Individual provider Active NPI

Nadia Persia Shirani, FNP-C

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1649869967
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209022100 Issued in IL
Practice address
11 E Ida B Wells Dr
Chicago, IL 60605-1210
Phone
(312) 939-4000
NPI assigned
Jan 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041396086 IL
Family Nurse Practitioner 363LF0000X 209022100 IL Primary

Addresses

Primary practice location

11 E Ida B Wells Dr
Chicago, IL 60605-1210

Mailing address

21W704 Buckingham Rd
Glen Ellyn, IL 60137-6437
Phone (630) 745-0324

Other practice location 1

939 W North Ave Ste 600
Chicago, IL 60642-7138
Phone (312) 757-4505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
041396086ILMDRegistered Nurse
209022100ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence H Iteld, MD, LLC PastSince Jun 21, 2020 Accepting new patients

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": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1649869967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21W704 BUCKINGHAM RD",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601376437",
            "telephone_number": "630-745-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 E IDA B WELLS DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606051210",
            "telephone_number": "312-939-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "939 W North Ave Ste 600",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606427138",
            "country_code": "US",
            "telephone_number": "312-757-4505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIRANI",
        "first_name": "NADIA",
        "middle_name": "PERSIA",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041396086",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209022100",
            "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 Jan 12, 2021; 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.