Individual provider Active NPI

Vanesa Mattie Soto, RN

  • Registered Nurse
  • Vernon Hills, IL
National Provider Identifier
1659080752
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
041503062 Issued in IL
Practice address
863 N Milwaukee Ave Unit 400
Vernon Hills, IL 60061-1643
Phone
(224) 628-0612
NPI assigned
Nov 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041503062 IL Primary

Addresses

Primary practice location

863 N Milwaukee Ave Unit 400
Vernon Hills, IL 60061-1643

Mailing address

299 N Dunton Ave Apt 503
Arlington Heights, IL 60004-5980
Phone (224) 628-0612

Other practice location 1

863 N Milwaukee Ave
Vernon Hills, IL 60061-1643
Phone (224) 601-6863

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
041503062ILMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1659080752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 N DUNTON AVE APT 503",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600045980",
            "telephone_number": "224-628-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "863 N MILWAUKEE AVE UNIT 400",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611643",
            "telephone_number": "224-628-0612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "863 N Milwaukee Ave",
            "address_purpose": "LOCATION",
            "city": "Vernon Hills",
            "state": "IL",
            "postal_code": "600611643",
            "country_code": "US",
            "telephone_number": "224-601-6863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOTO",
        "first_name": "VANESA",
        "middle_name": "MATTIE",
        "name_prefix": "Miss",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-16",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041503062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.