Active NPI
Carmalita Lewis-Buchanan, APN, FNP-BC
- Nurse Practitioner
- Harvey, IL
National Provider Identifier
1649799404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209-015131
- Practice address
- One Ingalls Drive
Harvey, IL 60426-3558 - Phone
- (708) 333-2300
- NPI assigned
- Sep 13, 2017
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209-015131 | IL | Primary |
Addresses
Primary practice location
One Ingalls Drive
Harvey, IL 60426-3558
Mailing address
646 E. 156TH Place
South Holland, IL 60473-1515
Phone (708) 331-4542
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209-015131 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care of Illinois PC | Current | Accepting new patients |
Locations
10137 Grand Ave
Franklin Park, IL 60131
Phone (847) 451-7590
5080 Spectrum Dr
Ste 1200W
Addison, TX 75001
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507593600000",
"number": "1649799404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "646 E. 156TH PLACE",
"city": "SOUTH HOLLAND",
"state": "IL",
"postal_code": "604731515",
"telephone_number": "708-331-4542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE INGALLS DRIVE",
"city": "HARVEY",
"state": "IL",
"postal_code": "604263558",
"telephone_number": "708-333-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS-BUCHANAN",
"first_name": "CARMALITA",
"name_prefix": "Mrs.",
"credential": "APN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-13",
"last_updated": "2017-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209-015131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harvey, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; 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.