielle Patterson

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Practice address

3710 W Verner Dr
Peoria, IL 61615-2990

Phone

(773) 916-1292

NPI assigned

Apr 1, 2021

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 identifiers 1

Other names 1

• Alisa Danielle Patterson Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1639757388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 W VERNER DR",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616152990",
            "telephone_number": "773-916-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 W VERNER DR",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616152990",
            "telephone_number": "773-916-1292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "ALISA",
        "middle_name": "DANIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-01",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02252019",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Chicago",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3820 W Van Buren St Fl 3",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606243132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALISA",
            "last_name": "PATTERSON",
            "middle_name": "DANIELLE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Vaishali M Patel, D.O.
• Vishal Rakesh Patel, MD
• Aeshaa Pathak
• Pathway Ministries
• Patrick L Wyffels, MD, LTD
• Patti L Ally
• Robin Patton
• Natalie Patty
• Paul Schellenberg, LLC
• Roger Louis Paul, DMD

• Home Health Agency in Peoria, IL
• Providers in Peoria, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.