Active NPI
Cara M Strom, RN, PNP
- Pediatrics Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 209.018506
- Practice address
- 1701 W Superior St
Chicago, IL 60622-5646 - Phone
- (312) 666-3494
- NPI assigned
- Mar 29, 2012
- Last updated
- Aug 12, 2021
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 635555 | NY | |
| Home Health Registered Nurse | 163WH0200X | 635555 | NY | |
| Pediatric Nurse Practitioner | 363LP0200X | F382274 | NY | |
| Pediatrics Physician | 208000000X | 209.018506 | IL | Primary |
Addresses
Primary practice location
1701 W Superior St
Chicago, IL 60622-5646
Mailing address
1701 W Superior St
Chicago, IL 60622-5646
Phone (312) 666-3494
Other practice location 1
250 W 89th St
Apt 7A
New York, NY 10024-1700
Phone (516) 205-5529
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649546052 | Medicaid | IL |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 635555 | NY | MD | Registered Nurse |
| 209.018506 | IL | MD | Pediatrics Physician |
| F382274 | NY | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erie Family Health Center Inc | Current | Accepting new patients | |
| Erie Family Health Center, Inc | Current | Accepting new patients | |
| Erie Family Health Center Inc | Current | Accepting new patients |
Locations
1504 S Albany Ave
Chicago, IL 60623
1701 W Superior St
Chicago, IL 60622
Phone (312) 432-7392
1701 W Superior St
Fl 3
Chicago, IL 60622
Phone (312) 432-7381
2418 W Division St
Chicago, IL 60622
Phone (312) 432-2621
Interoperability endpoints
- cstrom368873@direct.ochin.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1760499545
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1548062318
-
dba Erie Waukegan Health Center
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1851712053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628726400000",
"number": "1649546052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 W SUPERIOR ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606225646",
"telephone_number": "312-666-3494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 W SUPERIOR ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606225646",
"telephone_number": "312-666-3494"
}
],
"practiceLocations": [
{
"address_1": "250 W 89th St",
"address_2": "Apt 7A",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100241700",
"country_code": "US",
"telephone_number": "516-205-5529",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STROM",
"first_name": "CARA",
"middle_name": "M",
"credential": "RN, PNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-29",
"last_updated": "2021-08-12",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "635555",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "NY",
"license": "635555",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NY",
"license": "F382274",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "209.018506",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1649546052",
"state": "IL"
}
],
"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 Aug 12, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.